Evidence map›Paper›PMID 34419233›Full record

ArticleAmerican journal of preventive medicine2021

Characteristics Associated With Unsheltered Status Among Veterans.

Stefan G Kertesz, Aerin J DeRussy, Kevin R Riggs, April E Hoge, Allyson L Varley, Ann Elizabeth Montgomery, Erika L Austin, John R Blosnich, Audrey L Jones, Sonya E Gabrielian and 3 more

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Stefan G KerteszResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama; Department of Medicine, School of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama; Department of Health Behavior, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: skertesz@uabmc.edu.
Aerin J DeRussyResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama.
Kevin R RiggsResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama; Department of Medicine, School of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama.
April E HogeResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama.
Allyson L VarleyResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama; Department of Medicine, School of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama.
Ann Elizabeth MontgomeryResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama; Department of Health Behavior, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama.
Erika L AustinResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama; Department of Biostatistics, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama.
John R BlosnichDepartment of Social Change and Innovation, University of Southern California Suzanne Dworak-Peck School of Social Work, Los Angeles, California; Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
Audrey L JonesInformatics, Decision-Enhancement and Analytic Sciences Center, VA Salt Lake City Health Care System, Salt Lake City, Utah; Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah.
Sonya E GabrielianCenter for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, California.
Lillian GelbergCenter for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California; Department of Family Medicine, University of California Los Angeles, Los Angeles, California.
Adam J GordonInformatics, Decision-Enhancement and Analytic Sciences Center, VA Salt Lake City Health Care System, Salt Lake City, Utah; Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah.
Joshua S RichmanResearch Service, Birmingham Veterans Affairs Health Care System, Birmingham, Alabama; Department of Surgery, School of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama.

Funding

Greater Intermountain Node (CTN-0151)UG1DA049444 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Gerald T. Cochran, Gerald T. Cochran · 2019 to 2026
$16.8M
Vascular Health and Risk Factors in Children with Down SyndromeKL2TR002539 · NCATS · UNIVERSITY OF UTAH · PI MURTAUGH, MAUREEN A, NYGAARD, INGRID E · 2018 to 2022
$4.3M
Primary Care Quality and Homeless Service TailoringI01HX001900 · VA · BIRMINGHAM VA MEDICAL CENTER · PI KERTESZ, STEFAN G · 2020 to 2021
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Quality of Mental Health Services for Homeless Veterans in Primary Care SettingsIK2HX003090 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI AUDREY L JONES · 2021 to 2026
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HSRD VA I01 HX001900HSRD VA IK2 HX003090NCATS NIH HHS KL2 TR002539NIDA NIH HHS UG1 DA049444
6 · The paper itself

Abstract

introductionUnsheltered homelessness is a strongly debated public issue. The study objective is to identify personal and community characteristics associated with unsheltered homelessness in veterans and to test for interactions between these characteristics.

methodsIn a 2018 national survey of U.S. veterans with homeless experiences; investigators assessed unsheltered time; psychosocial characteristics; and community measures of shelter access, weather, and rental affordability. Associations between these characteristics and unsheltered status were tested in July-August 2020. This study also tested whether the count of personal risk factors interacted with community characteristics in predicting unsheltered status.

resultsAmong 5,406 veterans, 481 (8.9%) reported ≥7 nights unsheltered over 6 months. This group was more likely to report criminal justice history, poor social support, medical and drug problems, financial hardship, and being unmarried. Their communities had poorer shelter access and warmer temperatures. The likelihood of unsheltered experience rose with risk factor count from 2.0% (0-1) to 8.4% (2-3) and to 24.2% (4-11). Interaction tests showed that the increase was greater for communities with warmer weather and higher rents (p<0.05).

conclusionsAmong veterans experiencing homelessness, unsheltered experiences correlate with individual and community risk factors. Communities wishing to address unsheltered homelessness will need to consider action at both levels.

Indexed as

Ill-Housed PersonsVeteransHousingHumansRisk FactorsSocial Support

Identifiers

PMID34419233
PMCPMC8864732

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.