Lim Sungwoo, Singh Tejinder P, Gwynn R Charon
Am J Epidemiol. 2017 Aug 1;186(3):297-304. doi: 10.1093/aje/kwx046.
Former foster youth are at increased risk of housing instability and sexually transmitted infections (STIs) during the transitional period following foster care. We measured housing stability using sequence analysis and assessed whether a supportive housing program in New York, New York, was effective in improving housing stability and reducing STIs among former foster youth. Matched administrative records identified 895 former foster youth who were eligible for the housing program during 2007-2010. The main outcomes included housing stability (as determined from episodes of homelessness, incarceration, hospitalization, and residence in supportive housing) and diagnosed STI case rates per 1,000 person-years during the 2 years after baseline. Marginal structural models were used to assess impacts of the program on these outcomes. Three housing stability patterns (unstable housing, stable housing, and rare institutional dwelling patterns) were identified. The housing program was positively associated with a pattern of stable housing (odds ratio = 4.4, 95% confidence interval: 2.9, 6.8), and negatively associated with diagnosed STI rates (relative risk = 0.3, 95% confidence interval: 0.2, 0.7). These positive impacts on housing stability and STIs highlight the importance of the supportive housing program for youths aging out of foster care and the need for such programs to continue.
在寄养照护后的过渡时期，曾经的寄养青年面临住房不稳定和性传播感染（STIs）风险增加的问题。我们使用序列分析来衡量住房稳定性，并评估纽约市的一个支持性住房项目是否能有效改善曾经的寄养青年的住房稳定性并降低性传播感染率。匹配的行政记录确定了895名在2007 - 2010年期间有资格参与该住房项目的曾经的寄养青年。主要结果包括住房稳定性（根据无家可归、监禁、住院以及在支持性住房中的居住情况确定）以及基线后2年内每1000人年确诊的性传播感染病例率。使用边缘结构模型来评估该项目对这些结果的影响。确定了三种住房稳定性模式（不稳定住房、稳定住房和罕见的机构居住模式）。该住房项目与稳定住房模式呈正相关（优势比 = 4.4，95%置信区间：2.9，6.8），与确诊的性传播感染率呈负相关（相对风险 = 0.3，95%置信区间：0.2，0.7）。这些对住房稳定性和性传播感染的积极影响凸显了支持性住房项目对于脱离寄养照护的青年的重要性以及此类项目持续开展的必要性。
