Prevalence of Homelessness in the Emergency Department Setting
| Autor: | Yasir H Abunamous, Osman Z. Abbasi, Kareem S Elsayed, Marna Rayl Greenberg, Stephen W. Dusza, Joshua Enyart, Brett J. Feldman, Cristina G. Calogero, Timothy J Friel |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Adult Male prevalence Psychological intervention 03 medical and health sciences 0302 clinical medicine Statistical significance mental disorders Prevalence Medicine Vulnerable population Humans Mass Screening Screening tool Prospective Studies Prospective cohort study homelessness Mass screening Original Research Veterans 030505 public health business.industry Trauma center 030208 emergency & critical care medicine General Medicine Emergency department Pennsylvania Emergency Department Access Health Surveys United States Government Programs United States Department of Veterans Affairs Ill-Housed Persons Emergency Medicine Housing Female 0305 other medical science business Emergency Service Hospital Demography |
| Zdroj: | Western Journal of Emergency Medicine Feldman, Brett J; Calogero, Cristina G; Elsayed, Kareem S; Abbasi, Osman Z; Enyart, Joshua; Friel, Timothy J; et al.(2017). Prevalence of Homelessness in the Emergency Department Setting. Western Journal of Emergency Medicine, 18(3). doi: 10.5811/westjem.2017.1.33054. Retrieved from: http://www.escholarship.org/uc/item/67r8k225 |
| ISSN: | 1936-9018 1936-900X |
| DOI: | 10.5811/westjem.2017.1.33054. |
| Popis: | Introduction According to the National Alliance to End Homelessness, the national rate of homelessness has been cited as 17.7 homeless people/10,000 people in the general population, and 24.8 homeless veterans/10,000 veterans in the general population. However, it is unknown what the prevalence of homelessness is in the emergency department (ED) setting. We set out to determine the prevalence of homelessness or at risk for homelessness in the ED setting. Methods Using a five-question screening tool derived from the U.S. Department of Housing and Urban Development, Health and Human Services and the Veterans Administration definition for homelessness, we surveyed all patients meeting inclusion/exclusion criteria on scheduled shifts in one of three EDs in Northeastern Pennsylvania. To participate, subjects had to be a registered patient in the ED, be 18 years or older, speak English, have the capacity to answer survey questions, not be critically ill, be willing to participate, and not have taken the survey before. We selected two survey periods to represent seasonal variations. Results We included 4,395 subjects in the analysis. The mean age of those who screened positive for homelessness or at risk for homelessness was 43.1 (SD 16.6). Overall, 136 (3.1%) participants screened positive for at risk for homelessness and 309 (7.0%) screened positive for homelessness. A total of 103 subjects (9.8%) screened positive for homelessness or at risk for homelessness on weekends and 312 (10.3%) on weekdays (p=0.64). The proportion of those screening positive for homelessness or at risk for homelessness varied by site: 145 (7.5%) at the trauma center, 151(9.1%) at the suburban site, and 149 (18.7%) at the center city site, p |
| Databáze: | OpenAIRE |
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