Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada.
J Intellect Disabil Res. 2011 Apr;55(4):441-9. doi: 10.1111/j.1365-2788.2010.01366.x. Epub 2011 Jan 18.
The association between poverty and intellectual disability (ID) has been well documented. However, little is known about persons with ID who face circumstances of extreme poverty, such as homelessness. This paper describes the situation of persons with ID who were or are homeless in Montreal and are currently receiving services from a team dedicated to homeless persons.
(1) To describe the characteristics, history and current situation of these persons; and (2) to report within-group differences as a function of gender and current residential status.
The data were collected from files using an anonymous chart summary. Descriptive statistics on the whole sample (n = 68) and inferential statistics on cross-tabulations by gender and residential status were performed.
Persons with ID exhibited several related problems. Some of these persons, primarily women, experienced relatively short periods of homelessness and their situations stabilised once they were identified and followed up. Other persons with ID experienced chronic homelessness that appeared to parallel the number and severity of their other problems. When compared with a previous epidemiological study of the homeless in Montreal, the population of homeless persons with ID differed from the overall homeless population in a number of respects.
The results suggest prevention and intervention targets. The need for epidemiological research appears particularly clear in light of the fact that below-average intellectual functioning has been identified as a risk factor for homelessness and a predisposing factor for vulnerability among street people.
贫困与智力障碍(ID)之间的关联已得到充分证明。然而,对于那些面临极端贫困情况(如无家可归)的 ID 患者知之甚少。本文描述了在蒙特利尔无家可归的 ID 患者的情况,他们目前正在一个专门为无家可归者服务的团队中接受服务。
(1)描述这些人的特征、历史和现状;(2)根据性别和当前居住状况报告组内差异。
使用匿名图表摘要从档案中收集数据。对整个样本(n=68)进行描述性统计,并对性别和居住状况的交叉表进行推断性统计。
ID 患者表现出多种相关问题。其中一些人,主要是女性,经历了相对短暂的无家可归期,一旦被发现并得到跟进,他们的情况就稳定下来。其他 ID 患者则经历了慢性无家可归,这似乎与他们其他问题的数量和严重程度有关。与蒙特利尔无家可归者的先前流行病学研究相比,无家可归的 ID 患者群体在许多方面与总体无家可归者群体不同。
研究结果表明了预防和干预的目标。鉴于智力功能低于平均水平已被确定为无家可归的风险因素以及街头人群易受伤害的促成因素,因此开展流行病学研究的需求显得尤为重要。