Cited by 452Homelessness and Social IssuesFood Security and Health in Diverse PopulationsHealthcare Policy and Management

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Competing priorities as a barrier to medical care among homeless adults in Los Angeles.

Open access

Gelberg, L, Gallagher, T C, Andersen, R M, Koegel, P·1997·American Journal of Public Health

DOI 10.2105/ajph.87.2.217PMC PMC1380797

Open this paper in CoChat — free account Open PDF

Abstract

OBJECTIVES: The role of competing priorities as a barrier to the utilization of physical health services was assessed in a subset (n = 363) of a probability sample of homeless adults in Los Angeles. METHODS: Unadjusted odds of four measures of health services utilization were calculated for those with frequent difficulty in meeting their subsistence needs. These odds were then adjusted for a range of characteristics assumed to affect the utilization of health services among the homeless. RESULTS: Before and after adjustment, those with frequent subsistence difficulty were less likely to have a regular source of care (odds ratio [OR] = 0.30, 95% confidence interval [CI] = 0.16, 0.53) and more likely to have gone without needed medical care (OR = 1.77, 95% CI = 1.04, 3.00). Subsistence difficulty had no impact on the likelihood of having an outpatient visit or having been hospitalized. Conclusions remained the same after adjustment. CONCLUSIONS: Frequent subsistence difficulty appears to be an important nonfinancial barrier to the utilization of health services perceived as discretionary among homeless adults.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.2105/ajph.87.2.217

Cites

16 of 16 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?
Andersen, R. M. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137284 · Cited by 9,831
Self-citation
National Institute of Mental Health Diagnostic Interview Schedule: Its History, Characteristics, and Validity
Robins, L. N. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1981.01780290015001 · Cited by 5,219
The Prevalence of Specific Psychiatric Disorders Among Homeless Individuals in the Inner City of Los Angeles
Koegel, P. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800360033005 · Cited by 389
Self-citation
Factors Affecting the Use of Medical, Mental Health, Alcohol, and Drug Treatment Services by Homeless Adults
Padgett, D., Struening, E., & Andrews, H. F. (1990) · Medical Care · doi:10.1097/00005650-199009000-00010 · Cited by 187
Hospitalization in an Urban Homeless Population: The Honolulu Urban Homeless Project
Martell, J. V., Seitz, R. S., Harada, J. K., Kobayashi, J., Sasaki, V. K., & Wong, C. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-116-4-299 · Cited by 94
A Survey of the Problems and Needs of Homeless Consumers of Acute Psychiatric Services
Ball, F. L. J., & Havassy, B. E. (1984) · Psychiatric Services · doi:10.1176/ps.35.9.917 · Cited by 92
Enumerating Homeless People
Koegel, P., Burnam, M. A., & Morton, S. C. (1996) · Evaluation Review · doi:10.1177/0193841x9602000402 · Cited by 81
Self-citation
Social and physical health of homeless adults previously treated for mental health problems.
Gelberg, L., & Linn, L. (1988) · Hospital & community psychiatry · doi:10.1176/ps.39.5.510 · Cited by 69
Self-citation
Homeless Veterans' Utilization of Medical, Psychiatric, and Substance Abuse Services
Wenzel, S., Bakhtiar, L., Caskey, N., Hardie, E. A., Redford, C., Sadler, N., & Gelberg, L. (1995) · Medical Care · doi:10.1097/00005650-199511000-00006 · Cited by 69
Self-citation

Show all 16 references

Research works printed but not linked: 9

Elvy A. Access to care. In: Brickner PW, Scharer LK, Conanan B, et al., eds. Health Care of Homeless People. New York, NY: Springer Publishing Co; 1985.
Koegel P, Gelberg L. Patient-oriented approach to providing care to homeless persons. In: Wood, D, ed. Delivering Health Care to Homeless Persons: The Diagnosis and Management of Medical and Mental Health Conditions. New York, NY: Springer Publishing Co; 1992.
Stark LR. Barriers to health care for homeless people. In: Jahiel RI, ed. Homelessness: A Prevention-OrientedApproach. Baltimore, Md: Johns Hopkins University Press; 1992.
Jahiel RI. Services for homeless people: An overview. In: Jahiel RI, ed. Homelessness: A Prevention-Oriented Approach. Baltimore, Md: Johns Hopkins University Press; 1992.
Ball FLJ, 1984, Hosp Community Psychiatry., 35, 917
Gelberg L, 1988, Hosp Community Psychiatry., 39, 510
Padgett DK, 1991, Hosp Community Psychiatry, 42, 834
Wood D, 1991, Am J Dis Child., 145, 109
Liebow E. Tell Them Who l Am: The Lives of Homeless Women. New York: The Free Press; 1993.

Sorted by citations

The Behavioral Model for Vulnerable Populations: application to medical care use and outcomes for homeless people.
Gelberg, L., Andersen, R. M., & Leake, B. D. (2000) · PubMed · Cited by 1,257
Self-citation
Housing instability and food insecurity as barriers to health care among low-income americans
Kushel, M., Gupta, R., Gee, L., & Haas, J. S. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.00278.x · Cited by 843
Factors Associated With the Health Care Utilization of Homeless Persons
Kushel, M. (2001) · JAMA · doi:10.1001/jama.285.2.200 · Cited by 725
Homelessness and Health
Hwang, S. W. (2002) · Journal of Heredity · doi:10.1093/jurban/79.suppl_1.s141 · Cited by 719
The unmet health care needs of homeless adults: a national study
Baggett, T. P., O'Connell, J. J., Singer, D. E., & Rigotti, N. A. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.180109 · Cited by 552
Prevalence and Risk Factors for Homelessness and Utilization of Mental Health Services Among 10,340 Patients With Serious Mental Illness in a Large Public Mental Health System
Folsom, D. P., Hawthorne, W. B., Lindamer, L. A., Gilmer, T., Bailey, A. L., Golshan, S., Garcia, P., Unützer, J., Hough, R. L., & Jeste, D. V. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.2.370 · Cited by 551
Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS
Weiser, S. D., Young, S. L., Cohen, C. R., Kushel, M. B., Tsai, A. C., Tien, P. C., Hatcher, A. M., Frongillo, E. A., & Bangsberg, D. R. (2011) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.012070 · Cited by 449
Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review
Mayer, K. H., Agwu, A. L., & Malebranche, D. J. (2020) · Advances in Therapy · doi:10.1007/s12325-020-01295-0 · Cited by 438
Mortality among men using homeless shelters in Toronto, Ontario
Hwang, S. W. (2000) · JAMA · doi:10.1001/jama.283.16.2152 · Cited by 398
Homeless People’s Perceptions of Welcomeness and Unwelcomeness in Healthcare Encounters
Wen, C. K., Hudak, P. L., & Hwang, S. W. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0183-7 · Cited by 330
Premature Mortality From General Medical Illnesses Among Persons With Bipolar Disorder: A Review
Roshanaei-Moghaddam, B., & Katon, W. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.2.147 · Cited by 305
The Impact of Competing Subsistence Needs and Barriers on Access to Medical Care for Persons With Human Immunodeficiency Virus Receiving Care in the United States
Cunningham, W. E., Andersen, R., Katz, M. H., Stein, M. D., Turner, B. J., Crystal, S., Zierler, S., Kuromiya, K., Morton, S. C., Clair, P. S., et al. (1999) · Medical Care · doi:10.1097/00005650-199912000-00010 · Cited by 290
Self-citation
Homelessness and Health in Canada: Research Lessons and Priorities
Frankish, C. J., Hwang, S. W., & Quantz, D. (2005) · Canadian Journal of Public Health · doi:10.1007/bf03403700 · Cited by 286
Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes: A Randomized Clinical Trial
Kangovi, S., Mitra, N., Grande, D., White, M. L., McCollum, S., Sellman, J., Shannon, R. P., & Long, J. A. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.14327 · Cited by 274
A Comprehensive Assessment of Health Care Utilization Among Homeless Adults Under a System of Universal Health Insurance
Hwang, S. W., Chambers, C., Chiu, S., Katic, M., Kiss, A., Redelmeier, D. A., & Levinson, W. (2013) · American Journal of Public Health · doi:10.2105/ajph.2013.301369 · Cited by 239
Associations Between Housing Instability and Food Insecurity With Health Care Access in Low-Income Children
Ma, C. T., Gee, L., & Kushel, M. (2008) · Ambulatory Pediatrics · doi:10.1016/j.ambp.2007.08.004 · Cited by 245
Quality of Health Care: The Views of Homeless Youth
Ensign, J. (2004) · Health Services Research · doi:10.1111/j.1475-6773.2004.00253.x · Cited by 226
COVID-19 and the US response: accelerating health inequities
Okonkwo, N. E., Aguwa, U. T., Jang, M., Barré, I., Page, K. R., Sullivan, P. S., Beyrer, C., & Baral, S. (2020) · BMJ Evidence-Based Medicine · doi:10.1136/bmjebm-2020-111426 · Cited by 224
Health Status, Health Care Use, Medication Use, and Medication Adherence Among Homeless and Housed People Living With HIV/AIDS
Kidder, D. P., Wolitski, R. J., Campsmith, M., & Nakamura, G. V. (2007) · American Journal of Public Health · doi:10.2105/ajph.2006.090209 · Cited by 205
Universal Health Insurance and Health Care Access for Homeless Persons
Hwang, S. W., Ueng, J. J. M., Chiu, S., Kiss, A., Tolomiczenko, G. S., Cowan, L., Levinson, W. S., & Redelmeier, D. A. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.182022 · Cited by 204
Cardiovascular Disease and Homelessness
Baggett, T. P., Liauw, S. S. L., & Hwang, S. W. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.02.077 · Cited by 203
Harm reduction through a social justice lens
Pauly, B. (2008) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2007.11.005 · Cited by 191
The health impact of supportive housing for HIV-positive homeless patients: a randomized controlled trial
Buchanan, D., Kee, R., Sadowski, L. S., & Garcia, D. (2009) · American Journal of Public Health · doi:10.2105/ajph.2008.137810 · Cited by 190
Food insecurity is associated with morbidity and patterns of healthcare utilization among HIV-infected individuals in a resource-poor setting
Weiser, S. D., Tsai, A. C., Gupta, R., Frongillo, E. A., Kawuma, A., Senkungu, J. K., Hunt, P. W., Emenyonu, N. I., Mattson, J. E., Martin, J. N., et al. (2011) · AIDS · doi:10.1097/qad.0b013e32834cad37 · Cited by 185
Access to primary health care among homeless adults in Toronto, Canada: results from the Street Health survey.
Khandor, E., Mason, K., Chambers, C., Rossiter, K., Cowan, L., & Hwang, S. W. (2011) · Europe PMC (PubMed Central) · Cited by 175
Applying the Gelberg-Andersen Behavioral Model for Vulnerable Populations to Health Services Utilization in Homeless Women
Stein, J. A., Andersen, R., & Gelberg, L. (2007) · Journal of Health Psychology · doi:10.1177/1359105307080612 · Cited by 174
Self-citation
Housing Need, Housing Assistance, and Connection to HIV Medical Care
Aidala, A. A., Lee, G., Abramson, D. M., Messeri, P., & Siegler, A. (2007) · AIDS and Behavior · doi:10.1007/s10461-007-9276-x · Cited by 170
Delays and Unmet Need for Health Care Among Adult Primary Care Patients in a Restructured Urban Public Health System
Diamant, A. L., Hays, R. D., Morales, L. S., Ford, W., Calmes, D., Asch, S. M., Duan, N., Fielder, E., Kim, S., Fielding, J. E., et al. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.5.783 · Cited by 165
Self-citation
Association between the Level of Housing Instability, Economic Standing and Health Care Access: A Meta-Regression
Reid, K. W., Vittinghoff, E., & Kushel, M. (2008) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.0.0068 · Cited by 163
Health care for homeless women: Unmet needs and barriers to care
Lewis, J. H., Andersen, R. M., & Gelberg, L. (2003) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2003.20909.x · Cited by 158
Self-citation
Factors Associated with Use of Urban Emergency Departments by the U.S. Homeless Population
Ku, B. S., Scott, K. C., Kertesz, S. G., & Pitts, S. R. (2010) · Public Health Reports® · doi:10.1177/003335491012500308 · Cited by 151
Barriers to appropriate diabetes management among homeless people in Toronto.
Hwang, S. W., & Bugeja, A. L. (2000) · Europe PMC (PubMed Central) · Cited by 139
High Utilizers of Emergency Health Services in a Population-Based Cohort of Homeless Adults
Chambers, C., Chiu, S., Katic, M., Kiss, A., Redelmeier, D. A., Levinson, W. S., & Hwang, S. W. (2013) · American Journal of Public Health · doi:10.2105/ajph.2013.301397 · Cited by 127
Utilization of Health Care Services among Subgroups of Urban Homeless and Housed Poor
O'Toole, T. P., Gibbon, J. L., Hanusa, B. H., & Fine, M. J. (1999) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-24-1-91 · Cited by 124
Area Deprivation Index and Cardiac Readmissions: Evaluating Risk‐Prediction in an Electronic Health Record
Johnson, A. E., Zhu, J., Garrard, W., Thoma, F. W., Mulukutla, S. R., Kershaw, K. N., & Magnani, J. W. (2021) · Journal of the American Heart Association · doi:10.1161/jaha.120.020466 · Cited by 127
Tailoring Care to Vulnerable Populations by Incorporating Social Determinants of Health: the Veterans Health Administration’s “Homeless Patient Aligned Care Team” Program
O'Toole, T. P., Johnson, E. E., Aiello, R., Kane, V. R., & Pape, L. (2016) · Preventing Chronic Disease · doi:10.5888/pcd13.150567 · Cited by 122
Housing and Food Insecurity, Care Access, and Health Status Among the Chronically Ill: An Analysis of the Behavioral Risk Factor Surveillance System
Charkhchi, P., Dehkordy, S. F., & Carlos, R. C. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4255-z · Cited by 120
Is food insufficiency associated with health status and health care utilization among adults with diabetes?
Nelson, K. N., Cunningham, W. E., Andersen, R. M., Harrison, G., & Gelberg, L. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016006404.x · Cited by 119
Self-citation
The Association Between Housing Instability, Food Insecurity, and Diabetes Self-Efficacy in Low-Income Adults
Vijayaraghavan, M., Jacobs, E. A., Seligman, H. K., & Fernández, A. (2011) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2011.0131 · Cited by 120
Self-reported comorbidities, perceived needs, and sources for usual care for older and younger homeless adults
Garibaldi, B., Conde-Martel, A., & O’Toole, T. P. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.0142.x · Cited by 116
Dying on the Streets: Homeless Persons’ Concerns and Desires about End of Life Care
Song, J. Y., Bartels, D. M., Ratner, E. R., Alderton, L., Hudson, B. L., & Ahluwalia, J. S. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-006-0046-7 · Cited by 116
Frequent Emergency Department Visits and Hospitalizations Among Homeless People With Medicaid: Implications for Medicaid Expansion
Lin, W.-C., Bharel, M., Zhang, J., O’Connell, E., & Clark, R. E. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302693 · Cited by 115
Food Insecurity Is Associated with Greater Acute Care Utilization among HIV-Infected Homeless and Marginally Housed Individuals in San Francisco
Weiser, S. D., Hatcher, A. M., Frongillo, E. A., Guzman, D., Riley, E. D., Bangsberg, D. R., & Kushel, M. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2176-4 · Cited by 112
Access to Primary Care Services Among the Homeless
White, B. M., & Newman, S. D. (2014) · Journal of Primary Care & Community Health · doi:10.1177/2150131914556122 · Cited by 112
Homeless Chronicity and Health-Related Quality of Life Trajectories Among Adults With Addictions
Kertesz, S. G., Larson, M. J., Horton, N. J., Winter, M. R., Saitz, R., & Samet, J. H. (2005) · Medical Care · doi:10.1097/01.mlr.0000163652.91463.b4 · Cited by 111
The Effects of Respite Care for Homeless Patients: A Cohort Study
Buchanan, D., Doblin, B. H., Sai, T., & Garcia, P. (2006) · American Journal of Public Health · doi:10.2105/ajph.2005.067850 · Cited by 111
A cross-sectional observational study of unmet health needs among homeless and vulnerably housed adults in three Canadian cities
Argintaru, N., Chambers, C., Gogosis, E., Farrell, S., Palepu, A., Klodawsky, F., & Hwang, S. W. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-577 · Cited by 109
Tuberculosis among the homeless, United States, 1994–2010
Bamrah, S., Woodruff, R. Y., Powell, K. M., Ghosh, S., Kammerer, J. S., & Haddad, M. B. (2013) · The International Journal of Tuberculosis and Lung Disease · doi:10.5588/ijtld.13.0270 · Cited by 109
Opportunities for Engaging Low-Income, Vulnerable Populations in Health Care: A Systematic Review of Homeless Persons’ Access to and Use of Information Technologies
McInnes, D. K., Li, A. E., & Hogan, T. P. (2013) · American Journal of Public Health · doi:10.2105/ajph.2013.301623 · Cited by 107
Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: a participatory learning and action research study
O’Donnell, P., Tierney, E., O’Carroll, A., Nurse, D., & MacFarlane, A. E. (2016) · International Journal for Equity in Health · doi:10.1186/s12939-016-0487-5 · Cited by 118
Trends, Causes, and Outcomes of Hospitalizations for Homeless Individuals
Wadhera, R. K., Choi, E. H., Shen, C., Yeh, R. W., & Maddox, K. E. J. (2018) · Medical Care · doi:10.1097/mlr.0000000000001015 · Cited by 107
Applying the Chronic Care Model to Homeless Veterans: Effect of a Population Approach to Primary Care on Utilization and Clinical Outcomes
O'Toole, T. P., Buckel, L., Bourgault, C., Blumen, J. M., Redihan, S. G., Jiang, L., & Friedmann, P. D. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.179416 · Cited by 106
Food insufficiency and health services utilization in a national sample of homeless adults
Baggett, T. P., Singer, D. E., Rao, S. R., O’Connell, J. J., Bharel, M., & Rigotti, N. A. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1638-4 · Cited by 105
Disparities in Cancer Incidence, Stage, and Mortality at Boston Health Care for the Homeless Program
Baggett, T. P., Chang, Y., Porneala, B., Bharel, M., Singer, D. E., & Rigotti, N. A. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.03.038 · Cited by 98
Disparities in Engagement in Care and Viral Suppression Among Persons With HIV
Muthulingam, D., Chin, J., Hsu, L. C., Scheer, S., & Schwarcz, S. K. (2013) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3182894555 · Cited by 96
Cardiovascular disease risk among the poor and homeless—what we know so far
Jones, C., Perera, A., Chow, M., Ho, I., Nguyen, J., & Davachi, S. (2009) · Current Cardiology Reviews · doi:10.2174/157340309787048086 · Cited by 94
“Multiple studies [29-36] from around the globe have correlated the strength of the relationship between lower SES and low neighborhood socioeconomic environment with increased cardiovascular morbidity and mortality.”
Background
Adherence to HIV Treatment and Care Among Previously Homeless Jail Detainees
Chen, N. E., Meyer, J. P., Avery, A., Draine, J., Flanigan, T., Lincoln, T., Spaulding, A. C., Springer, S. A., & Altice, F. L. (2011) · AIDS and Behavior · doi:10.1007/s10461-011-0080-2 · Cited by 94
Homeless Mobility, Institutional Settings, and the New Poverty Management
DeVerteuil, G. (2003) · Environment and Planning A Economy and Space · doi:10.1068/a35205 · Cited by 94
Making sense of street chaos: an ethnographic exploration of homeless people’s health service utilization
O’Carroll, A., & Wainwright, D. W. (2019) · International Journal for Equity in Health · doi:10.1186/s12939-019-1002-6 · Cited by 102
Access to Primary Care for Homeless Veterans with Serious Mental Illness or Substance Abuse: A Follow-up Evaluation of Co-Located Primary Care and Homeless Social Services
McGuire, J., Gelberg, L., Blue‐Howells, J., & Rosenheck, R. A. (2009) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-009-0210-6 · Cited by 87
Self-citation
Effectiveness of a housing support team intervention with a recovery-oriented approach on hospital and emergency department use by homeless people with severe mental illness: a randomised controlled trial
Tinland, A., Loubière, S., Boucékine, M., Boyer, L., Fond, G. B., Girard, V., & Auquier, P. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796020000785 · Cited by 90
Medication Adherence and Characteristics of Patients Who Spend Less on Basic Needs to Afford Medications
Rohatgi, K. W., Humble, S., McQueen, A., Hunleth, J. M., Chang, S., Herrick, C., & James, A. S. (2021) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2021.03.200361 · Cited by 86
How Accessible is Medical Care for Homeless Women?
Lim, Y. W., Andersen, R., LEAKE, B. D., Cunningham, W. E., & Gelberg, L. (2002) · Medical Care · doi:10.1097/00005650-200206000-00008 · Cited by 85
Self-citation
Type of social support among homeless women: Its impact on psychosocial resources, health and health behaviors, and use of health services
Nyamathi, A., Leake, B., Keenan, C., & Gelberg, L. (2000) · Nursing Research · doi:10.1097/00006199-200011000-00004 · Cited by 85
Self-citation
Homelessness and Health Care Access After Emancipation: Results From the Midwest Evaluation of Adult Functioning of Former Foster Youth
Kushel, M. B., Yen, I. H., Gee, L., & Courtney, M. E. (2007) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.161.10.986 · Cited by 81
Handbook of Urban Health
Galea, S., & Vlahov, D. (2005) · Springer eBooks · doi:10.1007/b104167 · Cited by 80
America's Health Care Safety Net Intact or Unraveling?
Richardson, L. D., & Hwang, U. (2001) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2001.tb01115.x · Cited by 80
Housing first is associated with reduced use of emergency medical services
Mackelprang, J. L., Collins, S. E., & Clifasefi, S. L. (2014) · Prehospital Emergency Care · doi:10.3109/10903127.2014.916020 · Cited by 77
Slowing the revolving door: stabilization programs reduce homeless persons' substance use after detoxification
Kertesz, S. G., Horton, N. J., Friedmann, P. D., Saitz, R., & Samet, J. H. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00026-6 · Cited by 77
Directly Observed Antidepressant Medication Treatment and HIV Outcomes Among Homeless and Marginally Housed HIV-Positive Adults: A Randomized Controlled Trial
Tsai, A. C., Karasic, D. H., Hammer, G. P., Charlebois, E. D., Ragland, K., Moss, A. R., Sorensen, J. L., Dilley, J., & Bangsberg, D. R. (2012) · American Journal of Public Health · doi:10.2105/ajph.2011.300422 · Cited by 76
Impact of hepatitis B and C infection on health services utilization in homeless adults: A test of the Gelberg-Andersen behavioral model for vulnerable populations.
Stein, J. A., Andersen, R., Robertson, M. J., & Gelberg, L. (2011) · Health Psychology · doi:10.1037/a0023643 · Cited by 74
Self-citation
Experiences With and Attitudes Toward Death and Dying Among Homeless Persons
Song, J. Y., Ratner, E., Bartels, D. M., Alderton, L., Hudson, B., & Ahluwalia, J. (2007) · Journal of general internal medicine · doi:10.1007/s11606-006-0045-8 · Cited by 72
Needing Primary Care But Not Getting It: The Role of Trust, Stigma and Organizational Obstacles reported by Homeless Veterans
O'Toole, T. P., Johnson, E. E., Redihan, S., Borgia, M. L., & Rose, J. S. (2015) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2015.0077 · Cited by 71
Illicit drug use as a challenge to the delivery of end-of-life care services to homeless persons: Perceptions of health and social services professionals
McNeil, R., & Guirguis‐Younger, M. (2011) · Palliative Medicine · doi:10.1177/0269216311402713 · Cited by 70
Health Care Utilization Among Homeless Adults Prior to Death
Hwang, S. W., O’Connell, J. J., Lebow, J. M., Bierer, M. F., Orav, E. J., & Brennan, T. A. (2001) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2010.0595 · Cited by 68
Basic Subsistence Needs and Overall Health Among Human Immunodeficiency Virus-infected Homeless and Unstably Housed Women
Riley, E. D., Moore, K., Sorensen, J. L., Tulsky, J. P., Bangsberg, D. R., & Neilands, T. B. (2011) · American Journal of Epidemiology · doi:10.1093/aje/kwr209 · Cited by 67
Sexual Risk among Impoverished Women: Understanding the Role of Housing Status
Wenzel, S. L., Tucker, J. S., Elliott, M. N., & Hambarsoomians, K. (2006) · AIDS and Behavior · doi:10.1007/s10461-006-9193-4 · Cited by 66
Predictors of medical service utilization among individuals with co-occurring HIV infection and substance abuse disorders
Masson, C. L., Sorensen, J. L., Phibbs, C. S., & Okin, R. L. (2004) · AIDS Care · doi:10.1080/09540120412331269585 · Cited by 66
Recent violence in a community-based sample of homeless and unstably housed women with high levels of psychiatric comorbidity
Riley, E. D., Cohen, J., Knight, K. R., Decker, A., Marson, K., & Shumway, M. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.301958 · Cited by 64
Is Homelessness Hazardous to Your Health?
Hwang, S. W. (2002) · Canadian Journal of Public Health · doi:10.1007/bf03405026 · Cited by 30
Homeless in America: injuries treated in US emergency departments, 2007–2011
Mackelprang, J. L., Graves, J. M., & Rivara, F. P. (2014) · International Journal of Injury Control and Safety Promotion · doi:10.1080/17457300.2013.825631 · Cited by 63
The Relationship of Residential Instability to Medical Care Utilization Among Poor Mothers in New York City
Duchon, L. M., Weitzman, B. C., & Shinn, M. (1999) · Medical Care · doi:10.1097/00005650-199912000-00011 · Cited by 63
Homelessness: Care, Prevention, and Public Policy
Plumb, J. D. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-126-12-199706150-00007 · Cited by 63
Episodic homelessness and health care utilization in a prospective cohort of HIV-infected persons with alcohol problems
Kim, T. W., Kertesz, S. G., Horton, N. J., Tibbetts, N., & Samet, J. H. (2006) · BMC Health Services Research · doi:10.1186/1472-6963-6-19 · Cited by 62
Patterns of Homelessness and Implications for HIV Health After Release from Jail
Zelenev, A., Marcus, R., Kopelev, A., Cruzado-Quiñones, J., Spaulding, A. C., Desabrais, M., Lincoln, T., & Altice, F. L. (2013) · AIDS and Behavior · doi:10.1007/s10461-013-0472-6 · Cited by 60
Violent Victimization, Mental Health, and Service Utilization Outcomes in a Cohort of Homeless and Unstably Housed Women Living With or at Risk of Becoming Infected With HIV
Tsai, A. C., Weiser, S. D., Dilworth, S. E., Shumway, M., & Riley, E. D. (2015) · American Journal of Epidemiology · doi:10.1093/aje/kwu350 · Cited by 61
A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness
Moledina, A., Magwood, O., Agbata, E. N., Hung, J., Saad, A., Thavorn, K., Salvalaggio, G., Bloch, G. C., Ponka, D., Aubry, T., et al. (2021) · Campbell Systematic Reviews · doi:10.1002/cl2.1154 · Cited by 63
Unmet need for medical care among homeless adults with serious mental illness
Desai, M. M., & Rosenheck, R. A. (2005) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2005.06.003 · Cited by 57
Unmet Need for Medical Care and Safety Net Accessibility among Birmingham’s Homeless
Kertesz, S. G., McNeil, W., Cash, J. J., Desmond, R. A., McGwin, G., Kelly, J. L., & Baggett, T. P. (2013) · Journal of Urban Health · doi:10.1007/s11524-013-9801-3 · Cited by 57
Differential Impact of Homelessness on Glycemic Control in Veterans with Type 2 Diabetes Mellitus
Axon, R. N., Gebregziabher, M., Dismuke, C. E., Hunt, K. J., Yeager, D. E., Ana, E. J. S., & Egede, L. E. (2016) · Journal of General Internal Medicine · doi:10.1007/s11606-016-3786-z · Cited by 57
HUD Housing Assistance Associated With Lower Uninsurance Rates And Unmet Medical Need
Simon, A. E., Fenelon, A. T., Helms, V. E., Lloyd, P. C., & Rossen, L. M. (2017) · Health Affairs · doi:10.1377/hlthaff.2016.1152 · Cited by 57
Where do people go when they first become homeless? A survey of homeless adults in the USA
O'Toole, T. P., Martel, A. C., Gibbon, J. L., Hanusa, B. H., Freyder, P. J., & Fine, M. J. (2007) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2007.00703.x · Cited by 56
Five-year standardised mortality ratios in a cohort of homeless people in Dublin
Ivers, J., Zgaga, L., Hynes, B. O., Heary, A., Gallwey, B., & Barry, J. M. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-023010 · Cited by 55
Social, Structural and Behavioral Determinants of Overall Health Status in a Cohort of Homeless and Unstably Housed HIV-Infected Men
Riley, E. D., Neilands, T. B., Moore, K. L., Cohen, J., Bangsberg, D. R., & Havlir, D. V. (2012) · PLoS ONE · doi:10.1371/journal.pone.0035207 · Cited by 55
Recommendations for improving the end-of-life care system for homeless populations: A qualitative study of the views of Canadian health and social services professionals
McNeil, R., Guirguis‐Younger, M., & Dilley, L. B. (2012) · BMC Palliative Care · doi:10.1186/1472-684x-11-14 · Cited by 53
End-of-Life Care for Homeless Patients
Kushel, M., & Miaskowski, C. A. (2006) · JAMA · doi:10.1001/jama.296.24.2959 · Cited by 53
Accuracy of Self‐Reported Health Care Use in a Population‐Based Sample of Homeless Adults
Hwang, S. W., Chambers, C., & Katic, M. (2015) · Health Services Research · doi:10.1111/1475-6773.12329 · Cited by 52
Preferences for sites of care among urban homeless and housed poor adults
O'Toole, T. P., Gibbon, J. L., Hanusa, B. H., & Fine, M. J. (1999) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1999.09258.x · Cited by 52
Psychiatric Symptoms, Health Services, and HIV Risk Factors Among Homeless Women
Kilbourne, A. M., Herndon, B., Andersen, R., Wenzel, S. L., & Gelberg, L. (2002) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2010.0189 · Cited by 51
Self-citation
Identifying the HIV Transmission Bridge
Patterson, T. L., Volkmann, T. A., Gallardo, M., Goldenberg, S. M., Lozada, R. M., Semple, S. J., Anderson, C. M., & Strathdee, S. A. (2012) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e31825693f2 · Cited by 50

Authors: Gelberg, L., Gallagher, T. C., Andersen, R. M., & Koegel, P.
Affiliations: University of California, Los Angeles (US)
RAND Corporation (US)
ORCID: Gelberg, L
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 1997-02
Volume: 87
Issue: 2
Pages: 217-220
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.87.2.217
PMC: PMC1380797
OpenAlex: W2072073623
Cited by: 452
References: 16
Citations by year: 2026: 9 · 2025: 18 · 2024: 13 · 2023: 20 · 2022: 23 · 2021: 23 · 2020: 23 · 2019: 22 · 2018: 22 · 2017: 22 · 2016: 17 · 2015: 29 · 2014: 21 · 2013: 20 · 2012: 19
FWCI: 13.19
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Agency for Healthcare Research and Quality (1T32 HS 00046-01, R01 HS06696)
National Institute of Mental Health (1 R01 MH64121)
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
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords: homeless adults, barriers to care, competing priorities, subsistence needs, health care utilization, usual source of care, outpatient visits, hospitalization, Los Angeles
MeSH terms: Adolescent, Adult, Female, Health Priorities, Health Services, Health Status, Ill-Housed Persons, Humans, Male, Patient Acceptance of Health Care, Probability, Los Angeles

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Competing priorities as a barrier to medical care among homeless adults in Los Angeles.

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks