U.S. Department of Veterans Affairs (VA), National Center on Homelessness Among Veterans, Philadelphia, Pennsylvania; Birmingham VA Medical Center, Birmingham, Alabama; Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama.
VA, Center for Health Equity Research & Promotion, Philadelphia, Pennsylvania.
Am J Prev Med. 2018 Apr;54(4):584-590. doi: 10.1016/j.amepre.2018.01.020. Epub 2018 Feb 9.
Women Veterans are at increased risk of both housing instability and intimate partner violence compared with their non-Veteran counterparts. The objectives of the present study were (1) to assess the relationship between women Veterans' experience of intimate partner violence and various indicators of housing instability, and (2) to assess what correlates help to explain experiences of housing instability among women Veterans who experienced past-year intimate partner violence.
Data were collected from U.S. Department of Veterans Affairs electronic medical records for 8,427 women Veterans who were screened for past-year intimate partner violence between April 2014 and April 2016 at 13 Veterans Affairs' facilities. Logistic regressions performed during 2017 assessed the relationship between past-year intimate partner violence and housing instability.
A total of 8.4% of the sample screened positive for intimate partner violence and 11.3% for housing instability. Controlling for age and race, a positive intimate partner violence screen increased odds of housing instability by a factor of 3. Women Veterans with past-year intimate partner violence were more likely to have an indicator of housing instability if they identified as African American, had screened positive for military sexual trauma, or had a substance use disorder; receiving compensation for a disability incurred during military service and being married were protective.
For women Veterans, intimate partner violence interventions should assess for both physical and psychological housing needs, and housing interventions should coordinate with intimate partner violence programs to address common barriers to resources.
与非退伍军人相比，女性退伍军人在住房不稳定和亲密伴侣暴力方面的风险增加。本研究的目的是（1）评估女性退伍军人亲密伴侣暴力经历与各种住房不稳定指标之间的关系，以及（2）评估哪些相关因素有助于解释经历过去一年亲密伴侣暴力的女性退伍军人的住房不稳定经历。
本研究的数据来自美国退伍军人事务部电子病历，共 8427 名女性退伍军人在 2014 年 4 月至 2016 年 4 月期间在 13 个退伍军人事务设施接受了过去一年亲密伴侣暴力筛查。2017 年进行的逻辑回归评估了过去一年亲密伴侣暴力与住房不稳定之间的关系。
样本中共有 8.4%的人被筛查出亲密伴侣暴力，11.3%的人住房不稳定。在控制年龄和种族的情况下，亲密伴侣暴力筛查阳性使住房不稳定的几率增加了 3 倍。如果过去一年有亲密伴侣暴力的女性退伍军人被诊断为非裔美国人、有军事性创伤史或有物质使用障碍，她们更有可能有住房不稳定的迹象；而获得因在兵役中受伤而获得的补偿和已婚则是保护因素。
对于女性退伍军人来说，亲密伴侣暴力干预措施应评估身体和心理住房需求，住房干预措施应与亲密伴侣暴力项目协调，以解决资源的共同障碍。
