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Child Psychiatry & Human Development

, Volume 51, Issue 1, pp 48–58 | Cite as

Adolescent Homelessness and Associated Features: Prevalence and Risk Across Eight States

  • J. J. CutuliEmail author
  • Dan Treglia
  • Janette E. Herbers
Original Article

Abstract

This study utilizes data from the Youth Risk Behavior Survey to estimate the prevalence of adolescent homelessness and relations to five indicators of poor functioning among students attending public high school in eight states. About 3.27% of students experienced homelessness, and nearly 7% of teens who identified as lesbian, gay, or bisexual (LGB) experienced homelessness. Homelessness was related to higher rates of sexual/dating violence as well as having been bullied and feeling unsafe at school. Homelessness and LGB identification predicted higher rates of more-severe problems with alcohol, hard drug use, poor grades, suicidality, and risky sexual behavior, controlling for other factors. There was no interaction effect between homelessness and LGB status, suggesting that these risks are additive.

Keywords

Adolescent and youth homelessness Sexual minority Alcohol problem Substance use Suicidality 

Notes

Acknowledgements

We would like to thank the Centers for Disease Control and Prevention, state education authorities, and other stakeholder groups that granted permission for these data to be analyzed. Gratitude to Joe Willard of People’s Emergency Center for his continued dedication to the YRBS as a tool to inform youth homelessness. The interpretations expressed in this manuscript reflect those of the authors and are not necessarily shared by any of the agencies listed above.

References

  1. 1.
    Coates J, McKenzie-Mohr S (2010) Out of the frying pan, into the fire: trauma in the lives of homeless youth prior to and during homelessness. J Soc Soc Welf 37:65Google Scholar
  2. 2.
    Edidin JP, Ganim Z, Hunter SJ, Karnik NS (2012) The mental and physical health of homeless youth: a literature review. Child Psychiatry Hum Dev 43(3):354–375CrossRefGoogle Scholar
  3. 3.
    Kim MJ, Tajima EA, Herrenkohl TI, Huang B (2009) Early child maltreatment, runaway youths, and risk of delinquency and victimization in adolescence: a mediational model. Soc Work Res 33(1):19–28CrossRefGoogle Scholar
  4. 4.
    Medlow S, Klineberg E, Steinbeck K (2014) The health diagnoses of homeless adolescents: a systematic review of the literature. J Adolesc 37(5):531–542CrossRefGoogle Scholar
  5. 5.
    Moskowitz A, Stein JA, Lightfoot M (2013) The mediating roles of stress and maladaptive behaviors on self-harm and suicide attempts among runaway and homeless youth. J Youth Adolesc 42(7):1015–1027CrossRefGoogle Scholar
  6. 6.
    Toro PA, Dworsky A, Fowler PJ, (2007) Homeless youth in the United States: recent research findings and intervention approaches. In: Paper developed for the National symposium on homelessness research, Washington, DCGoogle Scholar
  7. 7.
    Tyler KA, Melander LA (2015) Child abuse, street victimization, and substance use among homeless young adults. Youth Soc 47(4):502–519CrossRefGoogle Scholar
  8. 8.
    Henry M, Shivji A, de Sousa T, Cohen R (2015) The 2015 Annual Homeless Assessment Report (AHAR) to Congress. US Department of Housing and Urban DevelopmentGoogle Scholar
  9. 9.
    Culhane DP, Dejowski EF, Ibanez J, Needham E, Macchia I (1994) Public shelter admission rates in Philadelphia and New York City: the implications of turnover for sheltered population counts. Housing Policy Debate 5(2):107–140CrossRefGoogle Scholar
  10. 10.
    Hopper K, Shinn M, Laska E, Meisner M, Wanderling J (2008) Estimating numbers of unsheltered homeless people through plant-capture and postcount survey methods. Am J Public Health 98(8):1438–1442CrossRefGoogle Scholar
  11. 11.
    Link BG, Susser E, Stueve A, Phelan J, Moore RE, Struening E (1994) Lifetime and five-year prevalence of homelessness in the United States. Am J Public Health 84(12):1907–1912CrossRefGoogle Scholar
  12. 12.
    Morton MH, Dworsky AS, Gina M (2017) Missed opportunities: youth homelessness in America. National estimates. Chapin Hall at the University of Chicago, ChicagoGoogle Scholar
  13. 13.
    Morton MH et al (2018) Prevalence and correlates of youth homelessness in the United States. J Adolesc Health 62:14–21CrossRefGoogle Scholar
  14. 14.
    Narendorf SC, Santa Maria DM, Ha Y, Cooper J, Schieszler C (2016) Counting and surveying homeless youth: recommendations from YouthCount 2.0!, a community-academic partnership. J Community Health 41(6):1234–1241CrossRefGoogle Scholar
  15. 15.
    Pergamit M, Cunningham M, Burt M, Lee P, Howell B, Bertumen K (2013) Youth count! Process study. Urban Institute, WashingtonGoogle Scholar
  16. 16.
    Buron L, McCall T, Solari CD (2017) The 2016 annual homeless assessment report (AHAR) to congress, part 2: estimates of homelessness in the United States data collection and analysis methodology. US Department of Housing and Urban Development. Available at: https://files.hudexchange.info/resources/documents/2016-AHAR-Data-Collection-and-Analysis-Methodology.pdf
  17. 17.
    U.S. Department of Housing and Urban Development (2015) HUD 2015 continum of care homeless assistance programs homeless populations and subpopulation. Available at: https://files.hudexchange.info/reports/published/CoC_PopSub_State_DE_2015.pdf
  18. 18.
    State of Delaware (2015) Annual snapshot. http://profiles.doe.k12.de.us/SchoolProfiles/State/. Accessed 1 Jun 2017
  19. 19.
    Côté JE (2009) Identity formation and self-development in adolescence. In: Lerner RM, Steinberg LD (eds) Handbook of adolescent psychology, 3rd edn. Wiley, Hoboken, pp 266–304Google Scholar
  20. 20.
    Smetana JG, Villalobos M (2009) Social cognitive development in adolescence. Handbook of adolescent psychology, Wiley, HobokenCrossRefGoogle Scholar
  21. 21.
    Kidd SA (2007) Youth homelessness and social stigma. J Youth Adolesc 36(3):291–299CrossRefGoogle Scholar
  22. 22.
    Corliss HL, Goodenow CS, Nichols L, Austin SB (2011) High burden of homelessness among sexual-minority adolescents: findings from a representative Massachusetts high school sample. Am J Public Health 101(9):1683–1689CrossRefGoogle Scholar
  23. 23.
    Cochran BN, Stewart AJ, Ginzler JA, Cauce AM (2002) Challenges faced by homeless sexual minorities: comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts. Am J Public Health 92(5):773–777CrossRefGoogle Scholar
  24. 24.
    Kidd SA, Carroll MR (2007) Coping and suicidality among homeless youth. J Adolesc 30(2):283–296CrossRefGoogle Scholar
  25. 25.
    Milburn NG, Ayala G, Rice E, Batterham P, Rotheram-Borus MJ (2006) Discrimination and exiting homelessness among homeless adolescents. Cult Divers Ethn Minor Psychol 12(4):658CrossRefGoogle Scholar
  26. 26.
    Rosario M, Schrimshaw EW, Hunter J (2012) Homelessness among lesbian, gay, and bisexual youth: implications for subsequent internalizing and externalizing symptoms. J Youth Adolesc 41(5):544–560CrossRefGoogle Scholar
  27. 27.
    Rice E et al (2013) Homelessness experiences, sexual orientation, and sexual risk taking among high school students in Los Angeles. J Adolesc Health 52(6):773–778CrossRefGoogle Scholar
  28. 28.
    D’Augelli AR, Grossman AH, Salter NP, Vasey JJ, Starks MT, Sinclair KO (2005) Predicting the suicide attempts of lesbian, gay, and bisexual youth. Suicide Life Threat Behav 35(6):646–660CrossRefGoogle Scholar
  29. 29.
    Ringwalt CL, Greene JM, Robertson M, McPheeters M (1998) The prevalence of homelessness among adolescents in the United States. Am J Public Health 88(9):1325–1329CrossRefGoogle Scholar
  30. 30.
    Cutuli J (2018) Homelessness in high school: Population-representative rates of self-reported homelessness, resilience, and risk in Philadelphia. Soc Work Res 42(3):159-168CrossRefGoogle Scholar
  31. 31.
    Perlman S, Willard J, Herbers JE, Cutuli JJ, Eyrich-Garg KM (2014) Youth homelessness: prevalence and mental health correlates. J Soc Soc Work Res 5(3):361–377CrossRefGoogle Scholar
  32. 32.
    Cutuli JJ, Steinway C, Perlman S, Herbers JE, Eyrich-Garg KM, Willard J (2015) Youth homelessness: prevalence and associations with weight in three regions. Health Soc Work 40(4):316–324CrossRefGoogle Scholar
  33. 33.
    Bell BA, Onwuegbuzie AJ, Ferron JM, Jiao QG, Hibbard ST, Kromrey JD (2012) Use of design effects and sample weights in complex health survey data: a review of published articles using data from 3 commonly used adolescent health surveys. Am J Public Health 102(7):1399–1405CrossRefGoogle Scholar
  34. 34.
    National Center for HIV/AIDS VH, STD, and TB Prevention (2016) 2015 YRBS data user’s guide. Centers for Disease Control and Prevention, AtlantaGoogle Scholar
  35. 35.
    Costello EJ, Angold A (2016) Developmental epidemiology. In: Cicchetti D (ed) Developmental psychopathology, 3rd edn. Wiley, Hoboken, pp 94–128Google Scholar
  36. 36.
    Silverman JG, Raj A, Mucci LA, Hathaway JE (2001) Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. J Am Med Assoc 286:572–579CrossRefGoogle Scholar
  37. 37.
    National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (2018) Combining YRBS data across years and sites. US Department of Health and Human Services, Centers for Disease Control. Available at: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/yrbs_combining_data.pdf
  38. 38.
    Centers for Disease Control and Prevention (CDC) (2013) Methodology of the youth risk behavior surveillance system. MMWR 62(1):1–18Google Scholar
  39. 39.
    National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (2016) Software for analysis of YRBS data. US Department of Health and Human Services, Centers for Disease Control. Available at: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2015/2015_YRBS_analysis_software.pdf
  40. 40.
    Rosario M, Schrimshaw EW, Hunter J (2012) Risk factors for homelessness among lesbian, gay, and bisexual youths: a developmental milestone approach. Children Youth Serv Rev 34(1):186–193CrossRefGoogle Scholar
  41. 41.
    Birkett M, Newcomb ME, Mustanski B (2015) Does it get better? A longitudinal analysis of psychological distress and victimization in lesbian, gay, bisexual, transgender, and questioning youth. J Adolesc Health 56(3):280–285CrossRefGoogle Scholar
  42. 42.
    Goldbach JT, Tanner-Smith EE, Bagwell M, Dunlap S (2014) Minority stress and substance use in sexual minority adolescents: a meta-analysis. Prev Sci 15(3):350CrossRefGoogle Scholar
  43. 43.
    La Roi C, Kretschmer T, Dijkstra JK, Veenstra R, Oldehinkel AJ (2016) Disparities in depressive symptoms between heterosexual and lesbian, gay, and bisexual youth in a Dutch cohort: the TRAILS study. J Youth Adolesc 45:440CrossRefGoogle Scholar
  44. 44.
    Cutuli JJ, Herbers JE (2014) Promoting resilience for children who experience family homelessness: opportunities to encourage developmental competence. Cityscape 16(1):113–139Google Scholar
  45. 45.
    Fowler PJ, Toro PA, Miles BW (2009) Pathways to and from homelessness and associated psychosocial outcomes among adolescents leaving the foster care system. Am J Public Health 99(8):1453–1458CrossRefGoogle Scholar
  46. 46.
    Kidd S, Shahar G (2008) Resilience in homeless youth: the key role of self-esteem. Am J Orthopsychiatry 78(2):163CrossRefGoogle Scholar
  47. 47.
    Masten AS (2014) Ordinary magic: resilience in development. The Guilford Press, New YorkGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PsychologyRutgers University – CamdenCamdenUSA
  2. 2.School of Social Policy and PracticeUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Department of Psychological and Brain SciencesVillanova UniversityVillanovaUSA

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