Health Care Utilization in Homeless Youth
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To examine common reasons for utilization of health care services at a free homeless youth clinic. This is a retrospective chart review for visits over a 1 year period. Data on age, gender, and up to 3 chief complaints per visit were collected from the electronic medical record. Of the 744 clinical encounters, the mean age of youth was 18.8 years and 53.2 % involved female patients. The most common reasons for utilizing services include screening and treatment of sexually transmitted infections (STI) 14.3 %, physical exam for housing 13.7 %, dermatologic complaints 13.5 %. Chief complaints were different for males and females (p ≤ 0.001). Females were more likely to receive laboratory testing for STI than males (p ≤ 0.001). Females were most likely to seek care for sexual and reproductive health needs and males were more likely to come for acute concerns. These differences can inform providers working with this vulnerable population.
- Youth noise (Internet): YouthNoise Homelessness Archive. (2010). cited 10/20/2010. Available from: http://www.youthnoise.com/page.php?page_id=6144.
- Seattle king County Coalition on Homelessness. (2012). 2012 annual one night count of people who are homeless in king county, Seattle, WA. http://www.homelessinfo.org/what_we_do/one_night_count/2012_results.php.
- Marshall, B. D. L. (2008). The contextual determinants of sexually transmissible infections among street-involved youth in North America. Culture, Health & Sexuality, 10(8), 787–799. CrossRef
- Ensign, B. J. (2006). Perspectives and experiences of homeless young people. Journal of Advanced Nursing, 54(6), 647–652. CrossRef
- Ensign, J., & Panke, A. (2002). Barriers and bridges to care: Voices of homeless female adolescent youth in Seattle, WA, USA. Journal of Advanced Nursing, 37(2), 166–172. CrossRef
- Ensign, J. (2004). Quality and improvement. Quality of health care: The views of homeless youth. Health Services Research, 39(4), 695–707. CrossRef
- Breuner, C., Barry, P., & Kemper, K. (1998). Alternative medicine use by homeless youth. Archives of Pediatric Medicine, 152(11), 1071–1075. CrossRef
- De Rosa, C., Montgomery, S., Kipke, M. D., Iverson, E., Ma, J., & Unger, J. (1999). Service utilization among homeless and runaway youth in Los Angeles. Journal of Adolescent Health, 24(3), 190–200. CrossRef
- Ensign, J., & Santelli, J. (1998). Health status and service use. Comparison of adolescents at a school-based health clinic with homeless adolescents. Archives of Pediatrics Adolescent Medicine, 152(1), 20–24. CrossRef
- Ensign, J. (2000). Reproductive health of homeless adolescent women in Seattle, WA, USA. Women & Health, 31(2–3), 133–151.
- Marcell, A. V., Klein, J. D., Fischer, I., Allan, M. J., & Kokotailo, P. K. (2002). Male adolescent use of health care services: Where are the boys? Journal of Adolescent Health, 30(1), 35–43. CrossRef
- Health Care Utilization in Homeless Youth
Journal of Community Health
Volume 39, Issue 3 , pp 521-523
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- Print ISSN
- Online ISSN
- Springer US
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- Homeless youth
- Reproductive health
- Health care utilization