美国中西部印第安人和阿拉斯加原住民退伍军人的住房状况、心理健康及求助行为
Housing status, mental health, and help-seeking among American Indian and Alaska Native Veterans in the Midwest.
作者信息
Umucu Emre, Lee Beatrice, Chang Chi, Tsai Jack
机构信息
Department of Public Health Sciences, College of Health Sciences, The University of Texas at El Paso, El Paso, TX, United States.
CHS REACHED, College of Health Sciences, The University of Texas at El Paso, El Paso, TX, United States.
出版信息
Front Public Health. 2025 Jun 18;13:1613224. doi: 10.3389/fpubh.2025.1613224. eCollection 2025.
OBJECTIVE
This study aims to examine mental health and help-seeking behaviors among homeless and unstably housed (HUH) and stably housed (SH) American Indian and Alaska Native (AIAN) and non-AIAN veterans in the Midwest.
METHODS
The study cohort consisted of veterans in the Veterans Affairs (VA) service catchment area called the Veterans Integrated Service Network (VISN) 23. Data from the Homeless Operations Management and Evaluation System (HOMES) were analyzed with descriptive statistics and the Mantel-Haenszel odds ratio with Wald confidence intervals, and the Breslow-Day test.
RESULTS
Of the 7,260 veterans in the study, 5,771 (80/9%) were HUH. Among non-AIAN participants, 5,453 (80.8%) experienced HUH, compared to 318 (84.6%) of AIAN veterans. The Breslow-Day test revealed significant differences in the association between housing status and certain service needs between AIAN and non-AIAN veterans.
CONCLUSION
This study highlights notable differences in housing status, mental health conditions, and service needs between AIAN and non-AIAN veterans in the Midwest.
目的
本研究旨在调查美国中西部地区无家可归和居住不稳定（HUH）以及居住稳定（SH）的美国印第安人和阿拉斯加原住民（AIAN）退伍军人与非AIAN退伍军人的心理健康状况及求助行为。
方法
研究队列由退伍军人事务部（VA）服务覆盖区域（即退伍军人综合服务网络（VISN）23）内的退伍军人组成。对无家可归行动管理与评估系统（HOMES）的数据进行了描述性统计分析，并采用了带有Wald置信区间的Mantel-Haenszel优势比以及Breslow-Day检验。
结果
在参与研究的7260名退伍军人中，有5771人（80.9%）属于无家可归和居住不稳定人群。在非AIAN参与者中，5453人（80.8%）无家可归和居住不稳定，相比之下，AIAN退伍军人中有318人（84.6%）属于此类情况。Breslow-Day检验显示，AIAN退伍军人与非AIAN退伍军人在住房状况与某些服务需求之间的关联存在显著差异。
结论
本研究凸显了美国中西部地区AIAN退伍军人与非AIAN退伍军人在住房状况、心理健康状况及服务需求方面的显著差异。
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