Skip to main content
Public Health Reports logoLink to Public Health Reports
. 1993 Jan-Feb;108(1):30–36.

Physical, addictive, and psychiatric disorders among homeless veterans and nonveterans.

M A Winkleby 1, D Fleshin 1
PMCID: PMC1403327  PMID: 8434094

Abstract

A cross-sectional survey of 1,431 homeless adults was conducted during the winter of 1989-90 at three shelters in Santa Clara County, CA, with a 98 percent response rate. Of the 1,008 U.S.-born men, 423, or 42 percent, were veterans, including 173 combat-exposed veterans and 250 noncombat-exposed veterans. There were 585 nonveterans. Both combat and noncombat-exposed veterans were significantly more likely to report excessive alcohol consumption before their initial loss of shelter than were nonveterans. Combat-exposed veterans had the highest prevalences of psychiatric hospitalizations and physical injuries before homelessness, 1.5 to 2 times higher than nonveterans and noncombat-exposed veterans. The length of time between military discharge and initial loss of shelter was longer than a decade for 76 percent of combat-exposed veterans and 50 percent of noncombat-exposed veterans. The extended time from discharge to homelessness suggests that higher prevalences of alcohol consumption, psychiatric hospitalization, and physical injury among veterans, especially those exposed to combat, may not have arisen from military service. It is possible, however, that such disorders may be considerably delayed before becoming serious enough to impact one's family, work, and the availability of shelter.

Full text

PDF
30

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allen J., Mazzuchi J. Alcohol and drug abuse among American military personnel: prevalence and policy implications. Mil Med. 1985 May;150(5):250–255. [PubMed] [Google Scholar]
  2. Bray R. M., Marsden M. E., Peterson M. R. Standardized comparisons of the use of alcohol, drugs, and cigarettes among military personnel and civilians. Am J Public Health. 1991 Jul;81(7):865–869. doi: 10.2105/ajph.81.7.865. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gelberg L., Linn L. S., Leake B. D. Mental health, alcohol and drug use, and criminal history among homeless adults. Am J Psychiatry. 1988 Feb;145(2):191–196. doi: 10.1176/ajp.145.2.191. [DOI] [PubMed] [Google Scholar]
  4. Goldberg J., Eisen S. A., True W. R., Henderson W. G. A twin study of the effects of the Vietnam conflict on alcohol drinking patterns. Am J Public Health. 1990 May;80(5):570–574. doi: 10.2105/ajph.80.5.570. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Goldberg J., True W. R., Eisen S. A., Henderson W. G. A twin study of the effects of the Vietnam War on posttraumatic stress disorder. JAMA. 1990 Mar 2;263(9):1227–1232. [PubMed] [Google Scholar]
  6. Regier D. A., Myers J. K., Kramer M., Robins L. N., Blazer D. G., Hough R. L., Eaton W. W., Locke B. Z. The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics. Arch Gen Psychiatry. 1984 Oct;41(10):934–941. doi: 10.1001/archpsyc.1984.01790210016003. [DOI] [PubMed] [Google Scholar]
  7. Robins L. N., Helzer J. E., Croughan J., Ratcliff K. S. National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. Arch Gen Psychiatry. 1981 Apr;38(4):381–389. doi: 10.1001/archpsyc.1981.01780290015001. [DOI] [PubMed] [Google Scholar]
  8. Ropers R. H., Boyer R. Perceived health status among the new urban homeless. Soc Sci Med. 1987;24(8):669–678. doi: 10.1016/0277-9536(87)90310-8. [DOI] [PubMed] [Google Scholar]
  9. Rosenheck R., Leda C., Gallup P., Astrachan B., Milstein R., Leaf P., Thompson D., Errera P. Initial assessment data from a 43-site program for homeless chronic mentally ill veterans. Hosp Community Psychiatry. 1989 Sep;40(9):937–942. doi: 10.1176/ps.40.9.937. [DOI] [PubMed] [Google Scholar]
  10. Rossi P. H., Wright J. D., Fisher G. A., Willis G. The urban homeless: estimating composition and size. Science. 1987 Mar 13;235(4794):1336–1341. doi: 10.1126/science.2950592. [DOI] [PubMed] [Google Scholar]
  11. Susser E., Struening E. L., Conover S. Psychiatric problems in homeless men. Lifetime psychosis, substance use, and current distress in new arrivals at New York City shelters. Arch Gen Psychiatry. 1989 Sep;46(9):845–850. doi: 10.1001/archpsyc.1989.01810090087012. [DOI] [PubMed] [Google Scholar]
  12. Winkleby M. A., Fortmann S. P., Barrett D. C. Social class disparities in risk factors for disease: eight-year prevalence patterns by level of education. Prev Med. 1990 Jan;19(1):1–12. doi: 10.1016/0091-7435(90)90001-z. [DOI] [PubMed] [Google Scholar]
  13. Winkleby M. A., Rockhill B., Jatulis D., Fortmann S. P. The medical origins of homelessness. Am J Public Health. 1992 Oct;82(10):1394–1398. doi: 10.2105/ajph.82.10.1394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Yager T., Laufer R., Gallops M. Some problems associated with war experience in men of the Vietnam generation. Arch Gen Psychiatry. 1984 Apr;41(4):327–333. doi: 10.1001/archpsyc.1984.01790150017003. [DOI] [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES