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Titolo:
HOMELESS VETERANS UTILIZATION OF MEDICAL, PSYCHIATRIC, AND SUBSTANCE-ABUSE SERVICES
Autore:
WENZEL SL; BAKHTIAR L; CASKEY NH; HARDIE E; REDFORD C; SADLER N; GELBERG L;
Indirizzi:
UNIV CALIF LOS ANGELES,DIV FAMILY MED,50-071 CHS,BOX 951683 LOS ANGELES CA 90095 RAND CORP SANTA MONICA CA 00000 W LOS ANGELES VET AFFAIRS MED CTR LOS ANGELES CA 90073 UNIV CALIF LOS ANGELES,DEPT PSYCHIAT & BIOBEHAV SCI LOS ANGELES CA 90024
Titolo Testata:
Medical care
fascicolo: 11, volume: 33, anno: 1995,
pagine: 1132 - 1144
SICI:
0025-7079(1995)33:11<1132:HVUOMP>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-HEALTH; CARE; ADJUSTMENT; ALCOHOL; PROGRAM; ADULTS; WOMEN;
Keywords:
HOMELESS VETERANS; SERVICE UTILIZATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
47
Recensione:
Indirizzi per estratti:
Citazione:
S.L. Wenzel et al., "HOMELESS VETERANS UTILIZATION OF MEDICAL, PSYCHIATRIC, AND SUBSTANCE-ABUSE SERVICES", Medical care, 33(11), 1995, pp. 1132-1144

Abstract

This study focuses on the association between homeless veterans' prior utilization of medical, psychiatric, and substance abuse services and biopsychosocial characteristics reported at admission into a domiciliary care program. Given the large number of veterans in the US homeless population and their health care needs, understanding factors associated with health service use among homeless veterans is significant. Research participants were 429 homeless male veterans who had been admitted to the Domiciliary Care for Homeless Veterans Program site at the West Los Angeles Veterans Affairs Medical Center between February 1988 and July 1992 for treatment of medical, psychiatric, or substance disorders. Results of logistic regression analyses indicated that self-reported need (chronic medical problems, serious psychiatric symptoms,combat stress, alcohol use) and evaluated need for care (evidence of liver dysfunction) were important to veterans' use of health services in the 6 months before program admission. Predisposing social structure factors (education, residential stability, and usual sleeping place)were also significant predictors of service utilization. Overall, need factors were more strongly related to service use. Supplementary logistic regression analyses indicated that comorbidity of need factors deserves attention in understanding homeless veterans' use of services. In conclusion, it is important to attend to predisposing social structure factors as potential barriers to care for homeless veterans.

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Documento generato il 25/11/20 alle ore 15:30:29