Journal Article10.1017/S0033291722000617
Prevalence, correlates, and mental health burden associated with homelessness in U.S. military veterans
TL;DR: Adverse childhood experiences, cumulative trauma burden, current household income, younger age, and drug use disorder emerged as the strongest correlates of homelessness, thus underscoring the importance of targeting early childhood adversities and their mental health consequences in prevention efforts for homelessness in this population.
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Abstract: Abstract Background Homelessness is a major public health problem among U.S. military veterans. However, contemporary, population-based data on the prevalence, correlates, and mental health burden of homelessness among veterans are lacking. Methods Data were analyzed from the 2019–2020 National Health and Resilience in Veterans Study, a nationally representative survey of veterans (n = 4069). Analyses examined the prevalence and correlates of homelessness, as well as the independent associations between homelessness and current probable psychiatric conditions, suicidality, and functioning. Results The lifetime prevalence of homelessness was 10.2% (95% confidence interval 9.3–11.2). More than 8-of-10 veterans reported experiencing their first episode of homelessness following military service, with a mean of 10.6 years post-discharge until onset (s.d. = 12.6). Adverse childhood experiences (ACEs), cumulative trauma burden, current household income, younger age, and drug use disorder emerged as the strongest correlates of homelessness (49% of total explained variance). Veterans with a history of homelessness had elevated odds of lifetime suicide attempt, attempting suicide two or more times, and past-year suicide ideation [odd ratios (ORs) 1.3–3.1]. They also had higher rates of current probable posttraumatic stress disorder, major depressive, generalized anxiety, and drug use disorders (ORs 1.7–2.4); and scored lower on measures of mental, physical, cognitive, psychosocial functioning (d = 0.11–0.15). Conclusions One in ten U.S. veterans has experienced homelessness, and these veterans represent a subpopulation at substantially heightened risk for poor mental health and suicide. ACEs were the strongest factor associated with homelessness, thus underscoring the importance of targeting early childhood adversities and their mental health consequences in prevention efforts for homelessness in this population.
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Geographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest.
Emre Umucu,Beatrice Lee,Chi Chang,Dorota Szymkowiak,Jack Tsai +4 more
TL;DR: Geographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest TLDR: HUH is associated with various factors including incarceration, rural location, and geographic factors.
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TL;DR: Food and housing instability (FHI) is prevalent among post-9/11 US veterans, with one-third reporting FHI. FHI is more common among women than men and most prevalent post-service. It is associated with various mental and physical health problems. Interventions targeting FHI are needed.
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References
Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study
Vincent J. Felitti,Robert F. Anda,Dale F. Nordenberg,David F. Williamson,Alison M. Spitz,Valerie J. Edwards,Mary P. Koss,James S. Marks +7 more
TL;DR: For example, this article found a strong relationship between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults.
16.3K
Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II
TL;DR: The AUDIT provides a simple method of early detection of hazardous and harmful alcohol use in primary health care settings and is the first instrument of its type to be derived on the basis of a cross-national study.
The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire.
TL;DR: A revision of the FTQ: the Fagerström Test for Nicotine Dependence (FTND), which found that a revised scoring of time to the first cigarette of the day (TTF) and number of cigarettes smoked per day (CPD) improved the scale.
10.7K
A very brief measure of the Big-Five personality domains
TL;DR: In this paper, a 10-item measure of the Big-Five personality dimensions is proposed for situations where very short measures are needed, personality is not the primary topic of interest, or researchers can tolerate the somewhat diminished psychometric properties associated with very brief measures.
8.3K
Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test
TL;DR: Examination of the scale on somewhat different grounds, however, does suggest that future applications can benefit from its revision, and a minor modification to the Life Orientation Test is described, along with data bearing on the revised scale's psychometric properties.
6.9K