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 accessAbstract
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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“Unfortunately, this population has difficulty accessing routine and preventive care. Many homeless individuals lack health insurance, have difficulty accessing transportation, must attend to immediate survival demands (e.g., food and shelter), and struggle to keep track of healthcare appointments.13”
From Housing first is associated with reduced use of emergency medical services (2014) · cites this paper as [13]
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Gelberg, L., Andersen, R. M., & Leake, B. D. (2000) · PubMed · Cited by 1,257
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Metadata
- 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
- 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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