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

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.

journal_name

Am J Public Health

authors

Gelberg L,Gallagher TC,Andersen RM,Koegel P

doi

10.2105/ajph.87.2.217

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

217-20

issue

2

eissn

0090-0036

issn

1541-0048

journal_volume

87

pub_type

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