The association between stress and health among recently incarcerated adults experiencing homelessness
Bibliographic record
Abstract
Adults experiencing homelessness (AEH) experience more stress and be less equipped to manage stressors compared to the general population. These stressful experiences have negative effects on the health of AEH. We examined the associations between stress and physical and mental health among 403 AEH recently released from jail (AEH+J) in Dallas, Texas, between April 2018 and May 2023. The sample was 85% male and 59% non-Hispanic Black, with a mean age of 40.3 years (SD = 10.9), 69% completed high school, and the median current homelessness episode was 14.1 months. We measured stress using the Urban Life Stressor Scale, physical/mental health using the Short Form-12, and health-related quality of life (HRQoL) using CDC scales. Increased stress was robustly associated with poorer physical health (b = −0.092; 95% CI −0.131 – −0.053) and mental health (b = −0.125; 95% CI −0.176 – −0.074), even after accounting for age, employment status and duration of the current homelessness. We also detected a statistically significant association between stress and poorer HRQoL (b = 0.008; 95% CI 0.003 – 0.014). These findings underscore the critical need for interventions to reduce stress among AEH+J, which can improve physical and mental health outcomes, ultimately enhancing quality of life.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.005 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".