Washington Donna L, Yano Elizabeth M, McGuire James, Hines Vivian, Lee Martin, Gelberg Lillian
Health and Equity at the VA Greater Los Angeles Health Services Research and Development (HSR&D) Center of Excellence, Los Angeles, CA, USA.
J Health Care Poor Underserved. 2010 Feb;21(1):82-91. doi: 10.1353/hpu.0.0237.
Women veterans are three to four times more likely than non-veteran women to become homeless. However, their risk factors for homelessness have not been defined.
Case-control study of non-institutionalized homeless women veterans (n533) and age-matched housed women veterans (n=165). Health, health care, and factors associated with homelessness were assessed using multiple logistic regression with a Monte Carlo algorithm to estimate exact standard errors of the model coefficients and p-values.
Characteristics associated with homelessness were sexual assault during military service, being unemployed, being disabled, having worse overall health, and screening positive for an anxiety disorder or post-traumatic stress disorder. Protective factors were being a college graduate or married.
Efforts to assess housed women veterans' risk factors for homelessness should be integrated into clinical care programs within and outside the Veterans Administration. Programs that work to ameliorate risk factors may prevent these women's living situations from deteriorating over time.
退伍女兵无家可归的可能性是非退伍女兵的三到四倍。然而，她们无家可归的风险因素尚未明确。
对非机构化的无家可归退伍女兵（n = 33）和年龄匹配的有住所退伍女兵（n = 165）进行病例对照研究。使用多重逻辑回归和蒙特卡罗算法评估与无家可归相关的健康、医疗保健及其他因素，以估计模型系数和p值的精确标准误差。
与无家可归相关的特征包括服役期间遭受性侵犯、失业、残疾、整体健康状况较差以及焦虑症或创伤后应激障碍筛查呈阳性。保护因素是大学毕业或已婚。
评估有住所退伍女兵无家可归风险因素的工作应纳入退伍军人管理局内外的临床护理项目。致力于改善风险因素的项目可能会防止这些女性的生活状况随着时间推移而恶化。
