2024
Cost-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 AffairsTransportation 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 dateServicesDigital access among a national sample of currently and formerly homeless veterans in 2022
Tsai J, Lampros A, Blue-Howells J. Digital access among a national sample of currently and formerly homeless veterans in 2022. Health Informatics Journal 2024, 30: 14604582241276974. PMID: 39167203, DOI: 10.1177/14604582241276974.Peer-Reviewed Original ResearchPerformance of the Elixhauser Comorbidity Index in Predicting Mortality Among a National US Sample of Hospitalized Homeless Adults
Tsai J, Kim Y. Performance of the Elixhauser Comorbidity Index in Predicting Mortality Among a National US Sample of Hospitalized Homeless Adults. Medical Care 2024, 62: 543-548. PMID: 38838297, DOI: 10.1097/mlr.0000000000002019.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexIn-hospital mortalityBehavioral health conditionsHealth care databasesNational Inpatient Sample (NISComorbidity indexAlcohol-related disordersPredictors of hospital readmissionPredicting mortalityPrediction of in-hospital mortalityClinical Classifications Software Refined (CCSRCare databasePredicting in-hospital mortalitySummary scoreRevision Clinical ModificationNational US sampleClinical ModificationInternational ClassificationSample of inpatientsDiagnostic codesHealth conditionsHomeless adultsHospital readmissionCase-mixAcute myocardial infarctionShallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program.
Nelson R, Byrne T, Suo Y, Effiong A, Pettey W, Zickmund S, Galyean P, Kimball E, Gelberg L, Kertesz S, Tsai J, Montgomery A. Shallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program. Journal Of Health Care For The Poor And Underserved 2024, 35: 532-544. PMID: 38828580, DOI: 10.1353/hpu.2024.a928631.Peer-Reviewed Original ResearchConceptsPermanent supportive housingMultivariable two-part regression modelTwo-part regression modelHousing instabilityHousing barriersSupportive housingFamilies ProgramQualitative interviewsSocioeconomic stabilityAllocation decisionsCharacteristics of veteransSubsidiesHigher incomeDepartment of Veterans AffairsIncomeHousingInterviewsVeterans AffairsMethod findingsHomelessnessRetrospective cohort studyOutpatient costsVeteransOlder ageCohort studyFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeteransObesity in U.S. low-income veterans:Prevalence, clinical characteristics, and homelessness
Stefanovics E, Potenza M, Tsai J. Obesity in U.S. low-income veterans:Prevalence, clinical characteristics, and homelessness. Journal Of Psychiatric Research 2024, 173: 317-325. PMID: 38574595, DOI: 10.1016/j.jpsychires.2024.03.041.Peer-Reviewed Original ResearchConceptsLow-income veteransU.S. veteransPrevalence estimates of obesityAssociated with low socioeconomic statusEstimates of obesityBurden of obesityWeight management programAssociated with co-occurrenceLow socioeconomic statusPrevalence of obesityPsychiatric medication useImprove overall healthU.S. veteran populationNationally representative sampleQuality of lifePositive reframingSocioeconomic statusPrevalence estimatesTargeted interventionsVeteran populationActive copingMedication useOverall healthCoping stylesRepresentative sampleThe mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans
Bulanchuk N, Edwards E, Pietrzak R, Tsai J. The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans. Journal Of Community Psychology 2024, 52: 399-414. PMID: 38289875, DOI: 10.1002/jcop.23105.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaAdverse childhood experiencesLifetime homelessnessSocial supportSexual traumaNationally representative sampleHistory of military sexual traumaCorrelates of homelessnessAvailability of social supportPerceived social supportInterpersonal social supportLow social supportRepresentative sampleChildhood adversityHomelessnessFemale veteransChildhood experiencesCommunity integrationMale counterpartsPath analysisVeteransUS veteransTrauma ratesNationalCorrelation analysis
2023
Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio
Choi B, Grace A, Tsai J. Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio. PLOS ONE 2023, 18: e0295418. PMID: 38064447, PMCID: PMC10707584, DOI: 10.1371/journal.pone.0295418.Peer-Reviewed Original ResearchConceptsLaboratory-confirmed COVID-19 casesCOVID-19 symptomsCOVID-19 infectionRisk factorsCOVID-19 casesPsychiatric conditionsPotential risk factorsCategories of symptomsTypes of symptomsDifferent medical conditionsMiscellaneous symptomsAssociated FactorsFemale genderHigher oddsHispanic ethnicityMedical conditionsSociodemographic characteristicsSymptomsCoronavirus diseaseOutcome variablesGEE modelSan AntonioLongitudinal analysisInfectionLogit linkAssociations Between Natural Language Processing–Enriched Social Determinants of Health and Suicide Death Among US Veterans
Mitra A, Pradhan R, Melamed R, Chen K, Hoaglin D, Tucker K, Reisman J, Yang Z, Liu W, Tsai J, Yu H. Associations Between Natural Language Processing–Enriched Social Determinants of Health and Suicide Death Among US Veterans. JAMA Network Open 2023, 6: e233079. PMID: 36920391, PMCID: PMC10018322, DOI: 10.1001/jamanetworkopen.2023.3079.Peer-Reviewed Original ResearchConceptsAdjusted odds ratioRisk of suicideSocial determinantsUS Veterans Health AdministrationSuicide deathsCohort entry dateStudy end dateNational Death IndexVeterans Health AdministrationCase-control studyConditional logistic regressionElectronic health record notesUnstructured clinical notesCohort entryDeath IndexMean ageUS veteransOdds ratioSDOHsVeteran deathsMAIN OUTCOMEHealth StudySDOHLarge effect sizesHealth AdministrationSex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans
Stefanovics E, Potenza M, Tsai J, Nichter B, Pietrzak R. Sex-specific risk and resilience correlates of suicidal ideation in U.S. military veterans. Journal Of Affective Disorders 2023, 328: 303-311. PMID: 36775254, DOI: 10.1016/j.jad.2023.02.025.Peer-Reviewed Original ResearchConceptsSuicidal ideationMale veteransFemale veteransU.S. military veteransRisk factorsGender-specific risk factorsPrevalence of SISex-specific riskMilitary veteransDifferent risk factorsAlcohol use disorderLow psychological resilienceMultivariable analysisNational HealthRepresentative sampleUse disordersU.S. veteransVeterans StudySuicide preventionTreatment effortsVeteransLow purposeStrongest correlatePrevalenceIdeationUnmet Needs of Homeless U.S. Veterans by Gender and Race/Ethnicity: Data From Five Annual Surveys
Tsai J, Mitchell L, Nakashima J, Blue-Howells J. Unmet Needs of Homeless U.S. Veterans by Gender and Race/Ethnicity: Data From Five Annual Surveys. Psychological Services 2023, 20: 149-156. PMID: 34780210, PMCID: PMC10149315, DOI: 10.1037/ser0000557.Peer-Reviewed Original ResearchConceptsTransitional housingHomeless female veteransEthnic differencesEthnic categoriesLocal educationEthnic minoritiesBasic needsEmergency sheltersHomeless populationHomeless veteransProgrammatic attentionDiverse needsEthnic minority veteransWhite counterpartsMinority veteransHousingRaceRace/ethnicitySpecialized servicesGenderEthnicityUnmet needGroup surveyInsufficient researchNeed
2022
Criminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study
Elbogen EB, Amuan M, Kennedy E, Blakey SM, Graziano RC, Hooshyar D, Tsai J, Nelson RE, Vanneman ME, Jones AL, Pugh MJ. Criminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study. Law And Human Behavior 2022, 46: 385-394. PMID: 36227321, DOI: 10.1037/lhb0000497.Peer-Reviewed Original ResearchConceptsSerious mental illnessSubstance use disordersMilitary dischargeRisk factorsPersonality disorderUse disordersTransition Assistance ProgramMental illnessCo-occurring mental disordersCo-occurring substance use disordersVeterans Affairs (VA) health careLongitudinal cohort studyTraumatic brain injuryNeighborhood-level risk factorsPhysical health conditionsDisadvantaged neighborhoodsLegal involvementLarger longitudinal studyCohort studyMultivariable analysisBrain injuryNeighborhood of residenceHigh riskLarge effect sizesMental disordersMedical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions
Tsai J, Solis V, Schick V. Medical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions. Journal Of Community Health 2022, 48: 1-9. PMID: 36006533, PMCID: PMC9406254, DOI: 10.1007/s10900-022-01137-w.Peer-Reviewed Original ResearchConceptsBehavioral Risk Factor Surveillance SystemTexas Behavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemRoutine medical checkupPrimary care providersMedical care needsPreventive healthcare servicesHealthcare servicesPublic health practiceHealth insurance coveragePap smearMedical checkupProstate examHealthcare screeningCare providersCare needsHealth statusHealth interventionsHealth needsHealthcare needsPoor healthHealth practicesHealthcare interventionsUnderserved populationsInsurance coverageDisentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population
Tsai J, Edwards E, Cao X, Finlay AK. Disentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population. Psychological Services 2022, 19: 431-442. PMID: 35878068, DOI: 10.1037/ser0000537.Peer-Reviewed Original ResearchConceptsLifetime incarcerationPsychosocial characteristicsSubstance abuse factorsSubstance use disordersU.S. adult populationVeteran statusBorderline personality disorderRisk adultsMale genderUse disordersHistory of homelessnessAdult populationU.S. adultsBehavioral healthMental healthCivilian settingsPersonality disorderU.S. populationSociodemographic backgroundAdultsIncarceration historyAbuse factorsVeteransPrevalence of incarcerationStructured interviewsPrevalence and characteristics associated with firearm ownership among low-income U.S. veterans
Tsai J, Testa A, Pietrzak R, Elbogen E. Prevalence and characteristics associated with firearm ownership among low-income U.S. veterans. Military Psychology 2022, 35: 132-141. PMID: 37133491, PMCID: PMC10013543, DOI: 10.1080/08995605.2022.2086415.Peer-Reviewed Original ResearchConceptsU.S. veteransMental health characteristicsLogistic regression analysisU.S. veteran populationMental health correlatesHierarchical logistic regression analysisU.S. military veteransClinical characteristicsAssociated sociodemographicFirearm ownershipHealth characteristicsVeteran populationSignificant associationTrauma exposureHealth correlatesPrevalenceMilitary veteransVeteransRegression analysisFirearm misuseRepresentative studyFirearm ownersSociodemographicsTraumaEvictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US
Tsai J, Huang M, Blosnich JR, Elbogen EB. Evictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US. American Journal Of Community Psychology 2022, 70: 117-126. PMID: 35030643, DOI: 10.1002/ajcp.12581.Peer-Reviewed Original Research
2021
Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Iheanacho T. Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system. Human Psychopharmacology Clinical And Experimental 2021, 37: e2829. PMID: 34799872, DOI: 10.1002/hup.2829.Peer-Reviewed Original ResearchConceptsCare settingsOutpatient mental health visitsVA service-connected disabilityVeterans AffairsVeterans Affairs Healthcare SystemAntidepressant prescription patternsMental health visitsEmergency department visitsNorepinephrine reuptake inhibitorsMental health care settingsPrimary care settingHealthcare systemService-connected disabilityHealth care settingsAntidepressant medicationAntidepressant prescriptionsPrescription patternsDepartment visitsHealth visitsReuptake inhibitorsMultivariable analysisFemale sexTricyclic antidepressantsClinical challengePsychiatric diagnosisEffects of Electroconvulsive Therapy on Suicidal Behavior and Emergency Department Use Among Homeless Veterans: A Propensity Score-Matched Study.
Tsai J, Peltzman T, Watts BV, Shiner B. Effects of Electroconvulsive Therapy on Suicidal Behavior and Emergency Department Use Among Homeless Veterans: A Propensity Score-Matched Study. The Journal Of Clinical Psychiatry 2021, 82 PMID: 34705349, DOI: 10.4088/jcp.21m13935.Peer-Reviewed Original ResearchMeSH KeywordsDiagnostic and Statistical Manual of Mental DisordersElectroconvulsive TherapyEmergency Service, HospitalEmergency Services, PsychiatricFemaleHumansIll-Housed PersonsMaleMedical OveruseMental DisordersMiddle AgedPatient Acceptance of Health CarePatient DischargeSuicidal IdeationSuicide, AttemptedUnited StatesUnited States Department of Veterans AffairsVeteransConceptsElectroconvulsive therapyEmergency department useHomeless veteransDepartment useSuicidal ideationVeterans Affairs Health Care SystemNational VA administrative dataPropensity score-matched studySuicide attemptsFirst ECT sessionVA administrative dataPsychiatric inpatient unitHealth care systemECT sessionsED useAcute servicesInpatient unitTreatment engagementPsychiatric conditionsPropensity scoreSuicidal behaviorCare systemVeteransFurther studiesAdministrative dataEstimation of Utility Values for Computing Quality-adjusted Life Years Associated With Homelessness
Rajan SS, Tsai J. Estimation of Utility Values for Computing Quality-adjusted Life Years Associated With Homelessness. Medical Care 2021, 59: 1115-1121. PMID: 34629422, DOI: 10.1097/mlr.0000000000001647.Peer-Reviewed Original ResearchConceptsQuality-adjusted life yearsUtility valuesLife yearsIndividual-level characteristicsLow-income adultsGeneralizable evidenceAverage utility valueHomelessness interventionsLarge national surveySocietal valuesHolistic measureComparison of interventionsValuationUnited StatesPolicyData-driven evidenceGood healthEvidenceNational surveySurveyLinear regressionBurdenHomeless group