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成年人的居住流动性:流行率、特征,以及与精神疾病和精神卫生服务使用的关联。

Residential Transience Among Adults: Prevalence, Characteristics, and Association with Mental Illness and Mental Health Service Use.

机构信息

Behavioral Health and Criminal Justice Division, RTI International, 3040 E. Cornwallis Rd., Research Triangle Park, NC, 27709, USA.

Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, 5600 Fishers Ln., Rockville, MD, 20857, USA.

出版信息

Community Ment Health J. 2019 Jul;55(5):784-797. doi: 10.1007/s10597-019-00385-w. Epub 2019 Mar 11.

Abstract

This study examined the association between frequent residential mobility (i.e., residential transience) and mental illness, mental health service use, and unmet need for services. Data are from the 2010 to 2014 National Surveys on Drug Use and Health (n = ~ 229,600). Logistic regression models examined the relationship between proximal (past year) and distal (past 2-5 years) residential transience and past year any mental illness (AMI), serious mental illness (SMI), mental health service use among adults with mental illness, and unmet need for services. Adults with transience had greater odds of AMI and SMI than those without transience. Proximal and distal transience were unrelated to past year mental health service use among adults with mental illness, but the odds of unmet need for services were greater among adults with transience compared with those without, suggesting a level of unmet service need among those with transience.

摘要

这项研究考察了频繁的居住地迁移(即居住流动性)与精神疾病、精神卫生服务利用和服务需求未满足之间的关系。数据来自 2010 至 2014 年全国毒品使用和健康调查(n=~229600)。逻辑回归模型检验了近期(过去一年)和远期(过去 2-5 年)居住地迁移与过去一年任何精神疾病(AMI)、严重精神疾病(SMI)、有精神疾病的成年人的精神卫生服务利用以及服务需求未满足之间的关系。与没有居住地迁移的成年人相比,有居住地迁移的成年人患 AMI 和 SMI 的可能性更大。近期和远期居住地迁移与有精神疾病的成年人过去一年的精神卫生服务利用无关,但与没有居住地迁移的成年人相比,有居住地迁移的成年人服务需求未满足的可能性更大,这表明有居住地迁移的成年人存在一定程度的服务需求未满足。

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