Determinants of health and service use patterns in homeless and low-income housed children.
Previous studies of homeless children have described more health problems and service use than in housed children, but failed to control for potential confounding factors that may differ between these children.
This observational study examines the relationship of homelessness and other determinants to health status and service use patterns in 627 homeless and low-income housed children.
Case-control study of 293 homeless and 334 low-income housed children aged 3 months to 17 years and their mothers conducted in Worcester, Massachusetts.
Information was collected about mothers'housing history, income, education, emotional distress, and victimization history.
Standardized instruments were administered to assess children's health.
Health service use questions were adapted from national surveys.
Main outcome measures included health status, acute illness morbidity, emergency department and outpatient medical visits.
Multivariable regression analyses were used to examine the association of family and environmental determinants, including homelessness, with health status and service use outcomes.
Mothers of homeless children were more likely to report their children as being in fair or poor health compared with their housed counterparts.
Homeless children were reported to experience a higher number of acute illness symptoms, including fever, ear infection, diarrhea, and asthma. (...)
Mots-clés Pascal : Statut social, Sans domicile fixe, Santé, Prévention, Soin santé primaire, Etude statistique, Enfant, Homme
Mots-clés Pascal anglais : Social status, Homeless, Health, Prevention, Primary health care, Statistical study, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0466541
Code Inist : 002B30A03B. Création : 19/02/1999.