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 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, e010993. PMID: 39492715, 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 ResearchGambling 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, 1-21. 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, 1-10. 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></bPrevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health
Tsai J, Li Y, Maroufy V. Prevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health. Community Mental Health Journal 2024, 1-11. PMID: 38990446, DOI: 10.1007/s10597-024-01318-y.Peer-Reviewed Original ResearchSocial supportMental healthU.S. veteransPositive social interactionsAffectionate social supportCommunity health interventionsImprove mental healthLow social supportMental health functioningMental health correlatesNationally representative sampleAssociated with income levelU.S. military veteransSocial interactionAffectionate supportCommunity healthHealth interventionsHealth correlatesCommunity integrationPositive screenHealth functioningMilitary veteransRepresentative samplePsychiatric disordersPsychosocial dysfunctionScreening rates for hepatitis B and C among low‐income US veterans: Data from the National Veteran Homeless and Other Poverty Experiences Study
Beydoun H, Tsai J. Screening rates for hepatitis B and C among low‐income US veterans: Data from the National Veteran Homeless and Other Poverty Experiences Study. Journal Of Viral Hepatitis 2024, 31: 601-613. PMID: 38984865, DOI: 10.1111/jvh.13981.Peer-Reviewed Original ResearchVeterans Health AdministrationEver-screeningVeteran homelessnessScreening ratesVeterans Health Administration electronic health recordScreening test useHousing instabilityPoverty experienceLimited healthcare accessLow-income veteransElectronic health recordsCross-sectional dataHousehold incomeHistory of alcohol useEmployment typeHealthcare accessScreening behaviorHealth recordsHomelessnessLifetime screeningNon-HispanicDrug useHigh-priority areasAlcohol useHealth AdministrationDigital 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 ResearchBarriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCareDisproportionate Increases in Numbers and Rates of Homelessness Among Women in the United States, 2018-2022.
Tsai J, Lampros A. Disproportionate Increases in Numbers and Rates of Homelessness Among Women in the United States, 2018-2022. Public Health Reports 2024, 333549241255805. PMID: 38899732, DOI: 10.1177/00333549241255805.Peer-Reviewed Original ResearchRates of homelessnessHousing and Urban DevelopmentUnsheltered homelessnessUS Department of Housing and Urban DevelopmentDepartment of Housing and Urban DevelopmentHomelessnessUrban developmentBirth rateVeterans AffairsDepartment of Veterans AffairsUS DepartmentPopulation groupsPrevention effortsUS Department of Veterans AffairsUnited StatesPopulation dataProportion of femalesVeteran populationYears of population dataGeneral populationAffairsWomenVeteransPopulationPeopleIs the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders?
Beydoun H, Szymkowiak D, Kinney R, Beydoun M, Zonderman A, Tsai J. Is the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders? The Journals Of Gerontology Series A 2024, 79: glae153. PMID: 38869510, PMCID: PMC11519038, DOI: 10.1093/gerona/glae153.Peer-Reviewed Original ResearchADRD riskU.S. veteransHousing statusPsychiatric disordersRisk of Alzheimer's diseaseStably housed veteransMental health disordersStatistically significant mediatorCausal mediation analysisYears of follow-upADRD diagnosisADRD casesOlder veteransEligible veteransADRDHealthcare servicesRetrospective cohort studyHealth disordersYears of ageHousing instabilityCohort studyHIV/AIDSVeteransAlzheimer's diseaseSubstance usePerformance 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 infarctionValidation of the Multi-Component Gratitude Measure (MCGM) with samples in the United States
Tsai J. Validation of the Multi-Component Gratitude Measure (MCGM) with samples in the United States. International Journal Of Applied Positive Psychology 2024, 9: 1027-1038. DOI: 10.1007/s41042-024-00169-y.Peer-Reviewed Original ResearchGratitude measuresExamination of construct validityInternal consistencyVeteran sampleWorded itemsAmazon Mechanical TurkPsychometric evaluationConstruct validityFactor analysisMechanical TurkNationally representative sampleVeteransPopulation sampleLow-income veteransEmotionsUS population sampleUS veteransGeneral populationRepresentative sampleItemsUnited StatesScaleContent reviewFindingsGratitude