ArticleInternational journal of environmental research and public health2017
Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants.
Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 6 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
69 citing papers in PubMed, 6 syntheses or guidelines pooled it, 198 citations in OpenAlex.
- Tackling Inequalities in Access to Medicines for People Experiencing Homelessness: A Meta-Ethnography and Qualitative Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Associations between postmigration living situation and symptoms of common mental disorders in adult refugees in Europe: updating systematic review from 2015 onwards.BMC public health · 2023Pooled it
- The Role of Social Determinants of Health in Cardiovascular Diseases: An Umbrella Review.Journal of the American Heart Association · 2023Pooled it
- Characteristics and Effectiveness of Co-Designed Mental Health Interventions in Primary Care for People Experiencing Homelessness: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Use of Technology to Promote Health and Wellbeing of People Who Are Homeless: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Provision of peer support at the intersection of homelessness and problem substance use services: a systematic 'state of the art' review.BMC public health · 2020Pooled it
- The Influence of Housing Status and Food Insecurity on a Behavioral HIV/STI Prevention Intervention for Black Women under Community Supervision in New York City: A Moderation Analysis.AIDS and behavior · 2024Trial
- No Place to Rest: Housing Instability and Pain Experiences in the Emergency Department.Journal of emergency nursing · 2026Article
- Social Determinants of Health and Effects on Cardiovascular Disease.The International journal of angiology : official publication of the International College of Angiology, Inc · 2026Review
- Barriers to access and factors associated with health care utilization among the adult homeless population in Dhaka, Bangladesh: a mixed method cross-sectional study.BMC public health · 2025Article
- Housing Insecurity among Emergency Department Patients with Opioid Use Disorder.The western journal of emergency medicine · 2025Article
- Impact of Housing on Burn Injury Patterns and Outcomes: A Retrospective Cohort Study at a Canadian Burn Center.Journal of burn care & research : official publication of the American Burn Association · 2025Article
- Surviving against the odds: a qualitative exploration of the resilience of adults experiencing homelessness in Accra, Ghana.BMC public health · 2025Article
- Trends and dynamics of homelessness in Hong Kong: evidence from population survey in 2015 and 2021.BMC public health · 2025Article
- Physician explanation of Z-coded homelessness in medicaid claims.Health services & outcomes research methodology · 2025Article
- Review
- Exploring ways to improve healthcare service access for people experiencing homelessness in Manchester, UK.Health promotion international · 2025Article
- Lessons learned on social health integration: evaluating a novel social health integration and social risk-informed care online continuing professional development course for primary care providers.BMC medical education · 2025Article
- Decoding Homelessness: Z-Codes and the Recognition of Homelessness as a Comorbid Condition.Journal of general internal medicine · 2025Article
- Article
9 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHomelessness is associated with enormous health inequalities, including shorter life expectancy, higher morbidity and greater usage of acute hospital services. Viewed through the lens of social determinants, homelessness is a key driver of poor health, but homelessness itself results from accumulated adverse social and economic conditions. Indeed, in people who are homeless, the social determinants of homelessness and health inequities are often intertwined, and long term homelessness further exacerbates poor health. Aggregated health service data can mask this, and case histories thus provide important insights.
methodsThis paper presents three case histories of homeless patients seen at an inner city public hospital in Perth, Western Australia. The case histories draw on several data sources: hospital data, information collected from rough sleepers and clinical observations. Estimates of the cost to the health system of the observed hospital usage by the three patients are included.
findingsThe case histories illustrate the interplay of social determinants of health in homelessness that help explain the high level of hospital usage by rough sleepers. The cumulative healthcare costs for the three individuals over a 33 months period were substantial. Hospital attendance plummeted even in the short term when housing needs were addressed.
conclusionsTreating homelessness as a combined health and social issue is critical to improving the abysmal health outcomes of people experiencing homelessness. In addition, the enormous economic costs of hospital care for people who are homeless can be reduced when housing and other social determinants are taken into account.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.