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经历无家可归的家庭住房不稳定状况恢复的风险模型。

Risk Models for Returns to Housing Instability Among Families Experiencing Homelessness.

作者信息

Glendening Zachary, Shinn Marybeth

机构信息

Vanderbilt University.

出版信息

Cityscape. 2017;19(3):309-330.

PMID:29326757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5760192/
Abstract

This study developed risk models for returns to housing instability (that is, homelessness and unstable doubling-up situations) among families exiting emergency shelter. Participants included 446 families randomly assigned to receive priority offers of long-term housing subsidies and 578 families randomly assigned to usual care in the Family Options Study, a multisite experiment designed to test the impact of various housing and service interventions for homeless families. Relationships between family features recorded at shelter entry and returns to housing instability 20 months later were examined empirically. Correlation, hierarchical logistic regression, and receiver operating characteristic curves were used to combine family features into predictive risk models. Results indicated that few observable family features beyond previous housing instability offered predictive utility. Access to long-term housing subsidies appears to reduce housing instability. Further research should examine whether disability benefits, reliable employment, or effective substance dependence treatment reduce housing instability.

摘要

本研究针对从紧急避难所迁出的家庭,建立了住房不稳定(即无家可归和不稳定的合住情况)回归风险模型。参与者包括446个被随机分配接受长期住房补贴优先提供的家庭,以及578个在家庭选择研究中被随机分配接受常规护理的家庭。家庭选择研究是一项多地点实验,旨在测试各种住房和服务干预措施对无家可归家庭的影响。对在进入避难所时记录的家庭特征与20个月后住房不稳定回归之间的关系进行了实证研究。使用相关性分析、分层逻辑回归和受试者工作特征曲线,将家庭特征组合成预测风险模型。结果表明,除了先前的住房不稳定之外,几乎没有可观察到的家庭特征具有预测效用。获得长期住房补贴似乎可以减少住房不稳定。进一步的研究应考察残疾福利、稳定就业或有效的药物依赖治疗是否能减少住房不稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d94/5760192/e51b697cc2d6/nihms927087f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d94/5760192/cc57aa3b6195/nihms927087f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d94/5760192/e51b697cc2d6/nihms927087f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d94/5760192/cc57aa3b6195/nihms927087f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d94/5760192/e51b697cc2d6/nihms927087f2.jpg

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Campbell Syst Rev. 2021 Jun 24;17(2):e1154. doi: 10.1002/cl2.1154. eCollection 2021 Jun.

本文引用的文献

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Families' Experiences of Doubling Up After Homelessness.家庭在无家可归后合住的经历。
Cityscape. 2017;19(3):331-356.
2
Permanent Supportive Housing for Homeless People - Reframing the Debate.为无家可归者提供永久性支持性住房——重新审视这场辩论。
N Engl J Med. 2016 Dec 1;375(22):2115-2117. doi: 10.1056/NEJMp1608326.
3
The prevalence and economic value of doubling up.加倍使用的流行程度及经济价值。
Demography. 2014 Oct;51(5):1667-76. doi: 10.1007/s13524-014-0327-4.
4
Efficient targeting of homelessness prevention services for families.高效针对家庭的无家可归预防服务。
Am J Public Health. 2013 Dec;103 Suppl 2(Suppl 2):S324-30. doi: 10.2105/AJPH.2013.301468. Epub 2013 Oct 22.
5
Academic achievement trajectories of homeless and highly mobile students: resilience in the context of chronic and acute risk.无家可归和高度流动学生的学业成就轨迹:在慢性和急性风险背景下的韧性。
Child Dev. 2013 May-Jun;84(3):841-57. doi: 10.1111/cdev.12013. Epub 2012 Oct 30.
6
Helping adults who are homeless gain disability benefits: the SSI/SSDI Outreach, Access, and Recovery (SOAR) program.帮助无家可归的成年人获得残疾福利:SSI/SSDI 外展、接入和恢复(SOAR)计划。
Psychiatr Serv. 2011 Nov;62(11):1373-6. doi: 10.1176/ps.62.11.pss6211_1373.
7
A population-based assessment of the health of homeless families in New York City, 2001-2003.2001-2003 年纽约市无家可归家庭健康状况的基于人群评估。
Am J Public Health. 2011 Mar;101(3):546-53. doi: 10.2105/AJPH.2010.193102. Epub 2011 Jan 13.
8
The geography of adult homelessness in the US: Validation of state and county estimates.美国成年无家可归者的地理分布:州和县估计数的验证。
Health Place. 2010 Sep;16(5):828-37. doi: 10.1016/j.healthplace.2010.04.008. Epub 2010 May 4.
9
Asthma and behavior in homeless 4- to 7-year-olds.4 至 7 岁 homeless 儿童中的哮喘与行为。
Pediatrics. 2010 Jan;125(1):145-51. doi: 10.1542/peds.2009-0103. Epub 2009 Dec 7.
10
What research tells us about the intersecting streams of homelessness and foster care.关于无家可归和寄养的交叉流,研究告诉了我们什么。
Am J Orthopsychiatry. 2009 Jul;79(3):319-25. doi: 10.1037/a0017218.