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

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Listed:
  • Gelberg, L.
  • Gallagher, T.C.
  • Andersen, R.M.
  • Koegel, P.

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.

Suggested Citation

  • Gelberg, L. & Gallagher, T.C. & Andersen, R.M. & Koegel, P., 1997. "Competing priorities as a barrier to medical care among homeless adults in Los Angeles," American Journal of Public Health, American Public Health Association, vol. 87(2), pages 217-220.
    • Handle: RePEc:aph:ajpbhl:1997:87:2:217-220_7
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    Cited by:

    1. Elise D Riley & Torsten B Neilands & Kelly Moore & Jennifer Cohen & David R Bangsberg & Diane Havlir, 2012. "Social, Structural and Behavioral Determinants of Overall Health Status in a Cohort of Homeless and Unstably Housed HIV-Infected Men," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-7, April.
    2. Valérie Dauriac-Le Masson & Alain Mercuel & Marie Jeanne Guedj & Caroline Douay & Pierre Chauvin & Anne Laporte, 2020. "Mental Healthcare Utilization among Homeless People in the Greater Paris Area," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
    3. Pooja Agrawal & Matthew Taing & Tzu-An Chen & Sean M. Reuven & Michael S. Businelle & Darla E. Kendzor & Eric H. Bernicker & Lorraine R. Reitzel, 2020. "Understanding the Associations between Smoking-Related Risk Perception, Interest in Quitting Smoking, and Interest in Lung Cancer Screening among Homeless Adult Smokers," IJERPH, MDPI, vol. 17(23), pages 1-11, November.
    4. Geoffrey DeVerteuil, 2003. "Homeless Mobility, Institutional Settings, and the New Poverty Management," Environment and Planning A, , vol. 35(2), pages 361-379, February.
    5. Miriam Harris & Anne Gadermann & Monica Norena & Matthew To & Anita M. Hubley & Tim Aubry & Stephen Hwang & Anita Palepu, 2019. "Residential moves and its association with substance use, healthcare needs, and acute care use among homeless and vulnerably housed persons in Canada," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 399-409, April.
    6. Jie Gao & Haiyan Qu & Keith M. McGregor & Amrej Singh Yadav & Hon K. Yuen, 2022. "Associations between Duration of Homelessness and Cardiovascular Risk Factors: A Pilot Study," IJERPH, MDPI, vol. 19(22), pages 1-10, November.
    7. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    8. Tsai, Jack & David, Daryn H. & Edens, Ellen L. & Crutchfield, Audra, 2013. "Considering child care and parenting needs in Veterans Affairs mental health services," Evaluation and Program Planning, Elsevier, vol. 39(C), pages 19-22.
    9. Guirguis-Younger, Manal & Runnels, Vivien & Aubry, Tim & Turnbull, Jeff, 2006. "Carrying out a social autopsy of deaths of persons who are homeless," Evaluation and Program Planning, Elsevier, vol. 29(1), pages 44-54, February.
    10. Cécile Vuillermoz & Stéphanie Vandentorren & Ruben Brondeel & Pierre Chauvin, 2017. "Unmet healthcare needs in homeless women with children in the Greater Paris area in France," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-15, September.

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