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Homelessness, health status, and health care use

Author

Listed:
  • Schanzer, B.
  • Dominguez, B.
  • Shrout, P.E.
  • Caton, C.L.M.

Abstract

Objectives. Little is known about the health status of those who are newly homeless. We sought to describe the health status and health care use of new clients of homeless shelters and observe changes in these health indicators over the study period. Methods. We conducted a longitudinal study of 445 individuals from their entry into the homeless shelter system through the subsequent 18 months. Results. Disease was prevalent in the newly homeless. This population accessed health care services at high rates in the year before becoming homeless. Significant improvements in health status were seen over the study period as well as a significant increase in the number who were insured. Conclusion. Newly homeless persons struggle under the combined burdens of residential instability and significant levels of physical disease and mental illness, but many experience some improvements in their health status and access to care during their time in the homeless shelter system.

Suggested Citation

  • Schanzer, B. & Dominguez, B. & Shrout, P.E. & Caton, C.L.M., 2007. "Homelessness, health status, and health care use," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 464-469.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.076190_0
    DOI: 10.2105/AJPH.2005.076190
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    Cited by:

    1. Micheal L. Shier & John R. Graham & Eriko Fukuda & Alina Turner, 2016. "Predictors of Living in Precarious Housing Among Immigrants Accessing Housing Support Services," Journal of International Migration and Integration, Springer, vol. 17(1), pages 173-192, February.
    2. Jorien van der Laan & Barbara van Straaten & Sandra N. Boersma & Gerda Rodenburg & Dike van de Mheen & Judith R. L. M. Wolf, 2018. "Predicting homeless people’s perceived health after entering the social relief system in The Netherlands," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 203-211, March.
    3. Maeva Jego & Julien Abcaya & Diana-Elena Ștefan & Céline Calvet-Montredon & Stéphanie Gentile, 2018. "Improving Health Care Management in Primary Care for Homeless People: A Literature Review," IJERPH, MDPI, vol. 15(2), pages 1-21, February.
    4. Derrien, Monika M. & Bratman, Gregory N. & Cerveny, Lee K. & Levy, Chaja & Blahna, Dale J. & Frank, Paulo & Serio, Naomi, 2024. "Public nature and health for homeless populations: Professionals’ perceptions of contingent human benefits and harms," Social Science & Medicine, Elsevier, vol. 347(C).
    5. Elizabeth M. Moore & Lillian Gelberg & Michael Soh & Cathy Alessi & Roya Ijadi-Maghsoodi, 2023. "Provider Perspectives on Sleep as a Determinant of Health and Housing Outcomes among Veterans Experiencing Homelessness: An Exploratory, Social-Ecological Study," IJERPH, MDPI, vol. 20(9), pages 1-13, May.
    6. Barbara Straaten & Gerda Rodenburg & Jorien Laan & Sandra N. Boersma & Judith R. L. M. Wolf & Dike Mheen, 2018. "Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(1), pages 291-311, January.

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