Predictors of medical or surgical and psychiatric hospitalizations among a population-based cohort of homeless adults.

Abstract:

OBJECTIVES:We identified factors associated with inpatient hospitalizations among a population-based cohort of homeless adults in Toronto, Ontario. METHODS:We recruited participants from shelters and meal programs. We then linked them to administrative databases to capture hospital admissions during the study (2005-2009). We used logistic regression to identify predictors of medical or surgical and psychiatric hospitalizations. RESULTS:Among 1165 homeless adults, 20% had a medical or surgical hospitalization, and 12% had a psychiatric hospitalization during the study. These individuals had a total of 921 hospitalizations, of which 548 were medical or surgical and 373 were psychiatric. Independent predictors of medical or surgical hospitalization included birth in Canada, having a primary care provider, higher perceived external health locus of control, and lower health status. Independent predictors of psychiatric hospitalization included being a current smoker, having a recent mental health problem, and having a lower perceived internal health locus of control. Being accompanied by a partner or dependent children was protective for hospitalization. CONCLUSIONS:Health care need was a strong predictor of medical or surgical and psychiatric hospitalizations. Some hospitalizations among homeless adults were potentially avoidable, whereas others represented an unavoidable use of health services.

journal_name

Am J Public Health

authors

Chambers C,Katic M,Chiu S,Redelmeier DA,Levinson W,Kiss A,Hwang SW

doi

10.2105/AJPH.2013.301646

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

S380-8

eissn

0090-0036

issn

1541-0048

journal_volume

103 Suppl 2

pub_type

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