Gultekin Laura E, Brush Barbara L, Ginier Emily, Cordom Alexandra, Dowdell Elizabeth B
School of Nursing, University of Michigan, Ann Arbor, MI, USA.
The Taubman Health Sciences Library, University of Michigan, Ann Arbor, MI, USA.
J Sch Nurs. 2020 Feb;36(1):10-18. doi: 10.1177/1059840519875182. Epub 2019 Sep 15.
Despite reports that over 1.3 million school-age children (ages 5-18) were homeless in 2019, little is known about the effects of homelessness on their overall health and well-being. To better understand where gaps exist, a scoping review of the literature was conducted to identify studies of the physical, mental, and behavioral health risks and outcomes of school-age children experiencing homelessness or housing instability. Following the Joanna Briggs Institute framework and Preferred Reporting Items (PRISMA) guidelines, seven electronic databases were searched using key words: homelessness, children, health, and well-being. Of the 4,372 records, 23 articles met inclusion criteria. Most examined mental health and high-risk activities or behavioral risks related to school achievement. Few studies tracked the long-term health outcomes of homeless school-age children. Findings have implications for school nurses who have contact with children experiencing homelessness and are in position to intervene to prevent negative health sequelae in this vulnerable population.
尽管有报告称2019年有超过130万学龄儿童（5至18岁）无家可归，但对于无家可归对他们整体健康和幸福的影响却知之甚少。为了更好地了解存在哪些差距，我们对文献进行了范围综述，以确定有关经历无家可归或住房不稳定的学龄儿童的身体、心理和行为健康风险及结果的研究。按照乔安娜·布里格斯研究所框架和首选报告项目（PRISMA）指南，使用关键词“无家可归”“儿童”“健康”和“幸福”对七个电子数据库进行了检索。在4372条记录中，有23篇文章符合纳入标准。大多数研究考察了心理健康以及与学业成绩相关的高风险活动或行为风险。很少有研究追踪无家可归学龄儿童的长期健康结果。研究结果对与无家可归儿童有接触且有能力进行干预以防止这一弱势群体出现负面健康后果的学校护士具有启示意义。
