Graduate College of Social Work.
School of Social Work.
Am J Orthopsychiatry. 2022;92(1):58-67. doi: 10.1037/ort0000585. Epub 2021 Oct 28.
Young adults experiencing homelessness (YAEH) are at high risk for discrimination. Limited research has documented the extent of discrimination experiences and their relationship to mental health outcomes among this group. This study used data from YAEH who completed self-administered surveys across seven U.S. cities ( = 1,426) to examine the rates and correlates of discrimination experiences and their association with psychological distress and suicidal ideation. Chi-square and multivariate logistic regressions were used to examine the relations between perceived discrimination and race, gender identity, sexual orientation, foster care history, criminal justice history, reasons for homelessness, and length of time homeless. Then, logistic regression was used to examine whether discrimination increased the odds of psychological distress and suicidal ideation, controlling for other factors. Three-fourths (75.8%) of the sample ( = 1,055) reported experiencing at least one of the five forms of everyday discrimination experiences at least a few times a year, with the most common reason attributed to their housing situation (46%). Sexual orientation, juvenile justice involvement, and having been homeless for 2 years or more were associated with increased odds of experiencing discrimination. Discrimination was a strong predictor of psychological distress but was significant only at the bivariate level for suicidal ideation. Study results suggest that experiences of discrimination are common among YAEH and that these experiences increase risk for psychological distress. Providers working with YAEH need to validate and acknowledge the impact of these experiences on mental health. And, communities need to work to reduce discrimination experiences by targeting stigma against YAEH. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
无家可归的年轻成年人(YAEH)面临很高的歧视风险。有限的研究记录了这一群体经历歧视的程度及其与心理健康结果的关系。本研究使用了在七个美国城市完成自我管理调查的 YAEH 的数据(n = 1,426),以检查歧视经历的发生率和相关因素,以及它们与心理困扰和自杀意念的关系。卡方检验和多变量逻辑回归用于检验感知歧视与种族、性别认同、性取向、寄养史、刑事司法史、无家可归原因和无家可归时间之间的关系。然后,逻辑回归用于检验歧视是否会增加心理困扰和自杀意念的几率,同时控制其他因素。四分之三(75.8%)的样本(n = 1,055)报告至少有五种日常歧视经历中的一种,每年至少发生几次,最常见的原因是他们的住房情况(46%)。性取向、少年司法参与和无家可归 2 年或更长时间与经历歧视的几率增加有关。歧视是心理困扰的一个强有力的预测因素,但在自杀意念方面仅在双变量水平上显著。研究结果表明,歧视经历在 YAEH 中很常见,这些经历会增加心理困扰的风险。与 YAEH 合作的提供者需要验证和承认这些经历对心理健康的影响。而且,社区需要努力减少歧视经历,针对 YAEH 的污名化。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。