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Emergency department use among the homeless and marginally housed: Results from a community-based study

Author

Listed:
  • Kushel, M.B.
  • Perry, S.
  • Bangsberg, D.
  • Clark, R.
  • Moss, A.R.

Abstract

Objectives. This study examined factors associated with emergency department use among homeless and marginally housed persons. Methods. Interviews were conducted with 2578 homeless and marginally housed persons, and factors associated with different patterns of emergency department use were assessed in multivariate models. Results. Findings showed that 40.4% of respondents had 1 or more emergency department encounters in the previous year; 7.9% exhibited high rates of use (more than 3 visits) and accounted for 54.5% of all visits. Factors associated with high use rates included less stable housing, victimization, arrests, physical and mental illness, and substance abuse. Predisposing and need factors appeared to drive emergency department use. Conclusions. Efforts to reduce emergency department use among the homeless should be targeted toward addressing underlying risk factors among those exhibiting high rates of use.

Suggested Citation

  • Kushel, M.B. & Perry, S. & Bangsberg, D. & Clark, R. & Moss, A.R., 2002. "Emergency department use among the homeless and marginally housed: Results from a community-based study," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 778-784.
    • Handle: RePEc:aph:ajpbhl:2002:92:5:778-784_5
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    Cited by:

    1. Downes, Henry & Phillips, David C. & Sullivan, James X., 2022. "The effect of emergency financial assistance on healthcare use," Journal of Public Economics, Elsevier, vol. 208(C).
    2. Miyawaki, Atsushi & Burke, Laura G. & Khullar, Dhruv & Tsugawa, Yusuke, 2020. "Comparison of 30-day readmission and emergency department revisit rates among homeless patients at teaching versus non-teaching hospitals," Social Science & Medicine, Elsevier, vol. 263(C).
    3. Sara Nourazari & Kristina Lovato & Suzie S. Weng, 2021. "Making the Case for Proactive Strategies to Alleviate Homelessness: A Systems Approach," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    4. Chisom N. Iwundu & Pooja Agrawal & Michael S. Businelle & Darla E. Kendzor & Lorraine R. Reitzel, 2020. "Predictors of Overnight and Emergency Treatment among Homeless Adults," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    5. Julie Broderick & Sinead Kiernan & Niamh Murphy & Joanne Dowds & Cliona Ní Cheallaigh, 2021. "Feasibility of a Broad Test Battery to Assess Physical Functioning Limitations of People Experiencing Homelessness," IJERPH, MDPI, vol. 18(3), pages 1-11, January.
    6. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    7. Thomas Byrne & Travis Baggett & Thomas Land & Dana Bernson & Maria-Elena Hood & Cheryl Kennedy-Perez & Rodrigo Monterrey & David Smelson & Marc Dones & Monica Bharel, 2020. "A classification model of homelessness using integrated administrative data: Implications for targeting interventions to improve the housing status, health and well-being of a highly vulnerable popula," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-12, August.
    8. Amanda Stafford & Lisa Wood, 2017. "Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants," IJERPH, MDPI, vol. 14(12), pages 1-12, December.
    9. Morgane Gabet & Guy Grenier & Zhirong Cao & Marie-Josée Fleury, 2019. "Predictors of Emergency Department Use among Individuals with Current or Previous Experience of Homelessness," IJERPH, MDPI, vol. 16(24), pages 1-12, December.
    10. Yamamoto, Ayae & Needleman, Jack & Gelberg, Lillian & Kominski, Gerald & Shoptaw, Steven & Tsugawa, Yusuke, 2019. "Association between homelessness and opioid overdose and opioid-related hospital admissions/emergency department visits," Social Science & Medicine, Elsevier, vol. 242(C).
    11. Erin M. Fearn-Smith & Justin Newton Scanlan & Nicola Hancock, 2023. "Exploring and Mapping Screening Tools for Cognitive Impairment and Traumatic Brain Injury in the Homelessness Context: A Scoping Review," IJERPH, MDPI, vol. 20(4), pages 1-52, February.

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