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加勒比地区无家可归的女性退伍军人:军事和心理社会特征以及与服役相关残疾的关联

Caribbean Homeless Women Veterans: Military and Psychosocial Characteristics and the Association of Service-connected Disabilities.

作者信息

Rivera-Rivera Naiomi, Villarreal Ángel A

机构信息

Veterans Affairs, Caribbean Healthcare System San Juan, Puerto Rico.

Adler University, Chicago, Illinois, USA.

出版信息

Rev Puertorriquena Psicol. 2020 Jan-Jun;31(1):36-44.

Abstract

Women Veterans are one of the fastest growing groups among homeless people. Previous studies on race, ethnicity and homelessness have emphasized the important differences on predictors, health risks, behaviors, and service outcomes between different groups. These differences are crucial to inform policy makers and program developers in order to solve this social issue. This research assesses sociodemographic, psychosocial and military characteristics and their role in service-connected disabilities to provide a profile of the Caribbean Homeless Women Veteran of the U.S. military. We evaluated 46 healthcare records of women Veterans who requested services at the Homeless Program of the VA Caribbean Healthcare System (VACHS) from 2005 to 2014. Statistical analyses consisted of Chi square, Fisher's exact test, Wilcoxon-Rank Sum tests, and Logistic Regression. Extreme poverty, unemployment, unaffordable housing, psychological disorders and low social support were the most prevalent characteristics. Women with psychological disorders had eight times higher the odds of having a service-connected disability than women without psychological conditions. Implications of study results are discussed for VACHS and future research with this population.

摘要

退伍女兵是无家可归者中增长最快的群体之一。先前关于种族、族裔和无家可归问题的研究强调了不同群体在预测因素、健康风险、行为和服务结果方面的重要差异。这些差异对于为政策制定者和项目开发者提供信息以解决这一社会问题至关重要。本研究评估了社会人口统计学、心理社会和军事特征及其在与服役相关残疾中的作用,以描绘美国军队中加勒比地区无家可归退伍女兵的概况。我们评估了2005年至2014年期间在弗吉尼亚州加勒比医疗系统(VACHS)无家可归项目中寻求服务的46名退伍女兵的医疗记录。统计分析包括卡方检验、费舍尔精确检验、威尔科克森秩和检验和逻辑回归。极端贫困、失业、住房负担不起、心理障碍和社会支持低是最普遍的特征。有心理障碍的女性患与服役相关残疾的几率是没有心理问题女性的八倍。讨论了研究结果对VACHS的影响以及对该人群未来研究的影响。

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