Chronic Disease Burden of the Homeless: A Descriptive Study of Student-Run Free Clinics in Tampa, Florida

Pribish, Abby; Khalil, Nadia; Mhaskar, Rahul; Woodard, Laurie; Mirza, Abu-Sayeef

doi:10.1007/s10900-018-0580-3

Cited by 29 publications

(37 citation statements)

References 10 publications

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“…It is also possible that minorities and the uninsured may have a higher chronic disease burden and had lengthy medical histories that may have not been completely elicited or difficult to clinically evaluate in short appointments. 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

Secondary prevention among uninsured stroke patients: A free clinic study

et al. 2020

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Objectives: Free clinics manage a diversity of diseases among the uninsured. We sought to assess the medical management of stroke in a population of uninsured patients. Methods: A retrospective chart review was conducted to collect chronic disease statistics from 6558 electronic medical records and paper charts at nine free clinics in Tampa, Florida, from January 2016 to December 2017. Demographics and risk factors were compared between stroke patients and non-stroke patients. Medication rates for several comorbidities were also assessed. Results: Two percent (107) of patients had been diagnosed with a stroke. Stroke patients were older (mean (M) = 56.0, standard deviation (SD) = 11.2) than the rest of the sample (M = 43.3, SD = 15.4), p < 0.001 and a majority were men (n = 62, 58%). Of the stroke patients with hypertension (n = 79), 81% (n = 64) were receiving anti-hypertensive medications. Of the stroke patients with diabetes (n = 43), 72% (n = 31) were receiving diabetes medications. Among all stroke patients, 44% were receiving aspirin therapy (n = 47). Similarly, 39% of all stroke patients (n = 42) were taking statins. Conclusions: Uninsured patients with a history of stroke may not be receiving adequate secondary prevention highlighting the risk and vulnerability of uninsured patients. This finding identifies an area for improvement in secondary stroke prevention in free clinics.

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Section: Discussionmentioning

confidence: 99%

Secondary prevention among uninsured stroke patients: A free clinic study

et al. 2020

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“…2,5,6 Mental illness and impaired thinking due to substance abuse may also be present in this population, impairing decision making. [5][6][7] Decision-making skills have an effect on a person's health, influencing the choices regarding health habits. Because adults who are homeless may lack access to regular medical care because of the inability to pay for care and lack of insurance, they may delay seeking care and rely on emergency departments visits and hospitalizations to meet their health care needs.…”

Section: Background Homelessness and Diabetesmentioning

confidence: 99%

Diabetes Risk Assessment, A1C Measurement, and Goal Achievement of Standards of Care in Adults Experiencing Homelessness

2019

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“…The high prevalence of somatic and psychiatric diseases can partially be explained by the various stressors associated with the loss of accommodation such as inadequate health maintenance, risk-prone health behaviours (27) and childhood traumata (28). There have been a number of studies reporting high rates of smoking (29), as well as high rates of alcohol and/or substance misuse (30,31). Additionally, homeless people suffer from food insecurity resulting in a generally poorer diet characterised by higher intakes of salt and lower intakes of fruit, vitamin C and bre (32).…”

Section: Introductionmentioning

confidence: 99%

Homelessness and Health: A Retrospective Analysis of Medical Records From 2006 - 2020 to Explore the Health and Social Situation of Homeless People in Berlin. A Study Protocol

Lech

Schenk

Castro³

et al. 2020

Preprint

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Background: Homelessness is often described as both a driver and a consequence of poor health, social exclusion and economic marginalisation. The present protocol provides a detailed description of the study Examining the health situation of homeless people in Berlin: a retrospective analysis of data from the health centre for the homeless of the Jenny De la Torre Foundation from 2006 to 2020 (GIG study). The primary objective of the GIG study is to describe and analyse the social and health situation of homeless people in Berlin. Methods: A retrospective secondary data analysis of an anonymous full census of medical records for the years 2006 until 2020 from a health centre for homeless people will be carried out. The main outcome is the description and analysis of the social and health situation of homeless people in Berlin. Total and cross-sectional sample characteristics will be presented in a descriptive analysis using Chi-Square Test, Mann-Whitney-U-Test or independent t-Test as appropriate to test (sub)group differences. Further, outcomes will be analysed using finite mixture modelling in order to distinguish different types of social and health conditions. Latent variable regressions will be applied in order to identify sociodemographic and disease-related factors associated with decreasing health conditions.Discussion: Given the high number of homeless individuals in Germany, it is of great importance to examine their social and health situation in order to gain a better understanding of challenges and needs of homeless people and work on new approaches and solutions to effectively address these.Trail Registration: The study was prospectively registered with the German Clinical Trials Register (trial registration number: DRKS00021172). Registered 26 June 2020, https://www.drks.de/DRKS00021172

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Chronic Disease Burden of the Homeless: A Descriptive Study of Student-Run Free Clinics in Tampa, Florida

Cited by 29 publications

References 10 publications

Secondary prevention among uninsured stroke patients: A free clinic study

Secondary prevention among uninsured stroke patients: A free clinic study

Diabetes Risk Assessment, A1C Measurement, and Goal Achievement of Standards of Care in Adults Experiencing Homelessness

Homelessness and Health: A Retrospective Analysis of Medical Records From 2006 - 2020 to Explore the Health and Social Situation of Homeless People in Berlin. A Study Protocol

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