Donna J Biederman1, Peter Callejo-Black2, Christian Douglas1, Heather A O'Donohue3, Monica Daeges3, Olamiji Sofela4, Ashanti Brown5. 1. Duke University School of Nursing, Durham, North Carolina, USA. 2. Family Community Medicine, University of California San Francisco, San Francisco, California, USA. 3. Alumna of Duke University School of Nursing, Durham, North Carolina, USA. 4. Children's Hospital Colorado, Aurora, Colorado, USA. 5. Strategic Management, Durham Housing Authority, Durham, North Carolina, USA.
Abstract
OBJECTIVES: This study sought to (1) determine the number of persons evicted from the Durham Housing Authority (DHA) over a 5-year period, (2) explore changes in the number of persons with various medical diagnoses and health care utilization patterns before and after eviction, and (3) examine how many persons evicted from DHA became literally homeless. DESIGN: This was a pre/post cross-sectional quantitative study. SAMPLE: Heads of households evicted from DHA properties from January 1, 2013 through December 31, 2017 were included in the study. MEASUREMENTS: We matched people evicted by the DHA in a university health system electronic health record system to determine changes in diagnoses and health care utilization before and after eviction. We also matched the cohort in the homeless management information system to determine how many persons evicted became literally homeless. RESULTS: Findings indicate statistically significant increases in persons with medical diagnoses in five of ten categories, total hospital admissions, and emergency department visits after eviction. Of the 152 people included in the study, 34 (22%) became literally homeless. CONCLUSIONS: Health and health care utilization patterns were different before and after eviction. Implications for clinicians are explored.
OBJECTIVES: This study sought to (1) determine the number of persons evicted from the Durham Housing Authority (DHA) over a 5-year period, (2) explore changes in the number of persons with various medical diagnoses and health care utilization patterns before and after eviction, and (3) examine how many persons evicted from DHA became literally homeless. DESIGN: This was a pre/post cross-sectional quantitative study. SAMPLE: Heads of households evicted from DHA properties from January 1, 2013 through December 31, 2017 were included in the study. MEASUREMENTS: We matched people evicted by the DHA in a university health system electronic health record system to determine changes in diagnoses and health care utilization before and after eviction. We also matched the cohort in the homeless management information system to determine how many persons evicted became literally homeless. RESULTS: Findings indicate statistically significant increases in persons with medical diagnoses in five of ten categories, total hospital admissions, and emergency department visits after eviction. Of the 152 people included in the study, 34 (22%) became literally homeless. CONCLUSIONS: Health and health care utilization patterns were different before and after eviction. Implications for clinicians are explored.
Keywords:
African Americans; eviction; health care systems; health care utilization; health disparities; homeless persons; public housing; underserved populations
Authors: Chiquita Rollins; Nancy E Glass; Nancy A Perrin; Kris A Billhardt; Amber Clough; Jamie Barnes; Ginger C Hanson; Tina L Bloom Journal: J Interpers Violence Date: 2011-10-10
Authors: Eleni C Digenis-Bury; Daniel R Brooks; Leslie Chen; Mary Ostrem; C Robert Horsburgh Journal: Am J Public Health Date: 2007-11-29 Impact factor: 9.308
Authors: Donna J Biederman; Julia Gamble; Sally Wilson; Christian Douglas; Jacob Feigal Journal: Public Health Nurs Date: 2019-02-11 Impact factor: 1.462
Authors: Miriam Harris; Anne Gadermann; Monica Norena; Matthew To; Anita M Hubley; Tim Aubry; Stephen Hwang; Anita Palepu Journal: Int J Public Health Date: 2018-10-31 Impact factor: 3.380
Authors: Don Bambino Geno Tai; Aditya Shah; Chyke A Doubeni; Irene G Sia; Mark L Wieland Journal: Clin Infect Dis Date: 2021-02-16 Impact factor: 9.079
Authors: Braulio A Marfil-Garza; Pablo F Belaunzarán-Zamudio; Alfonso Gulias-Herrero; Antonio Camiro Zuñiga; Yanink Caro-Vega; David Kershenobich-Stalnikowitz; José Sifuentes-Osornio Journal: PLoS One Date: 2018-11-08 Impact factor: 3.240