AI Article Synopsis
- In Honolulu, despite having some of the highest health insurance rates for the homeless in the U.S., many still lack access to necessary health care.
- The study analyzed health care barriers across four domains—bureaucratic, personal, programmatic, and financial—using a sample of 128 people from three homeless shelters.
- Findings showed that while various barriers exist, the main financial hurdle was the lack of health insurance, indicating that addressing this issue could improve health care access for the homeless population.
Article Abstract
In Honolulu, health insurance rates amongst the homeless are one of the highest in the nation, yet significant health care needs are still unmet. In a previous model, health care barriers have been divided into four domains: bureaucratic, personal, programmatic, and financial. This study aimed to determine the risk factors associated with the domains of health care barriers amongst the study's sample of 128 subjects across three Honolulu homeless shelters. Univariate models revealed health care barriers; but only the lack of health insurance was a significant financial barrier to health care in multivariate analyses (Odds ratio: 2.12; 95% Confidence Interval: 1.09-4.16). The identification of barriers should guide how health care programs approach Honolulu's homeless population to better serve their health care needs.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215981 | PMC |
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