Comparing Unsheltered and Sheltered Homeless: Demographics, Health Services Use and Predictors of Health Services Use

James C. Petrovich, Joel J. Hunt, Carol S. North, David E. Pollio, Erin Roark Murphy

Research output: Contribution to journalArticle

Abstract

Secondary data obtained through the 2015 point-in-time homelessness count and an administrative health care utilization database was used to identify differences in demographic characteristics, health service use, and predictors of health service use among people experiencing unsheltered and sheltered homelessness. Compared to sheltered participants, unsheltered participants had higher proportions of males and Caucasians, were younger, were more likely to use any type of health service and ED services, and used significantly more of any health service and ED and outpatient services. Results also confirm that health services utilization is a complex phenomenon predicted by a variety of predisposing, enabling, and need-related factors, including mental health problems. Together, these findings demonstrate important differences between people living unsheltered and those residing in shelters and they inform local health policy and program initiatives tailored towards these homeless populations.

Original languageEnglish (US)
JournalCommunity Mental Health Journal
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Health Services
health service
Demography
Homeless Persons
homelessness
utilization
Patient Acceptance of Health Care
Ambulatory Care
Health Policy
Caucasian
health policy
Mental Health
mental health
Databases
health care
Population

Keywords

  • Behavioral model
  • Health service use
  • Homeless
  • Sheltered
  • Unsheltered

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Comparing Unsheltered and Sheltered Homeless : Demographics, Health Services Use and Predictors of Health Services Use. / Petrovich, James C.; Hunt, Joel J.; North, Carol S.; Pollio, David E.; Roark Murphy, Erin.

In: Community Mental Health Journal, 01.01.2019.

Research output: Contribution to journalArticle

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