Department of Public Health Sciences, The University of Texas at El Paso, El Paso, Texas, USA.
Battle Creek VA Medical Center, U.S. Department of Veterans Affairs, Battle Creek, MI, USA.
Am J Community Psychol. 2024 Sep;74(1-2):142-151. doi: 10.1002/ajcp.12751. Epub 2024 May 15.
The purpose of this study was to explore (1) the prevalence of physical and mental health conditions among veterans stratified by homelessness and unstable housing (HUH) in several Midwestern states, and (2) the correlation between HUH and sociodemographic, military, financial, risky behavior, health, and geographical characteristics. The study cohort consisted of 7260 HUH veterans and stably housed veterans in 2018-2022 in Veterans Integrated Service Network (VISN) 23. A multivariate logistic regression analysis was performed which revealed the strongest associations with HUH were any incarceration experience (adjusted odds ratio [AOR] = 0.21) and rural location (AOR = 0.33). Frontier and remote location scores (AOR = 1.23) were associated with increased risk of HUH among veterans. Our results suggest potential differences in risk for HUH among veterans living in rural versus frontier and remote locations, which may be important to consider to provide care to the many veterans in these areas.
（1）在中西部几个州，根据无家可归和住房不稳定（HUH）对退伍军人进行分层，其身心健康状况的流行情况；（2）HUH 与社会人口学、军事、财务、危险行为、健康和地理特征之间的相关性。该研究队列包括 2018-2022 年退伍军人综合服务网络（VISN）23 中 7260 名 HUH 退伍军人和稳定住房的退伍军人。进行了多变量逻辑回归分析，结果表明与 HUH 关联最强的是任何监禁经历（调整后的优势比 [AOR] = 0.21）和农村地区（AOR = 0.33）。边境和偏远地区的得分（AOR = 1.23）与退伍军人 HUH 的风险增加有关。我们的研究结果表明，居住在农村地区与边境和偏远地区的退伍军人之间可能存在 HUH 风险的潜在差异，这可能对为这些地区的许多退伍军人提供护理很重要。
