Brucker Debra L, Helms Veronica
Institute on Disability, University of New Hampsire, Durham, NH, U.S.A..
Office of Lead Hazard Control and Healthy Homes, U.S. Department of Housing and Urban Development, Washington, DC, U.S.A.
J Behav Health Serv Res. 2019 Oct;46(4):586-606. doi: 10.1007/s11414-018-09647-z.
Using newly available U.S. Department of Housing and Urban Development (HUD) administrative data linked with National Health Interview Survey (NHIS) data, this study estimates the prevalence of serious psychological distress (SPD) among non-elderly HUD-assisted adults and examines differences in health, health behaviors, and health care utilization for this population. The linked data estimate that 13% of HUD-assisted adults experience SPD. Controlling for individual characteristics and HUD program type, assisted housing residents who had SPD experienced higher rates of self-reported fair or poor health, chronic disease, and cigarette smoking than HUD-assisted adults without SPD. Adults with SPD had more frequent use of emergency rooms and were more likely than residents without SPD to have more frequent contact with specialists, general doctors, and mental health providers, although they also reported increased levels of unmet health care needs due to affordability. Policy implications are discussed.
利用新获取的与美国国家健康访谈调查（NHIS）数据相链接的美国住房和城市发展部（HUD）行政数据，本研究估算了非老年受HUD援助成年人中严重心理困扰（SPD）的患病率，并考察了该人群在健康、健康行为和医疗保健利用方面的差异。链接数据估计，13%的受HUD援助成年人经历过SPD。在控制个体特征和HUD项目类型后，有SPD的辅助住房居民自我报告健康状况为一般或较差、患有慢性病以及吸烟的比例高于没有SPD的受HUD援助成年人。患有SPD的成年人更频繁地使用急诊室，与没有SPD的居民相比，他们更有可能更频繁地接触专科医生、全科医生和心理健康服务提供者，尽管他们也报告称由于经济负担能力问题，未满足的医疗保健需求有所增加。文中讨论了政策影响。
