Barnert Elizabeth S, Jara Jessica, Lee Joyce, Vassar Stefanie, Tunador Felix, Abrams Laura, Grella Christine, Wong Mitchell
Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles, California, USA.
Department of Health Services, Los Angeles County, Los Angeles, California, USA.
J Correct Health Care. 2024 Feb;30(1):22-32. doi: 10.1089/jchc.23.01.0006. Epub 2023 Dec 20.
Reentry is a difficult juncture for young adults (ages 18-24 years), who simultaneously face challenges of emerging adulthood. Although their health-related needs may be substantial, little is reported on young adults' reentry health care and social service needs. Furthermore, empirical measurements of factors affecting their engagement in reentry services after jail are lacking. We sought to describe health needs and predictors of linkages to reentry services for the 2,525 young adult participants in the Whole Person Care-LA Reentry program (WPC Reentry). Descriptive statistics were calculated and chi-square tests, tests, and logistic regression were performed to identify factors associated with linkage to WPC Reentry postrelease compared with only engaging with WPC Reentry prerelease. Most participants (72.6%) were male, 80.2% were Hispanic or Black, and 60.9% had been unhoused. Mental health (57.2%) and substance use disorders (45.8%) were common, physical health was overall good (mean Charlson Comorbidity Index score 0.53), and social needs, especially housing, were high (40.7%). Older age (i.e., closer to 25 years) and history of being unhoused were associated with higher postrelease engagement in WPC Reentry (age: odds ratio [OR] = 1.06, = .01; history of being unhoused: OR = 1.18, = .05). Attentiveness to younger clients and to addressing housing needs may be key for successful reentry care linkages.
重新融入社会对年轻成年人（18至24岁）来说是一个艰难的阶段，他们同时面临着成年初期的各种挑战。尽管他们与健康相关的需求可能很大，但关于年轻成年人重新融入社会后的医疗保健和社会服务需求的报道却很少。此外，缺乏对影响他们出狱后参与重新融入社会服务的因素的实证测量。我们试图描述“全人关怀-洛杉矶重新融入社会项目”（WPC重新融入社会项目）中2525名年轻成年参与者的健康需求以及与重新融入社会服务建立联系的预测因素。我们计算了描述性统计数据，并进行了卡方检验、t检验和逻辑回归，以确定与仅在出狱前参与WPC重新融入社会项目相比，出狱后与WPC重新融入社会项目建立联系相关的因素。大多数参与者（72.6%）为男性，80.2%为西班牙裔或黑人，60.9%曾无家可归。心理健康问题（57.2%）和物质使用障碍（45.8%）很常见，身体健康总体良好（查尔森合并症指数平均得分0.53），社会需求，尤其是住房需求很高（40.7%）。年龄较大（即接近25岁）和有无家可归史与出狱后更高程度地参与WPC重新融入社会项目相关（年龄：比值比[OR]=1.06，P=.01；有无家可归史：OR=1.18，P=.05）。关注年轻客户以及解决住房需求可能是成功建立重新融入社会护理联系的关键。
