A5001535072- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Substance Abuse Treatment and Outcomes
- Urban, Neighborhood, and Segregation Studies
- Emergency and Acute Care Studies
- Housing, Finance, and Neoliberalism
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Prenatal Substance Exposure Effects
- Hepatitis C virus research
- Adolescent Sexual and Reproductive Health
- Pharmaceutical Practices and Patient Outcomes
- Smoking Behavior and Cessation
- Chronic Disease Management Strategies
- Sex work and related issues
- Migration, Health and Trauma
- Tuberculosis Research and Epidemiology
- Mental Health and Patient Involvement
- Intimate Partner and Family Violence
- Sexuality, Behavior, and Technology
- Cannabis and Cannabinoid Research
University of California, Los Angeles
2016-2025
Center for the Study of Healthcare Provider Behavior
2014-2025
VA Greater Los Angeles Healthcare System
2014-2024
UCLA Health
2014-2024
Fielding Graduate University
2017-2024
University of Southern California
2024
Health Services Research & Development
2014-2023
Moss Landing Marine Laboratories
2023
Hudson Institute
2023
John Wiley & Sons (United States)
2023
OBJECTIVES: The role of competing priorities as a barrier to the utilization physical health services was assessed in subset (n = 363) probability sample homeless adults Los Angeles. METHODS: Unadjusted odds four measures were calculated for those with frequent difficulty meeting their subsistence needs. These then adjusted range characteristics assumed affect among homeless. RESULTS: Before and after adjustment, less likely have regular source care (odds ratio [OR] 0.30, 95% confidence...
We compared access to health care, use of services, and care experiences for Mexicans other Latinos by citizenship immigrant authorization status.We acquired data from the 2003 California Health Interview Survey, with 42,044 participants representative noninstitutionalized households. Participants were differentiated ethnicity/race, national origin, citizenship/immigration status. Outcome measures included having a usual source problems in obtaining necessary physician emergency department 3...
As part of a community-based survey 529 homeless adults, the authors analyzed factors associated with their use mental health services. Homeless persons who had previous psychiatric hospitalization were least likely to sleep in an emergency shelter, been nearly twice as long rest sample, worst status, used alcohol and drugs most, most involved criminal activities. The majority not made outpatient visit 5 years. It is suggested that diverse systems care are needed for persons.
Information on the physical health of homeless adults is potentially biased either by sampling strategy or measurement health. Studies that used comprehensive measures (self-reported and objective measures) relied samples from shelters hotels. However, more representative community-based studies self-reports ratings. We conducted first study to use both a sample (N = 529) (an interview, limited examination, blood testing). Shelter dwellers compared with persons sampled elsewhere were less...
We applied the Gelberg-Andersen Behavioral Model for Vulnerable Populations to predict health services utilization (HSU) in 875 homeless US women. Structural models assessed impact of predisposing (demographics, psychological distress, alcohol/drug problems, homelessness severity), enabling (health insurance, source care, barriers) and need (illness) variables on HSU (preventive outpatient visits, hospitalizations). Homelessness severity predicted illness, barriers less insurance. Distress...
Abstract Homeless women experience extensive health risks including physical and sexual victimization. Few studies that have gathered information on homeless persons reported results separately for or compared them directly with men. Research both investigates antecedents of victimization among compares to those men is necessary determine whether prevention efforts must be different each group. We investigated potential recent (past 30 days) in a probability sample 394 findings 1159 As...
Objectives. We estimated the prevalence and determinants of delayed unmet needs for medical care among patients in a restructured public health system. Methods. conducted stratified cross-sectional probability sample primary Los Angeles County Department Health Services. Face-to-face interviews were with 1819 adult 6 languages. The response rate was 80%. study racially/ethnically diverse. Results. Thirty-three percent reported delaying needed during preceding 12 months; 25% an need because...
The resurgence of tuberculosis (TB) has coincided with deteriorating access to care for high-risk populations. We sought determine what perceived barriers delayed symptomatic TB patients from obtaining care. In order do this, we conducted a survey in Los Angeles County, California, using consecutive sample active as confirmed by the county control authority. measures used study were self-reported delay seeking more than 60 d symptom onset, period sufficient cause skin-test conversion exposed...
Objectives. The authors explore the determinants of having a regular source care in community-based probability sample homeless adults Los Angeles. Results from this study should be more representative than those previous studies that are clinic- or shelter-based. In addition to factors found barriers sources general population, we hypothesized psychosocial characteristics and lifestyle would negatively impact their likelihood care. Methods. conducted multiple logistic regression predict...
Background. Women veterans are three to four times more likely than non-veteran women become homeless. However, their risk factors for homelessness have not been defined. Methods. Case-control study of non-institutionalized homeless (n533) and age-matched housed (n=165). Health, health care, associated with were assessed using multiple logistic regression a Monte Carlo algorithm estimate exact standard errors the model coefficients p-values. Results. Characteristics sexual assault during...
Despite the disproportionate prevalence of incarceration in communities color, few studies have examined its contribution to health disparities. We whether a lifetime history is associated with recent access medical and dental care. performed secondary data analysis 2007 Los Angeles County Health Survey, population-based random-digit-dialing telephone survey county households. Any prison/jail/detention center as an adult was assessed for random subsample. Bivariate multivariate logistic...
When seeking medical care, homeless persons often turn to health centers that were designed treat the poor who have homes. To provide for effective personnel in such facilities need know how care needs of are different from those other clinic users. compare physical these two groups, we conducted a survey and screening examination 464 patients attended general adult sessions one main neighborhood Los Angeles County, California. As compared with homes, more likely dermatological problems (32%...
The Institute of Medicine has placed a priority on determining the special health‐care needs elderly homeless persons. As part community‐based study 521 adults in two beach communities Los Angeles, we compared demographic characteristics and health older (age range, 50–78 , n = 61) younger 18–49 460) individuals. Compared with adults, were more likely to be white (85% versus 61%), veterans (59% 27%), retired (36% 3%), living vehicle (21% 8%). Older report having chronic disease (69% 49%),...
Abstract Aims To assess the effects of adding motivational interviewing ( MI ) counseling to nicotine patch for smoking cessation among homeless smokers. Design Two‐group randomized controlled trial with 26‐week follow‐up. Participants and setting A total 430 smokers from emergency shelters transitional housing units in M inneapolis/ S t Paul, innesota, USA . Intervention measurements All participants received 8‐week treatment 21‐mg patch. In addition, intervention group six individual...