2025
Federal Priorities to Address Homelessness as a Community Health Problem
Tsai J. Federal Priorities to Address Homelessness as a Community Health Problem. Family & Community Health 2025, 48: 57-69. DOI: 10.1097/fch.0000000000000419.Peer-Reviewed Original ResearchHousing instabilityCommunity health problemsGender minority individualsFederal agenciesFederal prioritiesInter-agency collaborationUS federal agenciesHousing assistanceNative American communitiesMinority individualsHomelessnessInter-agencyAmerican communityHealth problemsGovernment supportUnsheltered individualsHousingAgenciesUnited StatesNational recognitionCommunityLearning agendaCOVID-19 pandemicAgendaGovernment
2024
Identifying diagnosed major chronic diseases associated with recent housing instability among aging adults: data from the ‘All of Us’ research program
Beydoun H, Vieytes C, Beydoun M, Lampros A, Tsai J. Identifying diagnosed major chronic diseases associated with recent housing instability among aging adults: data from the ‘All of Us’ research program. Journal Of Public Health 2024, fdae300. PMID: 39586798, DOI: 10.1093/pubmed/fdae300.Peer-Reviewed Original ResearchUs Research ProgramHousing instabilityAging adultsChronic diseasesOdds ratioChronic disease preventionAssociated with lower oddsPsychiatric diagnosisConfidence intervalsElectronic health recordsAssociated with psychiatric diagnosesEstimate odds ratiosCardiovascular diseaseMultivariate logistic regression modelDiverse group of adultsLogistic regression modelsTreatment of chronic diseasesCross-sectional dataHealth recordsHealthcare utilizationLower oddsGroup of adultsYears of ageDiagnosed diabetesCancer diagnosisAssociation of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system.
Silveira S, Beydoun H, Tsai J. Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system. CNS Spectrums 2024, 1-8. PMID: 39576134, DOI: 10.1017/s1092852924002165.Peer-Reviewed Original ResearchSubstance use disordersPsychiatric disordersUse disorderMental illnessDiagnosis of cannabis use disorderAssociated with diagnosisDiagnosis of alcohol use disorderCannabis use disorderPosttraumatic stress disorderStimulant use disorderAlcohol use disorderHealthcare systemService-connected disability ratingDepartment of Veterans Affairs healthcare systemSample of veteransPrevalence of mental illnessCharlson Comorbidity IndexGroup of veteransManagement of mental illnessVeterans Affairs Healthcare SystemVA healthcare systemMS diagnosisSchizophrenia/schizoaffective disorderCorporate Data WarehouseDepressive disorderCorrelates of six-month housing instability among U.S. adults by veteran status: Exploratory study using data from the All of Us Program
Beydoun H, Vieytes C, Beydoun M, Lampros A, Tsai J. Correlates of six-month housing instability among U.S. adults by veteran status: Exploratory study using data from the All of Us Program. PLOS ONE 2024, 19: e0314339. PMID: 39576824, PMCID: PMC11584138, DOI: 10.1371/journal.pone.0314339.Peer-Reviewed Original ResearchConceptsHousing instabilityVeteran statusNon-veteran populationsNon-veteransSocial determinants of healthHealth insurance availabilityU.S. adultsRate of HIDeterminants of healthHomeless servicesUs Research ProgramAssociated with lower likelihoodLifetime cigarette smokingAssociation of HICross-sectional dataWorse healthSix-month prevalenceSocial determinantsLogistic regression modelsLifetime alcohol consumptionInsurance availabilitySubstance useHealth characteristicsHigher incomeRacial disparitiesSocial isolation and firearm secure storage in the USA: results from the 2022 BRFSS.
Testa A, Semenza D, Jackson D, Fu K, McKay S, Ganson K, Nagata J, Tsai J. Social isolation and firearm secure storage in the USA: results from the 2022 BRFSS. Injury Prevention 2024, ip-2024-045468. PMID: 39578054, DOI: 10.1136/ip-2024-045468.Peer-Reviewed Original ResearchSocial isolationBehavioral Risk Factor Surveillance SystemFirearm storageRisk Factor Surveillance SystemStored firearmsFirearm safety educationPublic health strategiesFeelings of social isolationMultinomial logistic regression analysisIssues of social isolationMultinomial logistic regressionUnintentional injuriesLogistic regression analysisHealth strategiesLogistic regressionSurveillance systemSafety educationPsychological stateRegression analysisRespondentsFirearmBRFSSStorage practicesLongitudinal change and association between four types of social support and mental health among low-income U.S. veterans.
Tsai J, Lin H, Maroufy V. Longitudinal change and association between four types of social support and mental health among low-income U.S. veterans. International Journal Of Social Psychiatry 2024, 207640241299321. PMID: 39540431, DOI: 10.1177/00207640241299321.Peer-Reviewed Original ResearchSocial supportU.S. veteransMental healthLevels of perceived social supportLow socioeconomic statusMental health issuesPerceived social supportSocial support changesNationally representative sampleLogistic mixed modelsSociodemographic characteristicsSocioeconomic statusHealth issuesRepresentative sampleVeteransPerceived levelSupport changeLongitudinal changesHealthMixed modelsSupportAssociationDepressionStatusNationalApplying Concepts of Successful Aging in Measuring and Promoting Whole Person Health
Tsai J, Jones A. Applying Concepts of Successful Aging in Measuring and Promoting Whole Person Health. Medical Care 2024, 62: s21-s23. PMID: 39514489, PMCID: PMC11548807, DOI: 10.1097/mlr.0000000000002040.Peer-Reviewed Original ResearchConceptsWhole-person healthPersonal healthLife course perspectiveTransform healthcare systemsAdult populationWell-beingAging adult populationUS veteran populationAge-friendly practicesPopulation at-riskPublic health concernPoor healthAbsence of diseaseHealthcare systemVeteran populationSuccessful agingAging adultsAge-FriendlyHealthCourse perspectiveHealth concernReview studiesAgePopulationMultiple indicatorsCost-Effectiveness of Temporary Financial Assistance for Veterans Experiencing Housing Instability
Nelson R, Chapman A, Byrne T, Chaiyakunapruk N, Suo Y, Effiong A, Pettey W, Gelberg L, Kertesz S, Tsai J, Montgomery A. Cost-Effectiveness of Temporary Financial Assistance for Veterans Experiencing Housing Instability. JAMA Network Open 2024, 7: e2443396. PMID: 39499512, PMCID: PMC11539017, DOI: 10.1001/jamanetworkopen.2024.43396.Peer-Reviewed Original ResearchConceptsSupportive Services for Veteran FamiliesTemporary financial assistanceHousing insecurityHousing-related expensesIncremental cost-effectiveness ratioQuality-adjusted life yearsMonte Carlo simulationsProbabilistic sensitivity analysesFinancial assistanceHomelessness prevention servicesHousing outcomesHomelessness preventionLoss of housingCarlo simulationsPrevent homelessnessTime horizonCombination of inputsHousing instabilityHousing interventionsEconomic evaluationVulnerable VeteransHousingHomelessnessVeteran familiesVeterans AffairsAssociation of Homelessness and Unstable Housing With Cardiovascular Care Utilization Among Veterans.
Sokoloff L, Wu J, Eberly L, Nathan A, Julien H, Kobayashi T, Damrauer S, Groeneveld P, Tsai J, Khatana S. Association of Homelessness and Unstable Housing With Cardiovascular Care Utilization Among Veterans. Circulation Cardiovascular Quality And Outcomes 2024, 17: e010993. PMID: 39492715, PMCID: PMC11576242, DOI: 10.1161/circoutcomes.124.010993.Peer-Reviewed Original ResearchEmergency department visitsCardiovascular disease managementDepartment visitsOutpatient visitsDisease managementCardiovascular diseaseUnstable housingRates of emergency department visitsDisproportionate burden of cardiovascular diseaseRate of outpatient visitsBurden of cardiovascular diseaseCardiovascular emergency department visitsAnnual outpatient visitsVeterans Affairs Corporate Data WarehouseAssociated with disparitiesRates of all-causeCorporate Data WarehouseChronic cardiovascular conditionsLogistic regression modelsCare accessCare utilizationInverse probability of treatment weightingAssociation of homelessnessAssociated with lower ratesCardiovascular careDrug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Beydoun H. Drug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system. Addiction 2024 PMID: 39415621, DOI: 10.1111/add.16689.Peer-Reviewed Original ResearchNon-homeless veteransDrug overdose deathsOverdose deathsDepartment of Veterans Affairs (VA) healthcare systemVeterans Affairs (VA) healthcare systemHealthcare systemDepartment of Veterans Affairs healthcare systemNational Death Index dataHazard ratioVeterans Affairs Healthcare SystemConfidence intervalsDeath Index dataEstimate hazard ratiosMental health characteristicsAssociated with greater riskEpidemic of drug overdoseHealth characteristicsHomeless veteransUS veteransCox regression modelsVeteransGreater riskHomeless populationSubstance useMultivariate Cox regression modelSuicide risk evaluation among homeless veterans accessing VA health care
Holliday R, Keusch J, Monteith L, Polzer E, Matarazzo B, Edwards E, Weber J, Brenner L, Tsai J. Suicide risk evaluation among homeless veterans accessing VA health care. General Hospital Psychiatry 2024 PMID: 39406596, DOI: 10.1016/j.genhosppsych.2024.10.002.Peer-Reviewed Original ResearchDifferential prevalence of psychiatric disorders and mental health characteristics associated with lifetime suicide attempts in the Asian American and Pacific Islander adult population
Yeh P, Tsai J. Differential prevalence of psychiatric disorders and mental health characteristics associated with lifetime suicide attempts in the Asian American and Pacific Islander adult population. Journal Of Psychiatric Research 2024, 180: 86-95. PMID: 39383714, DOI: 10.1016/j.jpsychires.2024.09.044.Peer-Reviewed Original ResearchConceptsLifetime suicide attemptsPrevalence of mental health disordersAAPI populationSuicide attemptsMental healthcare needsCulturally competent carePrevalence of psychiatric disordersMilitary service historyMental health disordersPsychiatric disordersCross-sectional dataDepressive disorder diagnosisDiagnosis of panic disorderAssociated with lifetime suicide attemptsCompetent careHistory of suicide attemptsHealthcare needsNational Epidemiologic SurveyLogistic regression analysisNational Epidemiologic Survey of AlcoholMental healthSurvey of AlcoholHealth disordersVeteran populationLifetime prevalenceGambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk. Journal Of Gambling Studies 2024, 40: 2119-2139. PMID: 39342537, DOI: 10.1007/s10899-024-10359-7.Peer-Reviewed Original ResearchSubstance use disordersU.S. military veteransMental health treatmentGambling groupSUD-onlySuicide riskHealth treatmentMilitary veteransNon-suicidal self-injuryLifetime substance use disorderNational Health and ResilienceRisk of substance use disordersSUD-only groupSelf-report measuresMental health difficultiesAdverse childhood experiencesMental health burdenPast-year gamblingSelf-injurySuicidality/self-harmVeterans StudyUse disorderNicotine dependenceTrauma variablesBehavioral correlatesA measure of psychological antifragility: development and replication
Tsai J. A measure of psychological antifragility: development and replication. The Journal Of Positive Psychology 2024, ahead-of-print: 1-8. DOI: 10.1080/17439760.2024.2394466.Peer-Reviewed Original ResearchWhy some homeless individuals are unsheltered: A narrative review of self-reported reasons
Tsai J, Haley G, Kinney R. Why some homeless individuals are unsheltered: A narrative review of self-reported reasons. Social Science & Medicine 2024, 358: 117179. PMID: 39168065, DOI: 10.1016/j.socscimed.2024.117179.Peer-Reviewed Original ResearchHomeless individualsHomeless sheltersSubstance useUnsheltered homelessnessShelter rulesHousing programsLack of safetyLack of accessInterviewer-administered surveyQualitative dataSelf-reported reasonsFocus groupsInadequate careShelterWestern countriesStaff trainingPublic health issueEligibility criteriaThematic categoriesUnsanitary conditionsHealth issuesNarrative reviewQuantitative dataHomelessnessPeer-reviewed studiesSocioeconomic Correlates of Suicidal Ideation in Military Veterans: Examining the Interaction Between Homelessness and Financial Debt
DuBois C, Falls A, Serrano B, Wagner H, Tsai J, Elbogen E. Socioeconomic Correlates of Suicidal Ideation in Military Veterans: Examining the Interaction Between Homelessness and Financial Debt. Community Mental Health Journal 2024, 60: 1617-1626. PMID: 39110293, DOI: 10.1007/s10597-024-01316-0.Peer-Reviewed Original ResearchHistory of homelessnessPosttraumatic stress disorderSuicidal ideationHigher debtHistory of criminal arrestCorrelates of suicidal ideationSample of veteransNational sample of veteransFinancial debtOdds of suicidal ideationNationally-representative studyCriminal arrestsHomelessnessStress disorderSocioeconomic correlatesMilitary veteransGreater lonelinessIdeationU.S. veteransNational sampleSuicide preventionVeteransDebtDecision-makingCurrent debtRole of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis
Beydoun H, Szymkowiak D, Pietrzak R, Beydoun M, Treadwell R, Tsai J. Role of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis. Psychiatry Research 2024, 340: 116120. PMID: 39121758, DOI: 10.1016/j.psychres.2024.116120.Peer-Reviewed Original ResearchMental health disordersFour-way decomposition analysisSubstance useHealth disordersPsychiatric disordersMortality riskSuicide deathsHomeless veteransVeterans AffairsSubstance use disordersU.S. Department of Veterans AffairsDepartment of Veterans AffairsPredictors of suicide deathVA healthcare systemFully-adjusted modelsMental health characteristicsEffects of homelessnessProportion of suicide deathsSuicide riskUse disorderHealth characteristicsRetrospective cohort studySuicideHealthcare systemDisordersTransportation As A Determinant Of Health: Evaluating The Veterans Affairs Rideshare Program For Homeless Patients
Tsai J, Szymkowiak D, Beydoun H, Dasilva L. Transportation As A Determinant Of Health: Evaluating The Veterans Affairs Rideshare Program For Homeless Patients. Health Affairs 2024, 43: 1090-1099. PMID: 39102601, DOI: 10.1377/hlthaff.2023.01332.Peer-Reviewed Original ResearchConceptsHomeless service usersService usersService useVeterans AffairsAssociated with greater useHomeless patientsNational pilotMedical appointmentsAdministrative dataDepartment of Veterans AffairsVA administrative dataVA service useAttend medical appointmentsRidesharing programUrgent care visitsGreater useHealth systemInpatient servicesNationwide health systemCare visitsHomelessnessVulnerable patientsPatient transportIndex dateServicesExpanding identification of housing instability and referral to homeless programing: VA suicide risk screening and evaluation as a critical intercept
Holliday R, Polzer E, Monteith L, Matarazzo B, Tsai J. Expanding identification of housing instability and referral to homeless programing: VA suicide risk screening and evaluation as a critical intercept. General Hospital Psychiatry 2024 PMID: 39068130, DOI: 10.1016/j.genhosppsych.2024.07.007.Peer-Reviewed Original ResearchSmall Observational Study of Battlefield Acupuncture for Homeless-Experienced Veterans
Tsai J, Beydoun H, Howard A, St. Pierre C. Small Observational Study of Battlefield Acupuncture for Homeless-Experienced Veterans. Journal Of Alternative And Complementary Medicine 2024, 30: 1008-1012. PMID: 39007194, DOI: 10.1089/jicm.2023.0749.Peer-Reviewed Original ResearchHomeless-experienced VeteransBattlefield AcupunctureDepartment of Veterans Affairs health care systemVeterans Affairs health care systemU.S. Department of Veterans Affairs health care systemHealth care systemEffects of painLinear growth curve analysesCare systemImprove painSmall observational studiesActivity levelsOne-groupMonths follow-upAcupunctureObservational studyGrowth curve analysisPain scoresVeteransPainFollow-upProspective studyScoresU.S. DepartmentConclusions:</i></b