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Homelessness, Discrimination, and Violent Victimization in Los Angeles County

Howard Padwa, Jessie Chien, Benjamin F. Henwood, Sarah J. Cousins, Edward Zakher, Randall Kuhn

2024American Journal of Preventive Medicine17 citationsDOIOpen Access PDF

Abstract

INTRODUCTION: People experiencing homelessness (PEH) are highly vulnerable to discrimination and violence, which impact physical and mental health. The study examines past-month discrimination and violence against PEH in Los Angeles County (LAC). METHODS: A total of 332 PEH in LAC were surveyed about their past-month experiences with discrimination, physical violence, and sexual violence from April-July 2023. Analyses were conducted in 2023. RESULTS: 31.8% of respondents reported experiencing discrimination daily and 53.9% reported it weekly, whereas rates of lifetime discrimination in studies of general populations of minoritized groups range between 13-60%. Nearly half of respondents who reported experiencing discrimination (49.6%) believed that their housing situation was the reason they were targeted. Victimization was also common, with 16.0% of participants experiencing physical violence and 7.5% experiencing sexual violence in the past 30 days. These rates of past-month victimization are high when compared to past-year physical violence (3.0%) and sexual violence (0.24%) among general populations in major U.S. cities. In multivariate regression analyses, discrimination was associated with being unsheltered in a vehicle (p<0.05) or outdoors (p<0.001), weekly illicit drug use (p<0.01), and psychological distress (p<0.001); violent victimization was associated with being sheltered (p<0.05) or unsheltered outdoors (p<0.001), physical health conditions (p<0.05), and psychological distress (p<0.01); and sexual victimization was associated with non-male gender (p<0.05) and being unsheltered outdoors (p<0.05). Discrimination and victimization outcomes were not associated with any race/ethnicity, sexual orientation, or time homeless characteristics. CONCLUSIONS: Study findings highlight the dangers of homelessness in the U.S., particularly for those who are unsheltered outdoors.

Topics & Concepts

Mental healthSuicide preventionOccupational safety and healthPoison controlInjury preventionPsychologyGerontologyMedicineEnvironmental healthPsychiatryPathologyHomelessness and Social IssuesCrime Patterns and InterventionsIntimate Partner and Family Violence
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