Healthcare Barriers and Utilization Among Adolescents and Young Adults Accessing Services for Homeless and Runaway Youth

Autor: Andrea E. Bonny, Annie Laurie McRee, Nancy Ford, Hannah L.H. Lange, Hillary M. Kapa, Gayathri Chelvakumar
Rok vydání: 2016
Předmět:
Zdroj: Journal of Community Health. 42:437-443
ISSN: 1573-3610
0094-5145
DOI: 10.1007/s10900-016-0274-7
Popis: Homeless and runaway youth are at disproportionate risk for adverse health outcomes. Many barriers to accessing healthcare have been documented; however, the relative impact of discrete barriers on homeless youth healthcare utilization behavior is not firmly established. We administered a survey examining reported barriers and healthcare utilization among adolescents and young adults accessing services at three community centers for homeless and runaway youth. Of 180 respondents, 57 % were male, 80 % non-White, and 21 % identified as a sexual minority. Stepwise logistic regression models, controlling for age and study site, explored associations between barriers and 3 healthcare utilization outcomes (doctor visit in past 12 months; regular care provider; frequent emergency department (ED) visits). The most commonly reported barriers were "don't have a ride" (27.2 %), "no insurance" (23.3 %), and "costs too much" (22.8 %). All fear-based barriers (e.g., "I don't trust the doctors") were reported by
Databáze: OpenAIRE