Health and health care disparities among homeless women.
Health and health care disparities among homeless women.
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DOI：
10.1080/03630242.2010.532754
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发表时间：
2010-12
期刊：
影响因子：
1.6
通讯作者：
Gelberg L
中科院分区：
文献类型：
--
作者：
Teruya C;Longshore D;Andersen RM;Arangua L;Nyamathi A;Leake B;Gelberg L
虽然弱势群体（例如，虽然少数民族、低收入者和多数人群体之间的差异有充分的记录，但对这些庞大而多样的特殊群体内部的差异却知之甚少。这些知识对于确定这些普遍贫困人口中最贫困的人和规划干预措施以减少他们的健康和保健差距至关重要。在迄今为止对无家可归妇女健康状况进行的最大、最全面的研究中，我们收集了居住在洛杉矶县的1,331名妇女的数据，研究了无家可归的非裔美国人、拉丁裔和白色妇女之间的健康和医疗保健差异。我们进一步探讨了种族/民族和其他因素，使无家可归的妇女健康状况不佳，或使他们能够获得更好的医疗保健与他们的医疗保健需求未得到满足。我们发现，非拉丁裔的白色妇女比非裔美国人和拉丁裔妇女更有可能报告未满足的需求，而遭受药物滥用、暴力或抑郁的妇女最需要照顾。在针对和解决不同种族/族裔群体无家可归妇女的特殊需要时，应考虑这些调查结果。
While disparities in health and health care between vulnerable (e.g., minorities, low income) and majority populations are well documented, less is known about disparities within these special populations that are large and diverse. Such knowledge is essential to determine the most needy within these generally needy populations and to plan interventions to reduce their health and health care disparities. With data from 1,331 women residing in Los Angeles County, in one of the largest, most comprehensive studies of the health of homeless women to date, we examined the health and health care disparities among homeless African American, Latina and white women. We further explored if race/ethnicity and other factors that predispose homeless women to poor health or enable them to obtain better health care were associated with their unmet need for medical care. We found that white, non-Latina women were more likely to report unmet need than African Americans and Latinas, and women suffering from drug abuse, violence, or depression were most in need of care. These findings should be considered in targeting and addressing the special needs of homeless women of different racial/ethnic groups.