Quality of Life Research ( IF 3.5 ) Pub Date : 2020-03-28 , DOI: 10.1007/s11136-020-02482-w Antoinette L Spector 1 , Katherine G Quinn 2 , Timothy L McAuliffe 2 , Wayne DiFranceisco 2 , Arturo Bendixen 3 , Julia Dickson-Gomez 1, 2
Purpose
Permanent supportive housing (PSH) is an effective intervention to improve residential stability and reduce the utilization of costlier healthcare services for the chronically homeless. However, there has been little focus on health-related quality of life (HRQL) once they enter PSH, and the potential influence of other factors including the PSH model. Study results can shed light on the HRQL of the PSH population and inform strategies to improve PSH program effectiveness in this area.
Methods
In this cross-sectional study, survey methods were used to assess the HRQL of PSH residents in the Chicago metropolitan area. The survey also included questions on socio-demographics, health behaviors, housing and neighborhood characteristics, and housing satisfaction. The SF-36 was used to obtain physical (PCS) and mental component summary (MCS) scores for HRQL. Other variables were selected using the Wilson and Cleary HRQL model. Statistical analyses included summary statistics, bivariate analyses, and fully adjusted linear regression models.
Results
The study sample included 855 adults currently in PSH. The sample was predominantly African American men with an average age of 53 years. Mean scores for PCS and MCS were 39.4 and 46.1, respectively, (out of 100). In adjusted analyses, older age and being on disability were associated with worse PCS. Having HIV was associated with better PCS. Being non-Hispanic Black, living in fixed-sited housing, and being in PSH for longer durations were associated with better MCS. More depressive symptoms was associated with worse PCS and MCS.
Conclusion
While both aspects of the PSH model (housing configuration and service provision) were initially associated with HRQL in unadjusted analyses, housing configuration was the only PSH model variable that remained significant once accounting for other factors. Depressive symptomology and the social environment also appear to be important correlates of HRQL and are potential areas to target in PSH programs.
中文翻译:
生活在不同永久性支持性住房模式中的长期无家可归成年人的健康相关生活质量和相关因素:一项横断面研究。
目的
永久支持性住房 (PSH) 是一种有效的干预措施,可提高居住稳定性并减少长期无家可归者对昂贵医疗服务的利用。然而,很少有人关注他们进入 PSH 后的健康相关生活质量 (HRQL),以及包括 PSH 模型在内的其他因素的潜在影响。研究结果可以阐明 PSH 人群的 HRQL,并为提高该领域 PSH 计划有效性的策略提供信息。
方法
在这项横断面研究中,调查方法用于评估芝加哥大都市区 PSH 居民的 HRQL。该调查还包括有关社会人口统计学、健康行为、住房和社区特征以及住房满意度的问题。SF-36 用于获得 HRQL 的身体 (PCS) 和心理组件总结 (MCS) 分数。使用 Wilson 和 Cleary HRQL 模型选择其他变量。统计分析包括汇总统计、双变量分析和完全调整的线性回归模型。
结果
研究样本包括目前处于 PSH 的 855 名成年人。样本主要是平均年龄为 53 岁的非裔美国男性。PCS 和 MCS 的平均得分分别为 39.4 和 46.1(满分 100)。在调整后的分析中,年龄较大和残疾与更严重的 PCS 相关。感染艾滋病毒与更好的 PCS 相关。非西班牙裔黑人、住在固定地点的住房以及在 PSH 中呆的时间更长与更好的 MCS 相关。更多的抑郁症状与更差的 PCS 和 MCS 相关。
结论
虽然 PSH 模型的两个方面(住房配置和服务提供)在未经调整的分析中最初都与 HRQL 相关,但住房配置是唯一一个在考虑其他因素后仍然显着的 PSH 模型变量。抑郁症状和社会环境似乎也是 HRQL 的重要关联因素,并且是 PSH 计划的潜在目标领域。