期刊
JOURNAL OF HEALTH PSYCHOLOGY
卷 12, 期 5, 页码 791-804出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/1359105307080612
关键词
gelberg-Andersen Behavioral Model for Vulnerable Populations; health services utilization; homeless women; homeless women's health
资金
- AHRQ HHS [R01 HS 08323] Funding Source: Medline
- NIAAA NIH HHS [R21AA13398-01] Funding Source: Medline
- NIDA NIH HHS [P01-DA01070-33, R01 DA14835-01] Funding Source: Medline
- NIMHD NIH HHS [P20-MD000182, P20-MD000148] Funding Source: Medline
We applied the Gelberg-Andersen Behavioral Model for Vulnerable Populations to predict health services utilization (HSU) in 875 homeless US women. Structural models assessed the impact of predisposing (demographics, psychological distress, alcohol/drug problems, homelessness severity), enabling (health insurance, source of care, barriers) and need (illness) variables on HSU (preventive care, outpatient visits, hospitalizations). Homelessness severity predicted illness, barriers and less insurance. Distress predicted more barriers, illness and less outpatient HSU. Drug problems predicted hospitalizations. Barriers predicted more illness and less outpatient HSU. Health and homelessness indicators were worse for White women. Better housing, access to care and insurance would encourage appropriate HSU.
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