Abstract
Objective:To compare the prevalences of major medical problems in homeless and nonhomeless patients.
Patients:All 475 persons seeking care at an ambulatory clinic serving the medically indigent for one calendar year.
Intervention:None.
Measurements and main results:Demographic and clinical data were collected by structured interviews and medical record reviews for all patients seeking care at the clinic between March 1989 and April 1990. Comparisons were made between homeless patients, those patients with unstable housing, and those with stable housing. There was no significant between-group difference in age, gender, ethnicity, and health insurance coverage. Homeless patients were more likely to be unemployed (p<0.001) and were found to have higher prevalences of alcohol abuse, injuries/fractures, and dental and gynecologic problems (p<0.05).
Conclusions:There were more similarities than differences in the prevalences of major medical problems in homeless vs. nonhomeless community clinic patients. Where differences did exist, homeless persons consistently had a higher prevalence of illness than did the non-homeless.
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References
Institute of Medicine. Homelessness, health and human needs. Washington, DC: National Academy Press, 1988;39–75.
Wright JD, Weber E. Homelessness and health. Washington, DC: McGraw-Hill, 1987;65–122.
Robertson MJ, Cousineau MR. Health status and access to health services among the urban homeless. Am J Public Health. 1986;76:561–3.
Buff DD, Kenny JF, Light D. Health problems of residents in single-room occupancy hotels. N Y State J Med. 1980;80:2000–5.
Breakey WR, Fischer PJ, Kramer M, et al. Health and mental health problems of homeless men and women living in Baltimore. JAMA. 1989;262:1352–7.
Gelberg L, Linn LS. Assessing the physical health of homeless adults. JAMA. 1989;262:1973–9.
Ropers RH, Boyer R. Perceived health status among the new urban homeless. Soc Sci Med. 1987;24:669–78.
Gelberg L, Linn LS, Usatine RP, Smith MH. Health, homelessness, and poverty: a study of clinic users. Arch Intern Med. 1990;150:2325–30.
Ferenchick GS. Medical problems of homeless and nonhomeless persons attending an inner-city clinic: a comparative study. Am J Med Sci. 1991;301:379–2.
Ferenchick GS. Health, homelessness and poverty [letter]. Arch Intern Med. 1991;151:1462.
Linn LS, Gelberg L, Leake B. Substance abuse and mental health status among homeless and domiciled low income users of a medical clinic. Hosp Community Psychiatry. 1990;41:306–10.
Fischer PW, Breakey WR. Profile of Baltimore homeless with alcohol problems. Alcohol Health Res World. 1987;11:22–7.
Gelberg L, Linn LS, Leake D. Mental health, alcohol and drug use, and criminal history among homeless adults. Am J Psychiatry. 1988;145:191–6.
Wright JD, Knight SW, Weber-Burbin E, Lam J. Ailments and alcohol: health status among the drinking homeless. Alcohol Health Res World. 1987;11:22–7.
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Received from the Department of Medicine, Division of General Internal Medicine, Michigan State University, East Lansing, Michigan.
Supported in part by a Victor M. Hawthorne New Investigator Grant, Michigan Department of Public Health.
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Ferenchick, G.S. The medical problems of homeless clinic patients. J Gen Intern Med 7, 294–297 (1992). https://doi.org/10.1007/BF02598086
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DOI: https://doi.org/10.1007/BF02598086