Cited by 216Homelessness and Social IssuesFood Security and Health in Diverse PopulationsEmergency and Acute Care Studies

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Health Status and Health Care Experiences among Homeless Patients in Federally Supported Health Centers: Findings from the 2009 Patient Survey

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Lebrun‐Harris, Lydie A., Baggett, Travis P., Jenkins, Darlene M., Sripipatana, Alek, Sharma, Ravi, Hayashi, A. Seiji, Daly, Charles A., Ngo‐Metzger, Quyen·2013·Health Services Research

DOI 10.1111/1475-6773.12009PMC PMC3681240

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Abstract

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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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.
ORCID: Lebrun‐Harris, Lydie A.
Baggett, Travis P.
Sripipatana, Alek
Sharma, Ravi
Ngo‐Metzger, Quyen
Venue: Health Services Research
Publisher: Wiley
Published: 2012-11-07
Volume: 48
Issue: 3
Pages: 992-1017
ISSN: 0017-9124 (ISSN-L)
1475-6773
DOI: 10.1111/1475-6773.12009
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Health Services Research (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Health Resources and Services Administration
Topics: Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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