新诊断患有阿尔茨海默病和相关痴呆症的退伍军人的无家可归发生率。
Incidence of Homelessness among Veterans Newly Diagnosed with Alzheimer's Disease and Related Dementias.
机构信息
Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, RI; Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI.
Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, RI.
出版信息
R I Med J (2013). 2021 May 3;104(4):20-25.
BACKGROUND
To determine the incidence of homelessness among Veterans diagnosed with Alzheimer's disease and related dementias (ADRD).
METHODS
We used Veterans Affairs (VA) administrative records to identify Veterans with a new ADRD diagnosis anytime between 2010-2019. Among these Veterans, we calculated the incidence of homelessness, and estimated the association between demographics, comorbidities and hazard of homelessness.
RESULTS
The incidence rate of homelessness was highest for Veterans diagnosed with ADRD between 18-49 years of age (14.9 per 1,000 person-years; 95%CI: 13.6, 16.3) and lowest for Veterans diagnosed with ADRD at 90+ years (0.3 per 1,000 person-years; 95%CI: 0.2, 0.4). The adjusted hazard ratio of homelessness was higher for unmarried Veterans, and those with alcohol use disorder, substance use disorder, liver disease, depression, hypertension, lung disease, post-traumatic stress disorder and psychoses.
CONCLUSIONS
Younger age and being unmarried at the time of ADRD diagnosis are associated with a greater risk of experiencing homelessness.
背景
确定被诊断患有阿尔茨海默病和相关痴呆症（ADRD）的退伍军人中无家可归的发生率。
方法
我们使用退伍军人事务部（VA）的行政记录，确定在 2010-2019 年间任何时候被诊断患有 ADRD 的退伍军人。在这些退伍军人中，我们计算了无家可归的发生率，并估计了人口统计学、合并症与无家可归风险之间的关联。
结果
被诊断患有 ADRD 的年龄在 18-49 岁的退伍军人的无家可归发生率最高（每 1000 人年 14.9 例；95%CI：13.6，16.3），而被诊断患有 ADRD 的年龄在 90 岁及以上的退伍军人的无家可归发生率最低（每 1000 人年 0.3 例；95%CI：0.2，0.4）。未结婚的退伍军人，以及患有酒精使用障碍、物质使用障碍、肝脏疾病、抑郁、高血压、肺部疾病、创伤后应激障碍和精神病的退伍军人，其无家可归的调整后危险比更高。
结论
在被诊断患有 ADRD 时年龄较小且未婚与经历无家可归的风险增加有关。
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