Geographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest

Author:

Umucu Emre12ORCID,Lee Beatrice3,Chang Chi4,Szymkowiak Dorota5,Tsai Jack567

Affiliation:

1. Department of Public Health Sciences The University of Texas at El Paso El Paso Texas USA

2. Battle Creek VA Medical Center U.S. Department of Veterans Affairs Battle Creek MI USA

3. Department of Rehabilitation Sciences The University of Texas at El Paso El Paso Texas USA

4. The Office of Medical Education Research and Development (OMERAD) and Department of Epidemiology and Biostatistics Michigan State University East Lansing Michigan USA

5. US Department of Veterans Affairs National Center on Homelessness Among Veterans Washington District of Columbia USA

6. School of Public Health University of Texas Health Science Center at Houston Houston Texas USA

7. Department of Psychiatry Yale University School of Medicine New Haven Connecticut USA

Abstract

AbstractThe purpose of this study was to explore (1) the prevalence of physical and mental health conditions among veterans stratified by homelessness and unstable housing (HUH) in several Midwestern states, and (2) the correlation between HUH and sociodemographic, military, financial, risky behavior, health, and geographical characteristics. The study cohort consisted of 7260 HUH veterans and stably housed veterans in 2018–2022 in Veterans Integrated Service Network (VISN) 23. A multivariate logistic regression analysis was performed which revealed the strongest associations with HUH were any incarceration experience (adjusted odds ratio [AOR] = 0.21) and rural location (AOR = 0.33). Frontier and remote location scores (AOR = 1.23) were associated with increased risk of HUH among veterans. Our results suggest potential differences in risk for HUH among veterans living in rural versus frontier and remote locations, which may be important to consider to provide care to the many veterans in these areas.

Publisher

Wiley

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