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Home Research Research Library Adults with Housing Insecurity Have Worse Access to Primary and Preventive Care Adults with Housing Insecurity Have Worse Access to Primary and Preventive Care 2019 Author(s) Martin, Patricia, Liaw, Winston R, Bazemore, Andrew W, Jetty, Anuradha, Petterson, Stephen M, and Kushel, Margot Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 32(4):521-530 Source Journal of the American Board of Family Medicine OBJECTIVE: Housing insecurity has been linked to high-risk behaviors and chronic disease, although less is known about the pathways leading to poor health. We sought to determine whether housing insecurity is associated with access to preventive and primary care. METHODS: We conducted weighted univariate, bivariate, and multivariate analyses by using 2011 to 2015 Behavioral Risk factor Surveillance Survey data (N = 228,131 adults). The independent variable was housing insecurity derived from the question on worry about paying rent or mortgage. The outcome measures were health services utilization (no usual source of care, no routine checkup in the past 1 year, and delayed medical care due to cost), self-rated health (number of days reported physical, mental health not good, and poor overall health), and number of chronic diseases (0, 1, 2 or more). The covariates included age, sex, race/ethnicity, income, level of education, marital status, and number of children in the family. We also adjusted for state fixed effects and survey year. We performed χ2 tests and binary logistic regressions on categorical variables and ran t tests and estimated linear regression models on continuous variables. Multinomial logistic regressions were estimated for the number of chronic diseases. RESULTS: Of the 228,131 adults in the study sample, 28,704 adults reported housing insecurity. We found that those with housing insecurity were more likely to forgo routine check-ups and lack usual sources of care. Low-income individuals, minorities, the unmarried, and middle-aged adults were more likely to report housing insecurity. CONCLUSION: Housing insecurity is associated with worse access to preventive and primary care. Interventions to enhance access for these patients should be developed and studied. Read More ABFM Research Read all 2021 Family Medicine Billing for Point-of-Care Ultrasound (POCUS) Go to Family Medicine Billing for Point-of-Care Ultrasound (POCUS) 2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module 2021 Family Physician Burnout Does Not Differ With Rurality Go to Family Physician Burnout Does Not Differ With Rurality 2018 A State Chapter Perspective on Burnout and Resiliency Go to A State Chapter Perspective on Burnout and Resiliency
Author(s) Martin, Patricia, Liaw, Winston R, Bazemore, Andrew W, Jetty, Anuradha, Petterson, Stephen M, and Kushel, Margot Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 32(4):521-530 Source Journal of the American Board of Family Medicine
ABFM Research Read all 2021 Family Medicine Billing for Point-of-Care Ultrasound (POCUS) Go to Family Medicine Billing for Point-of-Care Ultrasound (POCUS) 2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module 2021 Family Physician Burnout Does Not Differ With Rurality Go to Family Physician Burnout Does Not Differ With Rurality 2018 A State Chapter Perspective on Burnout and Resiliency Go to A State Chapter Perspective on Burnout and Resiliency
2021 Family Medicine Billing for Point-of-Care Ultrasound (POCUS) Go to Family Medicine Billing for Point-of-Care Ultrasound (POCUS)
2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module
2021 Family Physician Burnout Does Not Differ With Rurality Go to Family Physician Burnout Does Not Differ With Rurality
2018 A State Chapter Perspective on Burnout and Resiliency Go to A State Chapter Perspective on Burnout and Resiliency
