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Brief ReportBrief Report

Psychosocial Risk Factors for Transitions Into Housing Instability Among Women Veterans

Ellen Mulcahy, Dorota Szymkowiak and Ann Elizabeth Montgomery
The Journal of the American Board of Family Medicine March 2021, 34 (2) 387-391; DOI: https://doi.org/10.3122/jabfm.2021.02.200333
Ellen Mulcahy
From Department of Behavioral and Social Science, University of Sciences (EM); National Center on Homelessness among Veterans (DS); National Center on Homelessness among Veterans, Birmingham VA Medical Center, and University of Alabama at Birmingham School of Public Health, Birmingham, AL (AEM).
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Dorota Szymkowiak
From Department of Behavioral and Social Science, University of Sciences (EM); National Center on Homelessness among Veterans (DS); National Center on Homelessness among Veterans, Birmingham VA Medical Center, and University of Alabama at Birmingham School of Public Health, Birmingham, AL (AEM).
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Ann Elizabeth Montgomery
From Department of Behavioral and Social Science, University of Sciences (EM); National Center on Homelessness among Veterans (DS); National Center on Homelessness among Veterans, Birmingham VA Medical Center, and University of Alabama at Birmingham School of Public Health, Birmingham, AL (AEM).
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    Table 1.

    Demographic Characteristics of the Study Population (N = 194 330)

    CharacteristicNo Housing Instability (n = 192 513) %Transition into Housing Instability (n = 1817) %
    Age, years
        18 to 3418.015.9
        35 to 441718.1
        45 to 5426.930.0
        55 to 6424.928.0
        65+12.38.0
        Mean (SD)49.6 (14.2)49.0 (12.1)
    Race/ethnicity
        Non-Hispanic White61.250.3
        Non-Hispanic Black29.037.8
        Hispanic6.16.6
        Other3.85.3
    • SD, standard deviation.

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    Table 2.

    Correlates in Multiple Regression Model of Transition From Stable to Unstable Housing (N = 194 330)*

    CharacteristicNo Housing Instability (n = 192 513)† %Transition into Housing Instability (n = 1817) %aOR95% CIP Value
    Marital status
        Married35.619.9***
        Single20.925.22.081.84–2.36<0.001
        Divorced/separated38.050.91.951.69–2.25<0.001
        Widowed5.64.01.401.07–1.820.013
    Service-connected disability
        0%33.832.4***
        10% to 40%19.822.11.110.97–1.270.14
        50% to 100%46.445.60.750.67–0.85<0.001
        Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn15.616.21.080.93–1.260.30
    Discharge Status
        Non-honorable discharge0.10.4***
        Honorable discharge98.196.50.630.49–0.82<0.001
        Combat exposure6.47.30.980.80–1.190.81
        Military sexual trauma28.643.41.571.42–1.75<0.001
        Chronic medical condition19.322.61.030.91–1.160.64
        Depression22.439.21.741.52–1.99<0.001
        PTSD10.523.41.491.27–1.75<0.001
        Psychosis2.43.61.371.06–1.780.016
        Suicide/self-harm0.82.10.930.64–1.330.68
        Alcohol use disorder1.34.51.491.13–1.980.005
        Drug use disorder1.24.61.771.34–2.35<0.001
    • aOR, adjusted odds ratio; CI, confidence interval; PTSD, post-traumatic stress disorder.

    • ↵* Reference group.

    • ↵† The analyses controlled for the following variables not included in this table: race (Non-Hispanic black, Non-Hispanic white, Hispanic, Other race), age groups in years (18 to 34, 35 to 44, 45 to 64, 65+), number of weeks between first and last screen for housing instability.

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The Journal of the American Board of Family     Medicine: 34 (2)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 2
March/April 2021
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Psychosocial Risk Factors for Transitions Into Housing Instability Among Women Veterans
Ellen Mulcahy, Dorota Szymkowiak, Ann Elizabeth Montgomery
The Journal of the American Board of Family Medicine Mar 2021, 34 (2) 387-391; DOI: 10.3122/jabfm.2021.02.200333

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Psychosocial Risk Factors for Transitions Into Housing Instability Among Women Veterans
Ellen Mulcahy, Dorota Szymkowiak, Ann Elizabeth Montgomery
The Journal of the American Board of Family Medicine Mar 2021, 34 (2) 387-391; DOI: 10.3122/jabfm.2021.02.200333
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