지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care.
Methods: We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care,and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population.
Results: Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization:female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI,4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24).
Conclusions: Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed.
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참고문헌 (29)
참고문헌 신청
Brown RT / 2010 / Health care access and utilization in older versus younger homeless adults / J Health Care Poor Underserved 21 (3) : 1060 ~ 1070
Corney RH / 1990 / Sex differences in general practice attendance and help seeking for minor illness / J Psychosom Res 34 (5) : 525 ~ 534
Gelberg L / 1997 / Accuracy of homeless adult
Gelberg L / 2000 / The Behavioral Model for Vulnerable Populations: application to medical care use and outcomes for homeless people / Health Serv Res 34 (6) : 1273 ~ 1302
Green CA / 1999 / Gender, psychosocial factors and the use of medical services: a longitudinal analysis / Soc Sci Med 48 (10) : 1363 ~ 1372
Corney RH / 1990 / Sex differences in general practice attendance and help seeking for minor illness / J Psychosom Res 34 (5) : 525 ~ 534
Gelberg L / 1997 / Accuracy of homeless adult
Gelberg L / 2000 / The Behavioral Model for Vulnerable Populations: application to medical care use and outcomes for homeless people / Health Serv Res 34 (6) : 1273 ~ 1302
Green CA / 1999 / Gender, psychosocial factors and the use of medical services: a longitudinal analysis / Soc Sci Med 48 (10) : 1363 ~ 1372
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