ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Correlates of hospital use in homeless and unstably housed women: the role of physical health and pain.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 31 citations in OpenAlex.
- Unmet Subsistence and Mental Health Needs in Women Experiencing Homelessness: Rethinking Care Models for Improved Outcomes.Journal of general internal medicine · 2025Article
- Associations Between Different Types of Housing Insecurity and Future Emergency Department Use Among a Cohort of Emergency Department Patients.Journal of health care for the poor and underserved · 2023Article
- [Health Service Utilization by Homeless Persons: Analysis of the Role of Enabling Factors, Pain and Gender using the Gelberg-Andersen Model].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Health Service Access Among Homeless Veterans: Health Access Challenges Faced by Homeless African American Veterans.Journal of racial and ethnic health disparities · 2022Review
- Article
- Emergency Department Use by Women Experiencing Homelessness in Los Angeles, California, USA.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Using a "Big Events" framework to understand emergency department use among women experiencing homelessness or housing instability in San Francisco during the COVID-19 pandemic.The International journal on drug policy · 2021Article
- Cross-sectional Analysis of Food Insecurity and Frequent Emergency Department Use.The western journal of emergency medicine · 2021Article
- Predictors of Frequent Emergency Department Utilization for Mental Health Reasons.The journal of behavioral health services & research · 2021Article
- Comparing Unsheltered and Sheltered Homeless: Demographics, Health Services Use and Predictors of Health Services Use.Community mental health journal · 2020Article
- Violence and Emergency Department Use among Community-Recruited Women Who Experience Homelessness and Housing Instability.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- Reasons for Emergency Department Use among Patients with Mental Disorders.The Psychiatric quarterly · 2019Article
- Housing First: Unsuppressed Viral Load Among Women Living with HIV in San Francisco.AIDS and behavior · 2019Article
- Neighborhood Health Care Access and Sexually Transmitted Infections Among Women in the Southern United States: A Cross-Sectional Multilevel Analysis.Sexually transmitted diseases · 2018Article
- Public Housing Relocations and Relationships of Changes in Neighborhood Disadvantage and Transportation Access to Unmet Need for Medical Care.Journal of health care for the poor and underserved · 2017Article
- Emergency Care for Homeless Patients: A French Multicenter Cohort Study.American journal of public health · 2016Article
- Risk factors for stimulant use among homeless and unstably housed adult women.Drug and alcohol dependence · 2015Article
- Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
purposeTo examine correlates of emergency department (ED) use and hospitalizations in a community-based cohort of homeless and unstably housed women, with a focus on the role of physical health and pain.
methodsWe conducted a cross-sectional analysis of baseline survey results from a study of homeless and unstably housed women in San Francisco. Primary outcomes were any self-reported ED visit and inpatient hospitalization over the prior 6 months. Primary independent variables of interest were self-reported physical health status, as measured by the Short Form-12 (SF-12), and bodily pain. Other potential covariates were organized using the Gelberg-Andersen Behavioral Model for Vulnerable Populations. Standard bivariate and multivariable logistic regression techniques were used.
resultsThree hundred homeless and unstably housed women were included in the study, of whom 37.7% reported having an ED visit and 23.0% reported being hospitalized in the prior 6 months. Mean SF-12 physical health scores indicated poorer than average health compared with the U.S. norm. Most women (79.3%) reported at least some limitation in their daily activities owing to pain. In adjusted analyses, moderate and high levels of bodily pain were significantly correlated with ED visits (odds ratio [OR], 2.92 and OR, 2.57) and hospitalizations (OR, 6.13 and OR, 2.49). As SF-12 physical health scores decreased, indicating worse health, the odds of ED use increased. Predisposing, enabling, and additional need factors did not mediate these associations.
conclusionsPhysical health and bodily pain are important correlates of ED visits and hospitalizations among homeless and unstably housed women. Interventions to reduce ED use among women who are homeless should address the high levels of pain in this population.
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