Gelberg Lillian, Andersen Ronald, Longshore Douglas, Leake Barbara, Nyamathi Adeline, Teruya Cheryl, Arangua Lisa
Health Services Research, UCLA School of Public Health, 650 Charles E. Young Drive S, Los Angeles, CA 90095-1772, USA.
J Behav Health Serv Res. 2009 Apr;36(2):212-32. doi: 10.1007/s11414-008-9144-0. Epub 2008 Oct 16.
This paper explores associations among the vulnerabilities of being female, being a member of a minority group, and being a drug abuser in homeless women's hospitalizations. It uses a 1997 probability survey of 974 homeless females age 15-44 in Los Angeles. In unadjusted analyses, whites were more likely than other ethnic minority groups to be hospitalized, and drug abusers were more likely to be hospitalized than non-drug abusers. Multiple logistic regression analyses indicated that factors associated with hospitalization differed considerably among the ethnic and drug-abuse subgroups. For example, ethnic disparities in inpatient health care were found for drug-abusing women, but not for those who did not abuse drugs. Pregnancy was the only important determinant of hospitalization in all subgroups (OR, 2.9-17.4). Preventing unintended pregnancy appears to be the most inclusive means of reducing hospitalization and attendant costs among homeless women.
本文探讨了在无家可归女性住院治疗中，身为女性、少数群体成员以及药物滥用者这几种易患因素之间的关联。研究使用了1997年对洛杉矶974名年龄在15 - 44岁的无家可归女性进行的概率抽样调查。在未经调整的分析中，白人比其他少数族裔群体更有可能住院，药物滥用者比非药物滥用者更有可能住院。多项逻辑回归分析表明，与住院相关的因素在不同种族和药物滥用亚组之间存在很大差异。例如，在药物滥用女性中发现了住院医疗方面的种族差异，但在未滥用药物的女性中未发现。在所有亚组中，怀孕是住院的唯一重要决定因素（比值比，2.9 - 17.4）。预防意外怀孕似乎是减少无家可归女性住院率及相关费用的最全面的方法。
