ALCOHOL, SERVICES, TREATMENT AND WORK IN HOMELESS ADULTS

无家可归成年人的酒精、服务、治疗和工作

• 批准号: 2899383
• 负责人: CHERYL ZLOTNICK
• 金额: $ 17.05万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-08-01 至 2001-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2899383
• 关键词: adult human (21+); alcoholism /alcohol abuse; behavioral /social science research tag; comorbidity; drug abuse; drug abuse therapy; drug addiction; employment /unemployment; health economics; health services research tag; homeless; human data; human subject; interview; longitudinal human study; public assistance; social model; social service; social support network; statistics /biometry

This health services research study uses an existing NIMH-funded, epidemiological data set to examine whether homeless adults with alcohol problems are more likely to obtain work if they have societal contacts (i.e., social support from family and friends, social services, and treatment services). This timely study is informed by important changes in welfare reform policies that mandate work in conjunction with entitlement benefits. Homeless adults, many of whom have alcohol problems, obtain income from informal sector activities, public welfare entitlements and work. However, with the changes initiated by welfare reform, entitlement benefit income may be time-limited or may have a work requirement. Therefore, individuals who may have never held a full-time job will be seeking employment. Although current studies indicate that the vast majority of homeless adults work, at least sporadically, very few studies have examined factors associated with work. The proposed study will conduct secondary analyses using an existing longitudinal data set representing a county-wide, probability sample of homeless adults (N=564, 385 men and 179 women). Several statistical techniques including logistic regression and path regression models will be used to: (1) describe the nature and patterns of alcohol problems (and comorbidities) among homeless adults, and test the relationship between alcohol problems and work in this group; (2) document patterns of societal contact (such as family, friends, treatment, health care and social service agencies) and test its association with work among homeless adults; and then devise a composite scale representing societal contacts (i.e., contacts from family, friends, treatment, and social service agencies) among homeless adults; and (3) test the model that alcohol problems and societal contacts have an association with work.

这项卫生服务研究使用现有的NIMH资助的流行病学数据集来检查无家可归的成年人是否有社会接触（即家人和朋友的社会支持，社会服务和治疗服务）是否更有可能获得工作。 这项及时的研究是通过福利改革政策的重要变化来告知的，该政策授权与权利福利结合使用。 无家可归的成年人，其中许多人遇到酒精问题，从非正式部门活动，公共福利权利和工作中获得收入。但是，随着福利改革引发的变化，权利福利收入可能是限时的，或者可能有工作要求。 因此，可能从未担任过全职工作的个人将寻求就业。 尽管目前的研究表明，至少在零星上，绝大多数无家可归的成年人都在工作，但很少有研究检查与工作相关的因素。 拟议的研究将使用现有的纵向数据集进行二次分析，该数据集代表县范围内无家可归的成年人的概率样本（n = 564、385名男性和179名女性）。 包括逻辑回归和路径回归模型在内的几种统计技术将用于：（1）在无家可归的成年人中描述酒精问题（和合并症）的性质和模式，并测试该组酒精问题与工作之间的关系； （2）记录社会接触的模式（例如家人，朋友，治疗，医疗保健和社会服务机构），并测试其与无家可归成年人的工作的关联；然后设计一个无家可归成年人中社会联系（即来自家人，朋友，治疗和社会服务机构的联系）的综合量表； （3）测试酒精问题和社会接触与工作相关的模型。