{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T23:28:27Z","timestamp":1781566107781,"version":"3.54.5"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.sagepub.com\/licence-information-for-chorus"}],"funder":[{"name":"Department of the Army","award":["U01MH087981"],"award-info":[{"award-number":["U01MH087981"]}]},{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["HU0001-15-2-0004"],"award-info":[{"award-number":["HU0001-15-2-0004"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The transition from military to civilian life may present increased exposure to various stressful life events (SLEs) that can increase the risk of homelessness (eg, loss of employment, dissolution of romantic relationships). We assessed the extent to which exposure to SLEs occurring proximal to US Army soldier transitions out of active duty was associated with risk of homelessness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 16 589 respondents who were no longer on active duty but participated while on active duty during 2011-2014 baseline surveys completed follow-up surveys during 2016-2018 and 2018-2019. The follow-up surveys assessed SLEs and homelessness occurring in the past 12 months. We used modified Poisson regression models to evaluate how much differential SLE exposure and effects explained the aggregate association of a risk index with homelessness among a sample of 6837 respondents, weighted to represent the full sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>More than half (n = 3510, 52.8%) of respondents reported experiencing any SLEs in the past 12 months. Most (60.5%) of the difference in prevalence of homelessness among respondents defined as being at high risk of homelessness (vs lower risk) was explained by differential exposure to, and\/or effects of, these SLEs. Personal betrayal by a loved one and economic problems played the largest roles in adjusted risk differences (0.045 and 0.074, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Homelessness might be reduced by gearing interventions toward soldiers at high risk of homelessness who are transitioning out of active duty to reduce exposure to and effects of modifiable SLEs on experiencing homelessness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549221149092","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T01:24:55Z","timestamp":1675301095000},"page":"963-970","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Stressful Life Events and Risk of Homelessness After Active Duty: An Assessment of Risk and Resilience Among Servicemembers"],"prefix":"10.1177","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4420-3526","authenticated-orcid":false,"given":"Ann Elizabeth","family":"Montgomery","sequence":"first","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA"},{"name":"Birmingham Veterans Affairs Health Care System, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A.","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA"},{"name":"Boston Health Care for the Homeless Program, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"VA Health Services Research and Development Service, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy A.","family":"Sampson","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldis","family":"Petriceks","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murray B.","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of California San Diego, La Jolla, CA, USA"},{"name":"School of Public Health, University of California San Diego, La Jolla, CA, USA"},{"name":"VA San Diego Healthcare System, La Jolla, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Ursano","sequence":"additional","affiliation":[{"name":"Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald C.","family":"Kessler","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,1]]},"reference":[{"key":"bibr1-00333549221149092","unstructured":"House Committee on the Budget. President Biden\u2019s budget fulfills our sacred obligation to care for our veterans and their families. April 25, 2022. Accessed November 9, 2022. https:\/\/budget.house.gov\/publications\/report\/president-biden-budget-fulfills-sacred-obligation-care-our-veterans#:~:text=Invests%20%242.7%20Billion%20to%20End,budget%20for%20base%20homeless%20programs"},{"key":"bibr2-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2020.12.012"},{"key":"#cr-split#-bibr3-00333549221149092.1","unstructured":"Henry M, de Sousa T, Tano C, et al. The 2021 Annual Homeless Assessment Report (AHAR) to Congress. Part 1: Point-in-Time Estimates of Homelessness. US Department of Housing and Urban Development"},{"key":"#cr-split#-bibr3-00333549221149092.2","unstructured":"2022. Accessed January 28, 2022. https:\/\/www.huduser.gov\/portal\/sites\/default\/files\/pdf\/2021-AHAR-Part-1.pdf"},{"key":"bibr4-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxu004"},{"key":"bibr5-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.12.028"},{"key":"bibr6-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2013.06.0135"},{"key":"bibr7-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.11.007"},{"key":"bibr8-00333549221149092","unstructured":"Morin R. The difficult transition from military to civilian life. December 8, 2011. Accessed January 24, 2022. https:\/\/www.pewresearch.org\/social-trends\/2011\/12\/08\/the-difficult-transition-from-military-to-civilian-life"},{"key":"bibr9-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/swv050"},{"key":"bibr10-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1521\/psyc2014.77.2.107"},{"key":"bibr11-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1400"},{"key":"bibr12-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1401"},{"key":"bibr13-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1399"},{"key":"bibr14-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1177\/0002716221995161"},{"key":"bibr15-00333549221149092","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2013.301398"},{"key":"bibr16-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1353\/dem.0.0060"},{"key":"bibr17-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1177\/0049124118799374"},{"key":"bibr18-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12122"},{"key":"bibr19-00333549221149092","unstructured":"Ash S. Jackknife and other replication methods with a reduced number of replicates. 2018. Accessed February 10, 2022. http:\/\/www.asasrms.org\/Proceedings\/y2018\/files\/867226.pdf"},{"key":"bibr20-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6629(199901)27:1<73::AID-JCOP5>3.0.CO;2-#"},{"key":"bibr21-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000379"},{"key":"bibr22-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2011.04.005"},{"key":"bibr23-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.01.003"},{"key":"bibr24-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2015.06.006"},{"key":"bibr25-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1007\/s13524-013-0230-4"},{"key":"bibr26-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1086\/712238"},{"key":"bibr27-00333549221149092","unstructured":"US Department of Veterans Affairs. Supportive Services for Veteran Families (SSVF) program guide. 2021. Accessed February 12, 2022. https:\/\/www.va.gov\/HOMELESS\/ssvf\/docs\/SSVF_Program_Guide.pdf"},{"key":"bibr28-00333549221149092","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500203"},{"key":"bibr29-00333549221149092","unstructured":"United States Interagency Council on Homelessness. Ending veteran homelessness. Updated November 30, 2018. 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