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引用次数: 0
摘要
本研究旨在找出军队中过渡服役人员（TSM）无家可归的预测因素。美国国防部（DoD）和退伍军人事务部（VA）的数据进行了分析。在2022年8月至2023年12月期间，共有211,530名TSM退役。在退伍后1年和2年内，对TSM的军事和临床特征以及VA记录中的任何无家可归指标进行了检查。进行多变量logistic回归和生存分析。结果发现，退伍军人1年内流浪率为1.85%，2年内流浪率为2.95%。在无家可归的最强预测因子中，TSM非西班牙裔黑人（aOR = 3.16, 95% CI = 2.92-3.41）或有与困难相关的退伍原因（aOR = 3.26, 95% CI = 2.54-4.118）、精神健康/物质使用（aOR = 3.89, 95% CI = 3.42-4.41）或犯罪活动（aOR = 4.24, 95% CI = 3.76-4.78）在退伍1年内有无家可归的风险。在第二年的TSM中发现了类似的预测因子，这表明风险因素随着时间的推移保持不变。总之，一些无家可归的风险可以从TSM确定，而他们仍然在军队。对因困难、精神健康/药物使用问题和犯罪活动而退伍的TSM人员给予特别支持，可能有助于防止退伍军人无家可归。
Retrospective Study of Homelessness among Transitioning Service Members Within Two Years after Military Service.
This study aimed to identify predictors of homelessness among transitioning service members (TSM) in the military. Data from the U.S. Departments of Defense (DoD) and Veterans Affairs (VA) were analyzed. A total of 211,530 TSM discharged from military service between August 2022 to December 2023. Military and clinical characteristics of TSM were examined along with any indicator of homelessness in VA records within 1 and 2 years after military discharge. Multivariable logistic regression and survival analyses were conducted. Results found that the incidence of homelessness among TSM was 1.85% within 1 year of military discharge and 2.95% within 2 years of military discharge. Among the strongest predictors of homelessness, TSM who were non-Hispanic black (aOR = 3.16, 95% CI = 2.92-3.41) or who had reasons for military discharge related to hardship (aOR = 3.26, 95% CI = 2.54-4.118), mental health/substance use (aOR = 3.89, 95% CI = 3.42-4.41), or criminal activity (aOR = 4.24, 95% CI = 3.76-4.78) were at risk of homelessness within 1 year of military discharge. Similar predictors were found among TSM for homelessness in year 2 suggesting the risk factors remain the same over time. In conclusion, some of the risks for homelessness may be ascertained from TSM while they are still in the military. Special support for TSM who are discharged due to hardship, mental health/substance use problems, and criminal activity may help prevent homelessness among veterans.
期刊介绍：
The aim of Administration and Policy in Mental Health and Mental Health Services is to improve mental health services through research. This journal primarily publishes peer-reviewed, original empirical research articles. The journal also welcomes systematic reviews. Please contact the editor if you have suggestions for special issues or sections focusing on important contemporary issues. The journal usually does not publish articles on drug or alcohol addiction unless it focuses on persons who are dually diagnosed. Manuscripts on children and adults are equally welcome. Topics for articles may include, but need not be limited to, effectiveness of services, measure development, economics of mental health services, managed mental health care, implementation of services, staffing, leadership, organizational relations and policy, and the like. Please review previously published articles for fit with our journal before submitting your manuscript.
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