IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2013.301323_5.html
   My bibliography  Save this article

Relationship between adverse childhood experiences and homelessness and the impact of Axis I and II disorders

Author

Listed:
  • Roos, L.E.
  • Mota, N.
  • Afifi, T.O.
  • Katz, L.Y.
  • Distasio, J.
  • Sareen, J.

Abstract

Objectives. We investigated the links between homelessness associated with serious mental and physical healthy disparities and adverse childhood experiences (ACEs) in nationally representative data, with Axis I and II disorders as potential mediators. Methods. We examined data from the National Epidemiologic Survey of Alcohol and Related Conditions in 2001-2002 and 2004-2005, and included 34 653 participants representative of the noninstitutionalized US population who were 20 years old or older. We studied the variables related to 4 classes of Axis I disorders, all 10 Axis II personality disorders, a wide range of ACEs, and a lifetime history of homelessness. Results. Analyses revealed high prevalences of each ACE in individuals experiencing lifetime homelessness (17%-60%). A mediation model with Axis I and II disorders determined that childhood adversities were significantly related to homelessness through direct effects (adjusted odd ratios = 2.04, 4.24) and indirect effects, indicating partial mediation. Population attributable fractions were also reported. Conclusions. Although Axis I and II disorders partially mediated the relationship between ACEs and homelessness, a strong direct association remained. This novel finding has implications for interventions and policy. Additional research is needed to understand relevant causal pathways.

Suggested Citation

  • Roos, L.E. & Mota, N. & Afifi, T.O. & Katz, L.Y. & Distasio, J. & Sareen, J., 2013. "Relationship between adverse childhood experiences and homelessness and the impact of Axis I and II disorders," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 275-281.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301323_5
    DOI: 10.2105/AJPH.2013.301323
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2013.301323
    Download Restriction: no

    File URL: https://libkey.io/10.2105/AJPH.2013.301323?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mzwandile A. Mabhala & Asmait Yohannes, 2019. "Being at the Bottom Rung of the Ladder in an Unequal Society: A Qualitative Analysis of Stories of People without a Home," IJERPH, MDPI, vol. 16(23), pages 1-19, November.
    2. Alyssa Tate & Kaéla Edwards & Nichole Holmes & Steven Buffer & Zachary Fusfeld & Willie Baronet & Rosemary Frasso, 2022. "‘Even a smile helps’: Exploring the interactions between people experiencing homelessness and passersby in public spaces," International Journal of Social Psychiatry, , vol. 68(3), pages 525-532, May.
    3. Mzwandile Mabhala & Winifred Adaobi Esealuka & Amanda Nkolika Nwufo & Chinwe Enyinna & Chelsea Nonkosi Mabhala & Treasure Udechukwu & John Reid & Asmait Yohannes, 2021. "Homelessness Is Socially Created: Cluster Analysis of Social Determinants of Homelessness (SODH) in North West England in 2020," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
    4. Daniel K Cooper & Mayra Bámaca-Colbert & Eric K Layland & Emily G Simpson & Benjamin L Bayly, 2021. "Puerto Ricans and Mexican immigrants differ in their psychological responses to patterns of lifetime adversity," PLOS ONE, Public Library of Science, vol. 16(10), pages 1-22, October.
    5. Hiles Howard, Amanda R. & Parris, Sheri & Hall, Jordan S. & Call, Casey D. & Razuri, Erin Becker & Purvis, Karyn B. & Cross, David R., 2015. "An examination of the relationships between professional quality of life, adverse childhood experiences, resilience, and work environment in a sample of human service providers," Children and Youth Services Review, Elsevier, vol. 57(C), pages 141-148.
    6. Mersky, Joshua P. & Janczewski, Colleen E. & Nitkowski, Jenna C., 2018. "Poor mental health among low-income women in the U.S.: The roles of adverse childhood and adult experiences," Social Science & Medicine, Elsevier, vol. 206(C), pages 14-21.
    7. Shiyou Wu & Lac Ta & Jaime Vieira & Kendall Schwartz & Joshua Perez & Justin Zeien & Danyi Li & Jennifer Hartmark-Hill, 2024. "Adverse Childhood Experiences and Depression among Homeless Young Adults: A Social Determinants of Health Perspective," IJERPH, MDPI, vol. 21(1), pages 1-15, January.
    8. Cohen-Cline, Hannah & Jones, Kyle & Vartanian, Keri, 2021. "Direct and indirect pathways between childhood instability and adult homelessness in a low-income population," Children and Youth Services Review, Elsevier, vol. 120(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301323_5. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.