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. 1995 Dec;85(12):1642–1649. doi: 10.2105/ajph.85.12.1642

Childhood risk factors for homelessness among homeless adults.

P Koegel 1, E Melamid 1, m A Burnam 1
PMCID: PMC1615728  PMID: 7503338

Abstract

OBJECTIVES. This effort used data from the Course of Homelessness study and comparative secondary data on the general population to identify negative childhood and family background experiences that may increase risk for adult homelessness. METHODS. Frequencies of negative childhood experiences were examined among a probability sample of 1563 homeless adults. Differences in risk for such experiences were calculated by sex, age cohort, and racial/ethnicity status. Where possible, rates of negative childhood experiences among the homeless were compared with the general population. RESULTS. Substantial numbers of this sample experienced multiple problems as children across several domains: poverty, residential instability, and family problems. Women and Whites disproportionately reported experiences suggestive of personal or family problems; non-Whites disproportionately reported experiences suggestive of personal or family problems; non-Whites disproportionately reported experiences suggestive of poverty. Homeless adults were at increased risk of childhood out-of-home placement, tenure in public housing, and homelessness, but not at greater risk for physical abuse. Women appeared to be at greater risk for sexual abuse. CONCLUSIONS. The problems that homeless individuals experience as adults have very clear analogs in their childhoods. Vulnerability to homelessness stems from factors unevenly distributed across age, sex, and race/ethnicity groups.

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Selected References

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  1. Bassuk E. L., Rosenberg L. Why does family homelessness occur? A case-control study. Am J Public Health. 1988 Jul;78(7):783–788. doi: 10.2105/ajph.78.7.783. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bassuk E. L., Rubin L., Lauriat A. S. Characteristics of sheltered homeless families. Am J Public Health. 1986 Sep;76(9):1097–1101. doi: 10.2105/ajph.76.9.1097. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Burnam M. A., Stein J. A., Golding J. M., Siegel J. M., Sorenson S. B., Forsythe A. B., Telles C. A. Sexual assault and mental disorders in a community population. J Consult Clin Psychol. 1988 Dec;56(6):843–850. doi: 10.1037//0022-006x.56.6.843. [DOI] [PubMed] [Google Scholar]
  4. Caton C. L., Shrout P. E., Eagle P. F., Opler L. A., Felix A., Dominguez B. Risk factors for homelessness among schizophrenic men: a case-control study. Am J Public Health. 1994 Feb;84(2):265–270. doi: 10.2105/ajph.84.2.265. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cohen C. I., Thompson K. S. Homeless mentally ill or mentally ill homeless? Am J Psychiatry. 1992 Jun;149(6):816–823. doi: 10.1176/ajp.149.6.816. [DOI] [PubMed] [Google Scholar]
  6. Kercher G. A., McShane M. The prevalence of child sexual abuse victimization in an adult sample of Texas residents. Child Abuse Negl. 1984;8(4):495–501. doi: 10.1016/0145-2134(84)90031-0. [DOI] [PubMed] [Google Scholar]
  7. Koegel P., Burnam M. A., Farr R. K. The prevalence of specific psychiatric disorders among homeless individuals in the inner city of Los Angeles. Arch Gen Psychiatry. 1988 Dec;45(12):1085–1092. doi: 10.1001/archpsyc.1988.01800360033005. [DOI] [PubMed] [Google Scholar]
  8. Lamb H. R. Will we save the homeless mentally ill? Am J Psychiatry. 1990 May;147(5):649–651. doi: 10.1176/ajp.147.5.649. [DOI] [PubMed] [Google Scholar]
  9. Link B. G., Susser E., Stueve A., Phelan J., Moore R. E., Struening E. Lifetime and five-year prevalence of homelessness in the United States. Am J Public Health. 1994 Dec;84(12):1907–1912. doi: 10.2105/ajph.84.12.1907. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Mangine S. J., Royse D., Wiehe V. R., Nietzel M. T. Homelessness among adults raised as foster children: a survey of drop-in center users. Psychol Rep. 1990 Dec;67(3 Pt 1):739–745. doi: 10.2466/pr0.1990.67.3.739. [DOI] [PubMed] [Google Scholar]
  11. 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]
  12. Rosenheck R., Fontana A. A model of homelessness among male veterans of the Vietnam War generation. Am J Psychiatry. 1994 Mar;151(3):421–427. doi: 10.1176/ajp.151.3.421. [DOI] [PubMed] [Google Scholar]
  13. Shinn M. Homelessness: what is a psychologist to do? Am J Community Psychol. 1992 Feb;20(1):1–24. doi: 10.1007/BF00942179. [DOI] [PubMed] [Google Scholar]
  14. Susser E. S., Lin S. P., Conover S. A., Struening E. L. Childhood antecedents of homelessness in psychiatric patients. Am J Psychiatry. 1991 Aug;148(8):1026–1030. doi: 10.1176/ajp.148.8.1026. [DOI] [PubMed] [Google Scholar]
  15. Susser E., Moore R., Link B. Risk factors for homelessness. Epidemiol Rev. 1993;15(2):546–556. doi: 10.1093/oxfordjournals.epirev.a036133. [DOI] [PubMed] [Google Scholar]
  16. Susser E., Struening E. L., Conover S. Childhood experiences of homeless men. Am J Psychiatry. 1987 Dec;144(12):1599–1601. doi: 10.1176/ajp.144.12.1599. [DOI] [PubMed] [Google Scholar]
  17. Weitzman B. C., Knickman J. R., Shinn M. Predictors of shelter use among low-income families: psychiatric history, substance abuse, and victimization. Am J Public Health. 1992 Nov;82(11):1547–1550. doi: 10.2105/ajph.82.11.1547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Wood D., Valdez R. B., Hayashi T., Shen A. Homeless and housed families in Los Angeles: a study comparing demographic, economic, and family function characteristics. Am J Public Health. 1990 Sep;80(9):1049–1052. doi: 10.2105/ajph.80.9.1049. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Wyatt G. E. The sexual abuse of Afro-American and white-American women in childhood. Child Abuse Negl. 1985;9(4):507–519. doi: 10.1016/0145-2134(85)90060-2. [DOI] [PubMed] [Google Scholar]

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