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A psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan
Authors:Suzanne Spinola PhD  Rani A Hoff PhD  MPH  Jack Tsai PhD
Institution:1. U.S. Department of Veterans Affairs, New England Mental Illness Research, Education, and Clinical Center, West Haven, CT, USA;2. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

U.S. Department of Veterans Affairs, Northeast Program Evaluation Center, West Haven, CT, USA;3. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

Abstract:Few studies have focused on homelessness among Operations Iraqi Freedom, Enduring Freedom and New Dawn (OEF/OIF/OND) veterans, especially female veterans. An explanatory model of homelessness was constructed and tested for each gender. Data collected in the United States from 833 OEF/OIF/OND veterans (41.5% female; Mage = 35.22, SD = 8.86) who completed the baseline assessment of the Survey of the Experiences of Returning Veterans between September 2011 and July 2014 were analysed. Path analysis was used to examine associations between risk factors and any lifetime homelessness, stratified by gender. Adverse childhood events (ACEs) and low social support were significantly associated with lifetime homelessness for both genders. Social support mediated associations between ACEs and homelessness, after controlling for sociodemographic factors. While sociodemographic risk factors are often considered in homeless prevention, these findings highlight the importance of social support among male and female OEF/OIF/OND veterans, underscoring the need to target this life domain in preventing homelessness.
Keywords:adverse childhood event  Afghanistan  gender  homelessness  Iraq  social support  veteran
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