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Predictors of Overnight and Emergency Treatment among Homeless Adults

Department of Rehabilitation and Health Services, College of Public and Health, University of North Texas Services, Denton, TX 76203, USA
Department of Psychological, Health, and Learning Sciences, College of Education, University of Houston, Houston, TX 77204, USA
School of Medicine, University of Texas Medical Branch, Galveston, TX 78701, USA
Oklahoma Tobacco Research Center, The University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite 400, Oklahoma City, OK 73104, USA
HEALTH Research Institute, University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(12), 4271;
Received: 5 May 2020 / Revised: 31 May 2020 / Accepted: 10 June 2020 / Published: 15 June 2020
(This article belongs to the Special Issue Homelessness and Public Health)
High usage of emergency treatment and hospitalization has been reported among homeless individuals. Hence, this study aimed to identify the sociodemographic predictors associated with overnight and emergency hospital treatment among a sample of homeless adults. Participants were recruited from a shelter in Dallas, Texas (N = 354; Mage = 43.7 ± 11.7) and were predominantly uninsured, low-income men from various racial groups. The outcome variables were: (a) stayed overnight for treatment in a hospital; and (b) treated in a hospital emergency room. In logistic regression models, sex emerged as the only predictor of overnight treatment in a hospital (OR = 2.68, 95% CI = 1.61–4.47), and treatment in an emergency room (OR = 2.21, 95% CI = 1.34–3.65), such that women were more likely than men to be treated overnight and use emergency care. Targeted interventions and policies are needed to address homeless women’s primary care needs and reduce costlier treatment. View Full-Text
Keywords: homeless; emergency treatment; hospitalization; sociodemographic; sex homeless; emergency treatment; hospitalization; sociodemographic; sex
MDPI and ACS Style

Iwundu, C.N.; Agrawal, P.; Businelle, M.S.; Kendzor, D.E.; Reitzel, L.R. Predictors of Overnight and Emergency Treatment among Homeless Adults. Int. J. Environ. Res. Public Health 2020, 17, 4271.

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