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

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

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

DOI 10.2105/ajph.87.2.217PMC PMC1380797

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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.

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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

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

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