TY - JOUR
T1 - Experiences of Discrimination Among Young Adults Experiencing Homelessness
T2 - Relationship to Mental Health Outcomes
AU - Narendorf, Sarah Carter
AU - Palmer, Ashley
AU - Minott, Kenya
AU - Maria, Diane Santa
AU - Bender, Kimberly
AU - Shelton, Jama
AU - Ferguson, Kristin
AU - Hsu, Hsun Ta
AU - Barman-Adhikari, Anamika
AU - Petering, Robin
N1 - Publisher Copyright:
© 2021 Global Alliance for Behavioral Health and Social Justice
PY - 2022
Y1 - 2022
N2 - Young adults experiencing homelessness (YAEH) are at high risk for discrimination. Limited research has documented the extent of discrimination experiences and their relationship to mental health outcomes among this group. This study used data from YAEH who completed self-administered surveys across seven U.S. cities (N = 1,426) to examine the rates and correlates of discrimination experiences and their association with psychological distress and suicidal ideation. Chi-square and multivariate logistic regressions were used to examine the relations between perceived discrimination and race, gender identity, sexual orientation, foster care history, criminal justice history, reasons for homelessness, and length of time homeless. Then, logistic regression was used to examine whether discrimination increased the odds of psychological distress and suicidal ideation, controlling for other factors. Three-fourths (75.8%) of the sample (n = 1,055) reported experiencing at least one of the five forms of everyday discrimination experiences at least a few times a year, with the most common reason attributed to their housing situation (46%). Sexual orientation, juvenile justice involvement, and having been homeless for 2 years or more were associated with increased odds of experiencing discrimination. Discrimination was a strong predictor of psychological distress but was significant only at the bivariate level for suicidal ideation. Study results suggest that experiences of discrimination are common among YAEH and that these experiences increase risk for psychological distress. Providers working with YAEH need to validate and acknowledge the impact of these experiences on mental health. And, communities need to work to reduce discrimination experiences by targeting stigma against YAEH.
AB - Young adults experiencing homelessness (YAEH) are at high risk for discrimination. Limited research has documented the extent of discrimination experiences and their relationship to mental health outcomes among this group. This study used data from YAEH who completed self-administered surveys across seven U.S. cities (N = 1,426) to examine the rates and correlates of discrimination experiences and their association with psychological distress and suicidal ideation. Chi-square and multivariate logistic regressions were used to examine the relations between perceived discrimination and race, gender identity, sexual orientation, foster care history, criminal justice history, reasons for homelessness, and length of time homeless. Then, logistic regression was used to examine whether discrimination increased the odds of psychological distress and suicidal ideation, controlling for other factors. Three-fourths (75.8%) of the sample (n = 1,055) reported experiencing at least one of the five forms of everyday discrimination experiences at least a few times a year, with the most common reason attributed to their housing situation (46%). Sexual orientation, juvenile justice involvement, and having been homeless for 2 years or more were associated with increased odds of experiencing discrimination. Discrimination was a strong predictor of psychological distress but was significant only at the bivariate level for suicidal ideation. Study results suggest that experiences of discrimination are common among YAEH and that these experiences increase risk for psychological distress. Providers working with YAEH need to validate and acknowledge the impact of these experiences on mental health. And, communities need to work to reduce discrimination experiences by targeting stigma against YAEH.
KW - Discrimination
KW - Homelessness
KW - Mental health
KW - Young adult
UR - http://www.scopus.com/inward/record.url?scp=85119262948&partnerID=8YFLogxK
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U2 - 10.1037/ort0000585
DO - 10.1037/ort0000585
M3 - Article
C2 - 34726463
AN - SCOPUS:85119262948
SN - 0002-9432
VL - 92
SP - 58
EP - 67
JO - American Journal of Orthopsychiatry
JF - American Journal of Orthopsychiatry
IS - 1
ER -