1 University of Michigan, Ann Arbor, USA.
J Fam Nurs. 2017 Feb;23(1):90-115. doi: 10.1177/1074840716678046. Epub 2016 Nov 23.
Housing instability threatens the health and well-being of millions of families across the United States, yet little is known about the characteristics or housing trajectories of at-risk families. To address this gap in our understanding of family risk for housing instability and homelessness, we undertook a qualitative descriptive study utilizing a convenience sample of 16 mothers recruited from a housing service agency living in Detroit and receiving emergency services to avoid homelessness. Participants completed the Brief Patient Health Questionnaire (PHQ), then narrated their life events and reasons for housing instability and disclosed desired interventions for homelessness prevention. Data analysis reveals that women experienced high rates of previously undisclosed trauma, broken family relationships, early parenting responsibilities, social isolation, and system failures that contributed to recurrent episodes of housing instability. We argue that housing instability is a symptom of multiple chronic underlying issues that need more than a temporary financial patch.
住房不稳定威胁着美国数以百万计家庭的健康和福祉,但对于面临风险的家庭的特征或住房轨迹知之甚少。为了解决我们对家庭住房不稳定和无家可归风险理解的这一差距,我们利用从底特律的一个住房服务机构招募的 16 名母亲的便利样本,开展了一项定性描述性研究,这些母亲正在接受紧急服务以避免无家可归。参与者完成了简短的患者健康问卷(PHQ),然后讲述了他们的生活事件和住房不稳定的原因,并透露了预防无家可归的理想干预措施。数据分析显示,女性经历了以前未披露的创伤、破裂的家庭关系、早期育儿责任、社会孤立和系统故障的高发率,这些因素导致了住房不稳定的反复出现。我们认为,住房不稳定是多种慢性潜在问题的症状,需要的不仅仅是暂时的财政补贴。