Health Care for People Experiencing Homelessness

Patanwala, Maria Y.; Garcia, Cheyenne M.; Kushel, Margot

doi:10.1001/jama.2024.5213

JAMA

2024

DOI: 10.1001/jama.2024.5213

|View full text |Cite

Health Care for People Experiencing Homelessness

Maria Y. Patanwala,

Cheyenne M. Garcia,

Margot Kushel

Abstract: This JAMA Insights examines the adverse effects of homelessness on physical and mental health and suggests strategies to improve access to health care, services, and housing for people experiencing homelessness.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Preprint1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 11 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

Considerations for Equitable Distribution of Digital Healthcare for People Who Use Drugs

Papalamprakopoulou,

Roussos,

Ntagianta

et al. 2024

Preprint

View full text Add to dashboard Cite

BackgroundTelehealth holds the potential to expand healthcare access for people who use drugs (PWUD). However, approaches to increase PWUDs’ access to digital healthcare are not well-understood. We studied digital healthcare accessibility among PWUD.MethodsWe employed respondent-driven sampling to recruit 162 PWUD in Athens, Greece to collect data via a structured questionnaire. Participants were aged at least 18 years and had an injection drug use (IDU) history. We assessed current internet and computer access, and experience with telemedicine. We utilized logistic regression to evaluate sociodemographic associations.ResultsParticipants’ mean (standard deviation) age was 45.9 (8.8) years, 84.0% were male, 90.1% Greek, 77.8% reported IDU within the past year, 85.2% were not linked to opioid treatment, and 50.0% were currently experiencing homelessness. Only 1.9% had experience and 46.3% had familiarity with telemedicine. Internet and computer access were reported by 66.0% and 31.5% of participants, respectively. Compared to participants with secure housing, those currently experiencing homelessness reported decreased internet (50.6% vs 81.5%, p<0.001) and computer access (11.1% vs 51.9%, p<0.001). Multivariable analyses revealed that older age (per 1-year increase: odds ratio [OR]=0.94, 95% confidence interval [CI] [0.89, 0.99], p=0.03), IDU within the past year (0.29 [0.10, 0.88], p=0.03), and homelessness (0.29, [0.13, 0.65], p=0.003) were associated with lower odds of internet access. Homelessness was associated with lower odds of computer access (0.17, [0.07, 0.41], p<0.001).ConclusionsInternet and infrastructure challenges, homelessness, and digital literacy gaps should be considered to bridge the digital divide and ensure equitable digital healthcare distribution for PWUD.Clintrials.govregistration number:NCT05794984

show abstract

Considerations for Equitable Distribution of Digital Healthcare for People Who Use Drugs

Papalamprakopoulou,

Roussos,

Ntagianta

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Health Care for People Experiencing Homelessness

Abstract: This JAMA Insights examines the adverse effects of homelessness on physical and mental health and suggests strategies to improve access to health care, services, and housing for people experiencing homelessness.

Cited by 1 publication

References 11 publications

Considerations for Equitable Distribution of Digital Healthcare for People Who Use Drugs

Considerations for Equitable Distribution of Digital Healthcare for People Who Use Drugs

Contact Info

Product

Resources

About