Health Needs Assessment of Unhoused Youth in Charleston, South Carolina.

IF 1.5 4区医学 Q3 FAMILY STUDIES

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI:10.1097/FCH.0000000000000414

Cristin S Adams, Chelsea A Roach, Carole R Berini, Nicole A Cooper, Robert W Kahle, Marty S Player, Vanessa A Diaz

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引用次数: 0

Abstract

Background: Over 35 000 youth experience homelessness on any given night in the United States (US). Unhoused youth experience unique physical and mental health challenges and face barriers in every social determinant of health (SDoH), which may be amplified in the LGBTQ+ population.

Objective: The objective of this study was to define characteristics of the unhoused youth population and their utilization of healthcare to inform programs to meet their needs.

Methods: Secondary analysis of data from the College of Charleston's YOUth Count survey was conducted, focusing on health-related characteristics, challenges, healthcare utilization, and SDoH of youth aged 18 to 25 experiencing homelessness in Charleston, SC.

Results: Almost three-quarters of respondents (74.6%) reported mental health challenges and 35% reported physical health challenges. A significantly higher proportion of those who engaged in survival sex were LGBTQ+ . More than half (68.4%) visited the emergency department (ED) and 29.3% were admitted to the hospital in the past 12 months. Housing status, safety, food insecurity, sexual orientation, prior foster care, and survival sex were all significantly associated with ED utilization. Housing status and survival sex were significantly associated with hospital admission.

Conclusions: Addressing SDoH is essential to improving health outcomes and healthcare utilization among unhoused youth, particularly in the LGBTQ+ population.

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南卡罗来纳州查尔斯顿无家可归青少年的健康需求评估。

背景：在美国，每天晚上都有超过 35000 名青少年无家可归。无家可归的青少年面临着独特的身心健康挑战，在健康的每一个社会决定因素（SDoH）方面都面临着障碍，这在 LGBTQ+ 群体中可能会被放大：本研究的目的是确定无房青年的特征及其对医疗保健的利用情况，以便为满足他们需求的计划提供信息：我们对查尔斯顿学院的 "YOUTH Count "调查数据进行了二次分析，重点关注南卡罗来纳州查尔斯顿市 18-25 岁无家可归青年的健康相关特征、挑战、医疗保健利用率以及 SDoH：近四分之三的受访者（74.6%）报告了心理健康方面的挑战，35%的受访者报告了身体健康方面的挑战。有生存性行为的受访者中，LGBTQ+ 的比例明显更高。在过去 12 个月中，超过半数（68.4%）的受访者去过急诊室（ED），29.3%的受访者住过院。住房状况、安全状况、食物无保障、性取向、寄养经历和生存性行为都与急诊室使用率有显著相关性。住房状况和生存性别与入院治疗有很大关系：解决 SDoH 问题对于改善无房青年（尤其是 LGBTQ+ 群体）的健康状况和医疗利用率至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.