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澳大利亚的男同性恋、女同性恋和双性恋无家可归问题:政策和实践中需要考虑的风险和适应因素。

Lesbian, gay and bisexual homelessness in Australia: Risk and resilience factors to consider in policy and practice.

机构信息

Department of General Practice, The University of Melbourne, Carlton, VIC, Australia.

Swinburne University of Technology, Hawthorn, VIC, Australia.

出版信息

Health Soc Care Community. 2022 May;30(3):e687-e694. doi: 10.1111/hsc.13439. Epub 2021 May 26.

Abstract

Lesbian, gay and bisexual (LGB) people are more likely than heterosexual people to experience homelessness. The study aimed to compare risk and resilience factors commonly associated with homelessness according to sexual identity to inform more LGB-inclusive and targeted policy and service provision in this area. The study involved analysis of data from two Australian surveys: the General Social Survey 2014 (n = 17,401) and the Journeys Home study (n = 1,659). Chi-squared analyses of the survey data compared LGB with heterosexual respondents. Bisexual respondents had a significantly earlier average age of first homelessness, and were more likely to have repeated episodes of homelessness than lesbian, gay or heterosexual respondents. Risk factors that were higher among bisexual people included family violence, conflict and rejection and substance use issues. LGB respondents were twice as likely to have experienced discrimination as heterosexual respondents, more likely to have experienced violence and have mental health problems. Conversely, resilience factors for LGB respondents included being more likely to access friends for support in times of crisis, and to be involved in civic or political groups. We suggest that LGB people at risk of homelessness need effective responses based on their risk and resilience factors, including targeted peer support and mainstream services that affirm and acknowledge their diverse sexual identities. Australian policies should encourage improved LGB data collection and specific service responses. Primary prevention approaches include educating families of origin about LGB identities and assertive outreach to prevent housing loss.

摘要

同性恋、双性恋和异性恋(LGB)人群比异性恋人群更有可能无家可归。本研究旨在比较根据性取向与无家可归相关的常见风险和适应因素,为该领域提供更具包容性和针对性的 LGB 政策和服务。该研究涉及对两项澳大利亚调查的数据进行分析:2014 年综合社会调查(n=17401)和归家之旅研究(n=1659)。对调查数据的卡方分析比较了 LGB 和异性恋受访者。双性恋受访者首次无家可归的平均年龄明显更早,且比同性恋、双性恋或异性恋受访者更有可能多次无家可归。双性恋者风险较高的因素包括家庭暴力、冲突和拒绝以及药物使用问题。LGB 受访者遭受歧视的可能性是异性恋受访者的两倍,更有可能遭受暴力和出现心理健康问题。相反,LGB 受访者的适应因素包括更有可能在危机时刻向朋友寻求支持,以及更有可能参与公民或政治团体。我们建议,有住房风险的 LGB 人群需要根据其风险和适应因素采取有效应对措施,包括有针对性的同伴支持和主流服务,以确认和承认他们多样化的性身份。澳大利亚政策应鼓励改善 LGB 数据收集和特定服务响应。初级预防方法包括对原生家庭进行关于 LGB 身份的教育,以及积极主动地防止住房丧失。

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