Investigating Change in Psychosocial Outcomes for Young Adults Experiencing Homelessness in Los Angeles With and Without Pregnancy Experiences.

IF 3.5 2区医学 Q1 DEMOGRAPHY

Perspectives on Sexual and Reproductive Health Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI:10.1111/psrh.70028

Graham DiGuiseppi, Rupa Jose, Elizabeth J D'Amico, David J Klein, Anthony Rodriguez, Eric R Pedersen, Joan S Tucker

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Abstract

Context: Young adults experiencing homelessness (YAEH) have higher rates of pregnancy than stably housed young adults. Pregnant and parenting YAEH face several challenges, but little is known about outcome change over time.

Methods: 276 YAEH (aged 18-25, 28% female sex at birth) receiving services at drop-in centers in Los Angeles, California, participated in an intervention study to address substance use and sexual health. At each survey, participants reported whether they experienced pregnancy or got someone pregnant in the past 3 months. Regression models examined associations between pregnancy and several outcomes at 24 months (education, employment, income, health, substance use, service use, and housing), controlling for intervention and outcomes at baseline.

Results: Fifty-six participants (20%, n = 26 female sex, n = 30 male sex) reported being pregnant or getting someone pregnant over the course of the study. For women, pregnancy was associated with higher odds of staying in transitional housing (OR = 5.01, 95% CI: 1.22-20.60) and emergency shelters (OR = 8.32, 95% CI: 1.57-44.02) at 24 months, controlling for baseline. For men, getting someone pregnant was associated with greater importance of cutting down alcohol use (b = 2.06, SE = 0.89, p = 0.02) and higher odds of education service use at 24 months (OR = 3.00, 95% CI: 1.16-7.79).

Conclusions: Pregnancy may be associated with greater use of housing services among female YAEH, and increased importance of cutting down alcohol and use of education services among male YAEH. Continued support is needed to improve long-term outcomes of pregnant and parenting YAEH.

Trial registration: ClinicalTrials.gov identifier: NCT03735784. https://clinicaltrials.gov/ct2/show/record/NCT03735784.

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调查洛杉矶有或没有怀孕经历的无家可归青年的心理社会结果变化。

背景：无家可归的年轻人（YAEH）的怀孕率高于有稳定住所的年轻人。怀孕和养育孩子的确面临着一些挑战，但随着时间的推移，人们对结果的变化知之甚少。方法：276名年龄在18-25岁，出生时性别为女性的青少年在加利福尼亚州洛杉矶的收容中心接受服务，参与了一项关于药物使用和性健康的干预研究。在每次调查中，参与者都报告了他们在过去3个月内是否怀孕或让别人怀孕。回归模型检查了怀孕与24个月时的几个结果（教育、就业、收入、健康、药物使用、服务使用和住房）之间的关系，并控制了基线时的干预和结果。结果：56名参与者（20%,n = 26名女性，n = 30名男性）报告在研究过程中怀孕或让某人怀孕。对于妇女来说，怀孕与24个月时住在过渡性住房（OR = 5.01, 95% CI: 1.22-20.60）和紧急避难所（OR = 8.32, 95% CI: 1.57-44.02）的几率较高相关，控制基线。对于男性来说，怀孕与减少酒精使用的重要性（b = 2.06, SE = 0.89, p = 0.02）和24个月时接受教育服务的几率较高（OR = 3.00, 95% CI: 1.16-7.79）相关。结论：怀孕可能与女性未成年人更多地使用住房服务有关，而在男性未成年人中，减少饮酒和使用教育服务的重要性增加。需要继续提供支持，以改善怀孕和育儿的长期结果。试验注册：ClinicalTrials.gov标识符：NCT03735784。https://clinicaltrials.gov/ct2/show/record/NCT03735784。

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来源期刊

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.