Health Risk Factors in American Indian and Non-Hispanic White Homeless Adults

Dados Bibliográficos

ID15330278
AutoresAshley B Cole (0000-0003-0035-0839, Department of Psychology, Oklahoma State University, Stillwater, OK;, Email: [email protected], autor correspondente), Emily T Hébert (0000-0001-5922-164X, Oklahoma Tobacco Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK), Lorraine R Reitzel (0000-0002-7165-5720, University of Houston), Dana Mowls Carroll (0000-0002-4334-9515, University of Minnesota), Michael S Businelle (0000-0002-9038-2238, Oklahoma Tobacco Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK)
Ano2020
Volume44
Fascículo5
Páginas631-641
Data de publicação2020-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoAmerican Journal of Health Behavior (JOURNAL)
Identificadores do periódicoISSN: 1087-3244 • E-ISSN: 1945-7359
EditoraPNG Publications (PUBLISHER • US)
DOI10.5993/ajhb.44.5.7
PMID33121581
OpenAlexW3095009963
IdiomaEN
Citações recebidas2
Referências citadas30

Objectives: American Indians (AIs) are over-represented among homeless populations, but are understudied regarding their unique risk and resilience factors relative to non-Hispanic white (NHW) adults experiencing homelessness. In the current study, we aimed to address this gap. Methods: We recruited participants (108 AIs and 307 NHWs) from 6 homeless serving agencies in Oklahoma City, OK. Participants completed standard assessments of health, health behaviors, including alcohol and drug use, readiness to change endorsed health behaviors (eg, unsafe sex, fruit and vegetable intake, happiness with weight, physical activity), sleep location and quality, personal victimization, and discrimination. Results: Compared to NHWs, AIs endorsed greater alcohol use problems and were more likely to report having been arrested/booked for disorderly conduct or public drunkenness; however, AIs were less likely to report smoking cigarettes and reported greater readiness to change unsafe/unprotected sexual behaviors. Furthermore, compared to NHWs, AIs reported experiencing greater discrimination and were more likely to report sleeping outside or on the streets, versus in shelters; however, AIs reported fewer days of inadequate sleep. Conclusions: Findings suggest AI-specific risk and resilience factors for homelessness. This information can aid in treatment, service, and housing planning for this under-studied group who experiences some of the greatest health disparities

Environmental health · Happiness · Psychological resilience · Public health · Demography · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Nursing · Psychology · Social Psychology · Urban, Neighborhood, and Segregation Studies · Gerontology