The impact of housing status on health care utilization among persons with HIV disease.

P. S. Arno, Karen A. Bonuck, J. Green, J. Fleishman, C. L. Bennett, M. C. Fahs, C. Maffeo, E. Drucker

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

This study sought to identify the prevalence of unstable housing situations, and for whom they occurred, and to examine differences in health care utilization by housing status. Housing status and inpatient and outpatient health care utilization of 1,851 HIV-infected individuals was ascertained through interviews. Nine percent of respondents were in unstable housing situations. Unstable housing was associated with significantly lower functional status. The unstably housed were more likely to visit an emergency room (p < 0.05) and had fewer ambulatory visits than persons with stable housing (p < 0.03). They incurred nearly five more hospital days and their average hospitalization was approximately 1.5 days longer than the stably housed, although these differences were not significant. Utilization of ambulatory care is lower among unstably housed persons with HIV disease, which may have led to their increased reliance upon emergency rooms and hospitals. Helping HIV-infected individuals maintain adequate housing could reverse this pattern.

Original languageEnglish (US)
Pages (from-to)36-49
Number of pages14
JournalJournal of Health Care for the Poor and Underserved
Volume7
Issue number1
StatePublished - 1996

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Patient Acceptance of Health Care
utilization
housing
HIV
health care
Disease
human being
Ambulatory Care
Hospital Emergency Service
hospitalization
HIV-1
Inpatients
Hospitalization
Interviews

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Social Sciences (miscellaneous)

Cite this

Arno, P. S., Bonuck, K. A., Green, J., Fleishman, J., Bennett, C. L., Fahs, M. C., ... Drucker, E. (1996). The impact of housing status on health care utilization among persons with HIV disease. Journal of Health Care for the Poor and Underserved, 7(1), 36-49.

The impact of housing status on health care utilization among persons with HIV disease. / Arno, P. S.; Bonuck, Karen A.; Green, J.; Fleishman, J.; Bennett, C. L.; Fahs, M. C.; Maffeo, C.; Drucker, E.

In: Journal of Health Care for the Poor and Underserved, Vol. 7, No. 1, 1996, p. 36-49.

Research output: Contribution to journalArticle

Arno, PS, Bonuck, KA, Green, J, Fleishman, J, Bennett, CL, Fahs, MC, Maffeo, C & Drucker, E 1996, 'The impact of housing status on health care utilization among persons with HIV disease.', Journal of Health Care for the Poor and Underserved, vol. 7, no. 1, pp. 36-49.
Arno, P. S. ; Bonuck, Karen A. ; Green, J. ; Fleishman, J. ; Bennett, C. L. ; Fahs, M. C. ; Maffeo, C. ; Drucker, E. / The impact of housing status on health care utilization among persons with HIV disease. In: Journal of Health Care for the Poor and Underserved. 1996 ; Vol. 7, No. 1. pp. 36-49.
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