Health care utilization among homeless adolescents and young adults

Barkin, Shari L.; Balkrishnan, R; Manuel, Janeen; Andersen, Ron M.; Gelberg, Lillian

doi:10.1016/s1054-139x(02)00474-3

Cited by 27 publications

(24 citation statements)

References 7 publications

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“…Adolescent females in this sample were more likely to hold some kind of public health insurance (63%) compared with older women (45%). Barkin's study highlights the importance of studying adolescent girls [18]. Older women (aged 25-34 years) in this study had poor health outcomes and were more likely to be involved in criminal activities and prostitution, which lead to increased physical and mental health vulnerability.…”

Section: Gendermentioning

confidence: 85%

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Predictors of first mental health service utilization among homeless and runaway adolescents

Berdahl

Hoyt

Whitbeck

2005

Journal of Adolescent Health

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Section: Gendermentioning

confidence: 85%

“…Barkin et al [18] compared the health care utilization of subgroups of homeless women by age groups. They found that 26% of adolescent girls (aged 15-24 years) reported inpatient hospital stays in the past year.…”

Section: Gendermentioning

confidence: 99%

Predictors of first mental health service utilization among homeless and runaway adolescents

Berdahl

Hoyt

Whitbeck

2005

Journal of Adolescent Health

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“…In previous studies, homeless adolescents have often reported poor access to needed health care services. 27 These adolescents frequently cite specific nonfinancial barriers to obtaining care such as fears of being negatively judged by health care professionals. 27 …”

Section: Discussionmentioning

confidence: 99%

Universal Health Insurance and Health Care Access for Homeless Persons

Hwang

Ueng²,

Chiu³

et al. 2010

Am J Public Health

156

126

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Objectives. We examined the extent of unmet needs and barriers to accessing health care among homeless people within a universal health insurance system. Methods. We randomly selected a representative sample of 1169 homeless individuals at shelters and meal programs in Toronto, Ontario. We determined the prevalence of self-reported unmet needs for health care in the past 12 months and used regression analyses to identify factors associated with unmet needs. Results. Unmet health care needs were reported by 17% of participants. Compared with Toronto's general population, unmet needs were significantly more common among homeless individuals, particularly among homeless women with dependent children. Factors independently associated with a greater likelihood of unmet needs were younger age, having been a victim of physical assault in the past 12 months, and lower mental and physical health scores on the 12-Item Short Form Health Survey. Conclusions. Within a system of universal health insurance, homeless people still encounter barriers to obtaining health care. Strategies to reduce nonfinancial barriers faced by homeless women with children, younger adults, and recent victims of physical assault should be explored.

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“…Surgeon General's Report, 10 there still exists an epidemic of untreated and poorly treated mental disorders in the United States, 11 especially among vulnerable groups such as Hispanics, African Americans, and the underinsured generally. [12][13][14][15][16][17] Recent clinic-based screening studies documented that one half of Latino and African American patients suffer from depressive symptoms indicative of psychiatric distress. 18 Yet, data from the National Ambulatory Medical Care Survey show that the rate of office-based visits in which a diagnosis of a depressive disorder was recorded and antidepressant pharmacotherapy was prescribed for Hispanic and African Americans was only 6.2% and 3.6%, respectively.…”

Section: Introduction Tmentioning

confidence: 99%

Correlates of Complementary and Alternative Medicine Utilization in Depressed, Underserved African American and Hispanic Patients in Primary Care Settings

Bazargan

Ani

Hindman

et al. 2008

The Journal of Alternative and Complementary Medicine

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Objectives: This study seeks to examine the correlates of complementary and alternative medicine (CAM) use in depressed underserved minority populations receiving medical care in primary care settings.Methods: A prospective study using interviewer-administered surveys and medical record reviews was conducted at 2 large outpatient primary care clinics providing care primarily to underserved African American and Hispanic individuals located in Los Angeles, California. A total of 2321 patients were screened for depression. Of these, 315 met the Patient Health Questionnaire-9 criteria for mild to severe depression.Results: Over 57% of the sample reported using CAM sometimes or often (24%) and frequently (33%) for treatment of their depressive symptoms. Controlling for demographic characteristics, lack of health care coverage remained one of the strongest predictors of CAM use. Additionally, being moderately depressed, using psychotherapeutic prescription medications, and poorer self-reported health status were all associated with increased frequency of CAM utilization for treating depression.Conclusions: The underserved African American and Hispanic individuals meeting the diagnostic criteria for depression or subsyndromal depression use CAM extensively for symptoms of depression. CAM is used as a substitute for conventional care when access to care is not available or limited. Since CAM is used so extensively for depression, understanding domains, types, and correlates of such use is imperative. This knowledge could be used to design interventions aimed at improving care for depression. 537

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Health care utilization among homeless adolescents and young adults

Cited by 27 publications

References 7 publications

Predictors of first mental health service utilization among homeless and runaway adolescents

Predictors of first mental health service utilization among homeless and runaway adolescents

Universal Health Insurance and Health Care Access for Homeless Persons

Correlates of Complementary and Alternative Medicine Utilization in Depressed, Underserved African American and Hispanic Patients in Primary Care Settings

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