Health status and health care experiences among homeless patients in federally supported health centers: findings from the 2009 patient survey
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Objective: To examine health status and health care experiences of homeless patients in health centers and to compare them with their nonhomeless counterparts. Data Sources/Study Setting: Nationally representative data from the 2009 H ealth C enter P atient S urvey. Study Design: Cross‐sectional analyses were limited to adults ( n = 2,683). We compared sociodemographic characteristics, health conditions, access to health care, and utilization of services among homeless and nonhomeless patients. We also examined the independent effect of homelessness on health care access and utilization, as well as factors that influenced homeless patients' health care experiences. Data Collection: Computer‐assisted personal interviews were conducted with health center patients. Principal Findings: Homeless patients had worse health status—lifetime burden of chronic conditions, mental health problems, and substance use problems—compared with housed respondents. In adjusted analyses, homeless patients had twice the odds as housed patients of having unmet medical care needs in the past year ( OR = 1.98, 95 percent CI : 1.24–3.16) and twice the odds of having an ED visit in the past year ( OR = 2.00, 95 percent CI : 1.37–2.92). Conclusions: There is an ongoing need to focus on the health issues that disproportionately affect homeless populations. Among health center patients, homelessness is an independent risk factor for unmet medical needs and ED use.
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There are no consistent differences in mortality risk between homeless men and women, although most studies report that the proportionate excess of mortality in women is similar to men.
“There are no consistent differences in mortality risks between homeless men and women, although most studies report that the proportionate excess of mortality in women is similar to men.40,45,47”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [45]
The paper’s background passage says homeless people have high rates of premature mortality compared with the general population, but it does not compare mortality risks for homeless men and women. Searches for sex-specific mortality risk and proportionate excess mortality found no passage addressing either claim; the paper instead analyzes health status and health care use. (LLM, conf=0.76)
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- Authors
- Lebrun‐Harris, L. A., Baggett, T. P., Jenkins, D. M., Sripipatana, A., Sharma, R., Hayashi, A. S., Daly, C. A., & Ngo‐Metzger, Q.
- Affiliations
- Health Resources and Services Administration (US)
- Harvard University (US)
- National Health Care for the Homeless Council Nashville TN
- Corresponding author
- Lebrun‐Harris, Lydie A.
- Venue
- Health Services Research
- Publisher
- Wiley
- Published
- 2012-11-07
- Volume
- 48
- Issue
- 3
- Pages
- 992-1017
- ISSN
- 0017-9124 (ISSN-L)
- 1475-6773
- PMC
- PMC3681240
- OpenAlex
- W2146688426
- Cited by
- 216
- References
- 32
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 16 · 2023: 10 · 2022: 17 · 2021: 26 · 2020: 25 · 2019: 21 · 2018: 16 · 2017: 13 · 2016: 15 · 2015: 18 · 2014: 12 · 2013: 4
- FWCI
- 19.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health Services Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Resources and Services Administration
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- homelessness, health status, health care access, health care utilization, unmet medical care needs, emergency department visits, chronic disease, mental illness, substance use, health care experiences
- MeSH terms
- Adolescent, Adult, Age Factors, Chronic Disease, Community Health Services, Cross-Sectional Studies, Dental Care, Female, Health Services Accessibility, Health Services Research, Health Status, Ill-Housed Persons, Humans, Male, Mental Health, Middle Aged, Quality of Health Care, Sex Factors, Socioeconomic Factors, United States, Health Behavior, Health Status Disparities, Healthcare Disparities, Young Adult
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