Women's Health Issues
Volume 18, Issue 1 , Pages 26-34 , January 2008

Ethnic Differences in the Correlates of Mental Distress Among Homeless Women

  • Erika Laine Austin, PhD

      Affiliations

    • University of Alabama at Birmingham, Birmingham, Alabama
    • Erika Laine Austin is an Assistant Professor of Sociology at the University of Alabama at Birmingham. Her research focuses on the social correlates of health and well-being in stigmatized populations; she is currently conducting a study of lesbian women living in the Southern United States.
    • Corresponding Author InformationCorrespondence to: Erika Laine Austin, PhD, University of Alabama at Birmingham, Department of Sociology, U237, 1530 3rd Avenue S., Birmingham, AL 35294.
    • ,
  • Ronald Andersen, PhD

      Affiliations

    • University of California, Los Angeles, California
    • Ronald M. Andersen is the Wasserman Professor Emeritus of Health Services and Sociology at the University of California, Los Angeles. His career has been dedicated to applying his Behavioral Model for Health Services Use to examine and improve access to medical care.
    • ,
  • Lillian Gelberg, MD, MSPH

      Affiliations

    • University of California, Los Angeles, California
    • Lillian Gelberg is Professor and Vice Chair for Academic Affairs in the Department of Family Medicine at the University of California, Los Angeles. She is a health services researcher and family physician who conducts community-based research on the health of vulnerable populations.

Received 3 May 2007 ,Accepted 28 August 2007.

References 

  1. Arangua L, Gelberg L. Homeless Persons. In:  Andersen R,  Rice T,  Kominski G editor. Changing the U.S. health care system. San Francisco: Jossey-Bass; 2007;p. 496
  2. Baker SG. Gender, ethnicity, and homelessness: Accounting for demographic diversity on the streets. American Behavioral Scientist. 1994;37:476–504
  3. Bassuk EL, Buckner JC, Perloff JN, Bassuk SS. Prevalence of mental health and substance use disorders among homeless and low-income housed mothers. American Journal of Psychiatry. 1998;155:1561–1564
  4. Bassuk EL, Weinreb LF, Buckner JC, Browne A, Salomon A, Bassuk SS. The characteristics and needs of sheltered homeless and low-income housed mothers. Journal of the American Medical Association. 1996;276:640–646
  5. Berwick DM, Murphy JM, Goldman PA, Ware JEJ, Barsky AJ, Weinstein MC. Performance of a five-item mental health screening test. Medical Care. 1991;29:169–176
  6. Bogard CJ, McConnell JJ, Gerstel N, Schwartz M. Homeless mothers and depression: Misdirected policy. Journal of Health and Social Behavior. 1999;40:46–62
  7. Buckner JC, Bassuk EL, Zima B. Mental health issues affecting homeless women: Implications for intervention. American Journal of Orthopsychiatry. 1993;63:385–389
  8. Burnam MA, Koegel P. Methodology for obtaining a representative sample of homeless persons: The Los Angeles Skid Row Study. Evaluation Review. 1988;12:117–152
  9. Folsom DP, Hawthorne W, Lindamer L, Gilmer T, Bailey A, Golshan S, et al. Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. American Journal of Psychiatry. 2005;162:370–376
  10. Frankin-Jackson D, Carter R. The relationships between race-related stress, racial identity, and mental health for Black Americans. Journal of Black Psychology. 2007;33:5–26
  11. Gelberg L, Andersen R, Leake B. The behavioral model for vulnerable populations: Applications to medical care use and outcomes. Health Services Research. 2000;34:1273–1302
  12. George LK, Lynch SM. Race differences in depressive symptoms: A dynamic perspective on stress exposure and vulnerability. Journal of Health and Social Behavior. 2003;44:353–369
  13. Gore S, Aseltine R. Race and ethnic differences in depressed mood following the transition from high school. Journal of Health and Social Behavior. 2003;44:370–389
  14. Hill TD, Ross CE, Angel RJ. Neighborhood disorder, psychophysiological distress, and health. Journal of Health and Social Behavior. 2005;46:170–186
  15. Lincoln KD, Chatters LM, Taylor RJ. Psychological distress among Black and white Americans: Differential effects of social support, negative interaction and personal control. Journal of Health and Social Behavior. 2003;44:390–407
  16. North CS, Smith EM. Comparison of white and nonwhite homeless men and women. Social Work. 1994;39:639–647
  17. Robertson MJ, Winkleby M. Mental health problems of homeless women and differences across subgroups. Annual Review of Public Health. 1996;17:311–336
  18. Rossi P. Down and out in America: The origins of homelessness in America. Chicago: University of Chicago Press; 1990;
  19. Rost K, Burnam M, Smith G. Development of screeners for depressive disorder and substance disorder history. Medical Care. 1993;31:189–200
  20. Rubenstein L, McCoy J, Cope D, Barrett P, Hirsch S, Messer KS, et al. Improving patient quality of life with feedback to physicians about functional status. Journal of General Internal Medicine. 1995;10:607–614
  21. Smith EM, North CS. Not all homeless women are alike: Effects of motherhood and the presence of children. Community Mental Health Journal. 1994;30:601–610
  22. Stewart A, Hays R, Ware J. The MOS short-form general health survey: Reliability and validity in a patient population. Medical Care. 1988;26:724–730
  23. Stein J, Lu M, Gelberg L. Severity of homelessness and adverse birth outcomes. Health Psychology. 2000;19:524–534
  24. Takeuchi DT, Williams DR. Race, ethnicity, and mental health: Introduction to the special issue. Journal of Health and Social Behavior. 2003;44:233–236
  25. U.S. Department of Health and Human Services. Mental health: Culture, race, and ethnicity—A supplemental to mental health: A report to the surgeon general. Rockville, MD: Author; 2001;
  26. U.S. Department of Housing and Urban Development. Notice of funding availability for the collaborative initiative to help end chronic homelessness. Federal Register. 2003;68:4018–4046
  27. Williams K. Has the future of marriage arrived? (A contemporary examination of gendermarriageand psychological well-being). Journal of Health and Social Behavior. 2003;44:470–487
  28. Wu Z, Noh S, Kaspar V, Schimmele C. Race, ethnicity, and depression in Canadian society. Journal of Health and Social Behavior. 2003;44:426–441

 Supported by a grant from the Agency for Health Care Policy and Research (R01 HS08323); a grant from the National Institute on Drug Abuse (R01 DA14835); and the Robert Wood Johnson Foundation (#26892). R. A. received support from the UCLA/DREW Project EXPORT, NCMHD, P20MD000148/P20MD000182. L. G. received support from the George F. Kneller Professorship and the Robert Wood Johnson Generalist Physician Faculty Scholars Program Award. R. A. and L. G. are members of the National Academy of Sciences, Institute of Medicine.

PII: S1049-3867(07)00143-0

doi: 10.1016/j.whi.2007.08.005

Women's Health Issues
Volume 18, Issue 1 , Pages 26-34 , January 2008

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