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Predictors of Overnight and Emergency Treatment among Homeless Adults.

Chisom N IwunduPooja AgrawalMichael S BusinelleDarla E KendzorLorraine R Reitzel
Published in: International journal of environmental research and public health (2020)
High usage of emergency treatment and hospitalization has been reported among homeless individuals. Hence, this study aimed to identify the sociodemographic predictors associated with overnight and emergency hospital treatment among a sample of homeless adults. Participants were recruited from a shelter in Dallas, Texas (N = 354; Mage = 43.7 ± 11.7) and were predominantly uninsured, low-income men from various racial groups. The outcome variables were: (a) stayed overnight for treatment in a hospital; and (b) treated in a hospital emergency room. In logistic regression models, sex emerged as the only predictor of overnight treatment in a hospital (OR = 2.68, 95% CI = 1.61-4.47), and treatment in an emergency room (OR = 2.21, 95% CI = 1.34-3.65), such that women were more likely than men to be treated overnight and use emergency care. Targeted interventions and policies are needed to address homeless women's primary care needs and reduce costlier treatment.
Keyphrases
  • healthcare
  • public health
  • primary care
  • emergency department
  • type diabetes
  • cancer therapy
  • acute care
  • electronic health record
  • replacement therapy
  • general practice