School of Social Work, University of Missouri, Columbia, Missouri.
Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California.
J Adolesc Health. 2021 Oct;69(4):629-635. doi: 10.1016/j.jadohealth.2021.03.022. Epub 2021 May 13.
Youth experiencing homelessness (YEH) are vulnerable to multiple adverse health outcomes. Connecting YEH with housing is critical to addressing youth homelessness and to preventing long-term negative health consequences among this vulnerable population. Using administrative data, this study aims to explore correlates of YEH's sustainability in two major housing programs: permanent supportive housing (PSH) and rapid re-housing (RRH) programs.
This study used Homelessness Management Information System administrative data collected from 16 communities across the U.S. between January 1, 2015 and May 1, 2017 (n = 10,902). We conducted Cox proportional hazards survival analyses to explore correlates (e.g., demographics, homeless experiences, and overall vulnerability) of YEH's PSH (n = 577) and RRH (n = 2,883) sustainability separately.
For YEH receiving PSH, only individuals' level of vulnerability is associated with greater hazard of exiting PSH. As for RRH sustainability, YEH who were 17 years old or younger, black or Latinx (as compared to white), of higher level of vulnerability, or previously spent most nights couch surfing or in transitional living programs (as compared to on the street) are associated with higher hazard of exiting RRH.
Both PSH and RRH programs should incorporate comprehensive services targeting youth experiencing high vulnerability to prevent them from re-entering homelessness. Future RRH programming should also address housing sustainability disparities faced by racial and ethnic minority YEH, especially when they are disproportionately influenced by homelessness. Finally, RRH programs should incorporate services to foster independent living among younger YEH to sustain their housing status once temporary housing subsidies expire.
无家可归的青年（YEH）易受到多种不良健康结果的影响。将 YEH 与住房联系起来对于解决青年无家可归问题以及预防这一弱势群体的长期负面健康后果至关重要。本研究使用行政数据，旨在探索两种主要住房计划（永久性支持性住房（PSH）和快速再安置计划（RRH））中 YEH 可持续性的相关因素。
本研究使用了美国 16 个社区在 2015 年 1 月 1 日至 2017 年 5 月 1 日期间收集的无家可归者管理信息系统行政数据（n=10902）。我们进行了 Cox 比例风险生存分析，以分别探讨 YEH 的 PSH（n=577）和 RRH（n=2883）可持续性的相关因素（例如，人口统计学，无家可归经历和整体脆弱性）。
对于接受 PSH 的 YEH，只有个人的脆弱程度与退出 PSH 的风险增加有关。至于 RRH 的可持续性，年龄在 17 岁或以下、非裔或拉丁裔（与白人相比）、脆弱程度较高、或以前大部分时间都在沙发上睡觉或在过渡性生活项目中度过（与在街上相比）的 YEH，退出 RRH 的风险更高。
PSH 和 RRH 计划都应纳入针对高脆弱性青年的综合服务，以防止他们重新陷入无家可归状态。未来的 RRH 计划还应解决少数族裔和族裔青年 YEH 面临的住房可持续性差距问题，特别是当他们受到无家可归的不成比例影响时。最后，RRH 计划应纳入服务，以促进年轻 YEH 的独立生活，以维持他们的住房状况，一旦临时住房补贴到期。
