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混合方法研究童年逆境经历对过渡性和复发性无家可归的预测作用。

Mixed methods on adverse childhood experiences predicting transitional and recurrent homelessness.

机构信息

Faculty of Social and Behavioral Sciences, Program Group: Political Sociology, University of Amsterdam, Amsterdam, The Netherlands.

Student Mental Health Nursing, Altrecht GGZ, Utrecht, The Netherlands.

出版信息

J Community Psychol. 2024 Nov;52(8):1150-1162. doi: 10.1002/jcop.23139. Epub 2024 Aug 15.

DOI:10.1002/jcop.23139
PMID:39148347
Abstract

AIMS

Research has associated lack of parental care, physical abuse, and parental substance abuse to homelessness, with the presence of two or more such factors dramatically increasing one's chances of becoming homeless as an adult. Less clear is which (cumulation of) factors may mediate the difference between transitional and recurrent homelessness.

METHODS

Quantitative analysis of four risk factors-addiction, weak social network, criminal activity, psychopathology-among 69 transitionally and recurrently homeless (RH) adults, followed by in-depth qualitative analysis of adverse childhood experiences (ACEs) among 30 selected participants.

RESULTS

RH participants had higher cumulative risk and a higher prevalence and broader range of ACEs than transitionally homeless participants, with the prevalence of childhood physical abuse marking the greatest difference between the two groups. Recurrent homelessness was also correlated with addiction to hard drugs, criminal activity, and weak social networks.

CONCLUSION

Longitudinal and intervention studies in larger groups are needed to assess causality.

摘要

目的

研究表明,缺乏父母关爱、身体虐待和父母滥用药物与无家可归有关,同时存在两个或更多此类因素会极大地增加一个人成年后成为无家可归者的几率。不太清楚的是,哪些(累积的)因素可能会在过渡性和复发性无家可归之间造成差异。

方法

对 69 名过渡性和复发性无家可归(RH)成年人的四种风险因素(成瘾、社交网络薄弱、犯罪活动、精神病理学)进行定量分析,随后对 30 名选定参与者的不良童年经历(ACEs)进行深入的定性分析。

结果

RH 参与者的累积风险更高,ACEs 的发生率和范围更广,其中儿童期身体虐待的发生率在两组之间差异最大。复发性无家可归也与滥用毒品、犯罪活动和薄弱的社交网络有关。

结论

需要进行更大规模的纵向和干预研究来评估因果关系。

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