ArticleBMC public health2022
Unmet health needs and barriers to health care among people experiencing homelessness in San Francisco's Mission District: a qualitative study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and risk factors of frailty in people experiencing homelessness: A systematic review and meta-analysis.The Journal of frailty & aging · 2025Pooled it
- The Global Prevalence of Non-suicidal Self-injury, Suicide Behaviors, and Associated Risk Factors Among Runaway and Homeless Youth: A Meta-analysis.Community mental health journal · 2024Pooled it
- Forensic insights into mortality and challenges in post-mortem investigations of homeless individuals: a 10-year study (2014-2024) in Milan, Italy.International journal of legal medicine · 2026Article
- An Innovative Approach to Enhanced Care Management for High-Need Pediatric Medicaid Members: Retrospective Cohort Study.JMIR pediatrics and parenting · 2026Article
- Dermatological diagnoses among people experiencing homelessness in the USA.Skin health and disease · 2026Article
- Assessing the sensitivity and predictive value of wastewater in detection of Hepatitis A cases in San Diego County.PloS one · 2026Article
- Behavioral, not self-reported, experiential avoidance predicts early treatment discontinuation at residential substance use treatment.Frontiers in psychiatry · 2026Article
- Cross-sectional characterisation of housing and social service engagement prior to death among adults experiencing homelessness in Harris County, Texas, USA.BMJ public health · 2026Article
- Perceived impact of a homeless shelter-based art program on stress, social connection, and emotional regulation: a mixed-methods pilot study.Frontiers in psychology · 2026Article
- Enhancing surgical efficiency: predicting same-day cancellations in urologic procedures.World journal of urology · 2025Article
- Advancing prevention and screening in younger adults living with low income: development, piloting and acceptability/appropriateness evaluation of A BETTER Life.Pilot and feasibility studies · 2025Article
- Mortality and barriers to healthcare among people experiencing homelessness in Paris: a mixed-methods study.International journal for equity in health · 2025Article
- Understanding root causes of homelessness in Marin County, CA and prevention strategies through semi-structured interviews and constant comparative analysis.Discover mental health · 2025Article
- Barriers and delays to healthcare at time of death: qualitative analysis of Los Angeles County death records of people experiencing homelessness.BMC public health · 2025Article
- Health Care Access and Use Among Adults Experiencing Homelessness.JAMA health forum · 2025Article
- Community-Embedded Low-Barrier Care: A Model for Engaging People With Complex Needs in HIV Treatment and Prevention.Open forum infectious diseases · 2025Article
- Arkansas crisis stabilization unit guests: Baseline characteristics from a longitudinal cohort study.Psychological services · 2025Article
- Interest in Long-Acting Preexposure Prophylaxis (PrEP) Among Men at Risk for Human Immunodeficiency Virus Who Use Methamphetamine Participating in a Daily, Oral PrEP Adherence Trial in San Francisco, California.Open forum infectious diseases · 2025Article
- Factors influencing satisfaction with medical services in medically underserved populations: an analytical cross-sectional study at a free medical clinic in the Republic of Korea.Osong public health and research perspectives · 2025Article
- A National Mobile Medical Unit (MMU) Program to Address the Healthcare Needs of Veterans Experiencing Homelessness: An Evaluation Protocol.Health services insights · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople experiencing homelessness have unique health needs and barriers to medical and behavioral health care (mental health, substance use disorder, and overall well-being) compared to housed people. It remains unclear why many people experiencing homelessness do not access care when community-based homeless health care resources are available at low or no cost. This qualitative study examined perspectives of people experiencing homelessness and staff members at community-based homeless health and service organizations in San Francisco's Mission District on unmet medical and behavioral health needs and barriers to accessing care.
methodsWe conducted 34 interviews between September and November 2020: 23 with people experiencing homelessness and 11 with staff at community-based homeless health and service organizations in the Mission District. Qualitative interviews were transcribed, coded, and analyzed using the Framework Method on NVivo Qualitative Data Analysis Software.
resultsBoth staff and homeless participants reported unmet and common health needs of mental illness, physical injury and disability, food and nutrition insecurity, and substance use disorder. Barriers to care included negative prior health care experiences, competing priorities, and provider turnover. Recommendations for improving services included building more trust with people experiencing homelessness by training clinic staff to treat patients with respect and patience and expanding clinical outreach and health education programs.
conclusionsPeople experiencing homelessness face many different health needs and barriers to care, some of which community-based organizations have the ability to address. These findings can help inform future strategies for homeless health care programs to identify and target the specific unmet health needs and barriers to care of people experiencing homelessness in their communities.
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