Abstract:
INTRODUCTION:Addressing veteran homelessness is a major federal priority, but there has been little research on the period between military discharge and homelessness. There are public concerns about new waves of homelessness among recent veterans and questions about a possible sleeper effect, that is, a delayed risk that becomes stronger with time. METHODS:Data from 2 national samples were analyzed: Department of Veterans Affairs administrative records of a population-based sample of 275,775 homeless Department of Veterans Affairs service users in 2000-2019 and a nationally representative community survey of 115 veterans with a history of homelessness conducted in 2018. RESULTS:In the Department of Veterans Affairs sample, the average time between discharge and homelessness was 5.5 (SD=4.2) years. In the community veteran sample, the average time between discharge and homelessness was 9.9 (SD=10.5) years. Service in Iraq and Afghanistan was significantly associated with shorter duration between discharge and homelessness. Service in Vietnam, younger age at military discharge, more chronic medical conditions, depression, and alcohol use problems were associated with longer interval between discharge and homelessness. Among homeless service users who were discharged from 2000 to 2003, the rate of homelessness doubled between 10 and 15 years after discharge. Similarly, among those discharged from 2009 to 2013, the rate of homelessness more than doubled between 2 and 5 years after discharge. CONCLUSIONS:There appears to be a sleeper effect in veteran homelessness after military discharge. The primary and secondary preventions focused on chronic health conditions, and social adjustment may be needed to address homelessness among recent veterans.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Tsai J,Szymkowiak D,Pietrzak RHdoi
10.1016/j.amepre.2020.03.001subject
Has Abstractpub_date
2020-07-01 00:00:00pages
109-117issue
1eissn
0749-3797issn
1873-2607pii
S0749-3797(20)30096-9journal_volume
59pub_type
杂志文章abstract:BACKGROUND:Numerous studies show that many primary care physicians (PCPs) do not discuss preventive health behaviors related to diet and exercise with their overweight patients. PURPOSE:To investigate whether certain counseling approaches by PCPs in their clinical encounters with patients are associated with improveme...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.12.005
更新日期:2014-03-01 00:00:00
abstract::Medical systems and associative communities are two distinctive social tools. To promote health, tools of community are more significant than system tools. Medical systems were created to serve many needs efficiently and to produce standardized procedures and outcome. Clients are a necessary component of a medical sys...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:BACKGROUND:Parents are often involved in interventions to engage youth in physical activity, but it is not clear which methods for involving parents are effective. PURPOSE:A systematic review was conducted of interventions with physical activity and parental components among healthy youth to identify how best to invol...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2009.04.020
更新日期:2009-08-01 00:00:00
abstract::Risk of clinical relapse among cigarette smokers and nonsmokers was examined in a cohort of 74 adult Crohn's disease (CD) patients who were identified and followed at monthly intervals for six months. We measured clinical activity by a weighted symptom index used previously. Relapse at any point during the study was d...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:INTRODUCTION:This study assesses the following among primary care physicians: (1) the use of evidence-based strategies to improve adult vaccination rates, (2) the number of strategies employed simultaneously, and (3) characteristics associated with assessing adult vaccinations at each visit. METHODS:An internet and ma...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.03.020
更新日期:2020-09-01 00:00:00
abstract:INTRODUCTION:In observational studies, the association between the Dietary Approaches to Stop Hypertension (DASH) diet and incident heart failure has been inconsistent. It was hypothesized that higher DASH diet concordance has a protective effect on heart failure in a multi-ethnic cohort. METHODS:The Multi-Ethnic Stud...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.11.022
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Active Living by Design's Get Active Orlando partnership (GAO) focused on downtown Orlando's Community Redevelopment Area, including the Parramore Heritage District, home to many low-income and ethnically diverse residents, including many seniors. The area had undergone substantial development, and GAO aimed...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.09.013
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:The Institute of Medicine has called for increased population-based training for healthcare professions students, and particularly medical students. For this to be effective, students should receive such training in the locations where population-based approaches to care take place, such as public health dep...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.08.044
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health con...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00514-7
更新日期:2002-11-01 00:00:00
abstract::Identification and application of appropriate analytic methods are critical pieces of the foundation of science. Because of the increasingly complex issues federal agencies face and the increasing importance of addressing those issues with multi-disciplinary teams that offer knowledge and skills in many methods areas,...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00174-4
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Healthy-food financing initiatives have been endorsed as a way to improve food access, but relatively little research exists on understanding the formulation of such policies. PURPOSE:This paper investigates the development of the New Orleans Fresh Food Retailer Initiative (FFRI) to highlight factors that e...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.05.011
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To determine if ignition interlock devices reduce driving while intoxicated (DWI) recidivism. SEARCH STRATEGIES:Cochrane Collaboration search strategies were used. SELECTION CRITERIA:Studies for selection examined the effectiveness of interlock programs in a defined population. Studies were required to have...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/s0749-3797(98)00117-2
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:This study compares the efficacy of three types of reminders in promoting annual repeat mammography screening. DESIGN:RCT. SETTING AND PARTICIPANTS:Study recruitment occurred in 2004-2005. Participants were recruited through the North Carolina State Health Plan for Teachers and State Employees. All were ag...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2009.01.032
更新日期:2009-06-01 00:00:00
abstract:INTRODUCTION:Optimism-the expectation that good things will happen-has emerged as a promising health asset, as it appears to be related to healthier behaviors and reduced disease risk. Growing research finds that higher optimism is associated with lower mortality, yet it is critical to understand whether this prolonged...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.07.037
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:Recent studies have shown that sitting time is associated with increased risk of all-cause mortality, independent of moderate to vigorous physical activity. Less is known about the population-attributable fraction for all-cause mortality associated with sitting time, and the gains in life expectancy relate...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.01.022
更新日期:2016-08-01 00:00:00
abstract::The disparity in health status between black and white Americans exists chiefly because of an excess of preventable disease in blacks. This situation calls for an increase in preventive services for blacks, services which might best be implemented or directed by black specialists in preventive medicine. However, there...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND:In 1975, the then-Center for Disease Control (CDC) established the Vessel Sanitation Program (VSP) to minimize the risk for diarrheal disease among passengers and crew aboard ships by assisting the cruise ship industry in developing and implementing comprehensive environmental health programs. OBJECTIVES:To...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00644-x
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Although religiosity has often been shown to have a deterrent effect on teen drug use, noteworthy theoretic gaps and contradictory findings have left important questions unanswered. METHODS:Conceptualizing religion as a measure of social capital and using cross-sectional data from Monitoring the Future (199...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.03.001
更新日期:2007-06-01 00:00:00
abstract:CONTEXT:This study reviews collective evidence on the longitudinal impact of housing disadvantage (based on tenure, precarity, and physical characteristics) on mental health. It is focused on temporally ordered studies where exposures preceded outcomes, a key criterion to establishing causal evidence. EVIDENCE ACQUISI...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.03.018
更新日期:2019-08-01 00:00:00
abstract::The transformation to managed care is one of the most important and complex changes ever to take place in the American health system. One key aspect of this transformation is its implications for public health policy and practice. Both public and private buyers purchase managed care; increasingly, public programs that...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/s0749-3797(97)00046-9
更新日期:1998-04-01 00:00:00
abstract:INTRODUCTION:The Department of Defense uses a universal prevention framework for sexual assault prevention, with each branch implementing its own branch-wide programs. Intensive interventions exist, but would be cost effective only if targeted at high-risk personnel. This study developed actuarial models to identify ma...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.06.022
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Cancer screening programs require substantial resources, and economic assessments have become increasingly important in identifying the most cost-effective means of conducting these programs. Such economic assessments require detailed program cost data, but there is no standardized instrument for obtaining t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.amepre.2009.06.002
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Regular exercise is associated with many health benefits. Community-based exercise programs may increase exercise participation, but little is known about cost implications. METHOD:A retrospective, matched cohort study was conducted to determine if changes in healthcare costs for Medicare-eligible adults wh...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(03)00196-x
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention. DESIGN:Cohort study comparing 5-year mean ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.10.020
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Planners have relied on the urban development boundary (UDB)/urban growth boundary (UGB) and central business district (CBD) to encourage contiguous urban development and conserve infrastructure. However, no studies have specifically examined the relationship between proximity to the UDB/UGB and CBD and walk...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.05.008
更新日期:2014-10-01 00:00:00
abstract::With global trends in population aging, many nations are developing and implementing healthy aging policies to promote quality as well as years of healthy life. To broaden the evidence base for such policy development, a review of the literature was conducted to summarize the existing evidence regarding the behavioral...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2004.12.002
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Self-reported weight and height are under- and over-reported, respectively, in epidemiologic studies. This tendency, which may adversely affect study operations, has not been evaluated among subjects being enrolled into a weight-loss program. METHODS:Self-reported weight, height, and body mass index (BMI) w...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(01)00293-8
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVE:A clinical practice guideline for smoking cessation was released in Italy in 2002, but to date little is known about the implementation of these recommendations among primary care physicians. The objectives of this study were to estimate the prevalence of receiving physician-delivered advice to quit smoking a...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.03.022
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Four common factors--cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight--contribute substantially to chronic disease prevalence. METHODS:We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.04.017
更新日期:2004-08-01 00:00:00
abstract:CONTEXT:The risk of chronic kidney disease (CKD) in the U.S. is higher in individuals with low SES than in those with high SES. However, differences in these risks between African Americans and whites are unclear. EVIDENCE ACQUISITION:Studies published through August 30, 2016 in Medline and EMBASE were searched. From ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.amepre.2017.06.036
更新日期:2017-11-01 00:00:00