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Geriatric Conditions in a Population-Based Sample of Older Homeless Adults
Author(s): Rebecca T. Brown, Kaveh Hemati, Elise D. Riley, Christopher T. Lee, Claudia Ponath, Lina Tieu, David Guzman, Margot B. Kushel
Publication Date: 2016
Older homeless adults living in shelters have high rates of geriatric conditions, which may increase their risk for acute care use and nursing home placement. However, a minority of homeless adults stay in shelters and the prevalence of geriatric conditions among homeless adults living in other environments is unknown. This study determined the prevalence of common geriatric conditions in a cohort of older homeless adults, and whether the prevale...
Disabled on the street: the course of functional impairment in older homeless adults
Author(s): Theora Cimino, Michael A. Steinman, Susan L. Mitchell, Miao, Caroline E. Barnhart, Rebecca T. Brown
Publication Date: 2015
Over the past 25 years, the proportion of the homeless population 50 years of age and older has increased rapidly, from 11% in 19901 to nearly 50% today.2 Older homeless adults experience early onset of age-related conditions relative to the general population, including difficulty performing basic self-care activities that are considered essential for independence, such as bathing and dressing.3 Such difficulty, or “functional impairment,” occur...
Working Out of Poverty: Employment Retention and Career Advancement for Welfare Recipients
Author(s): Rebecca T. Brown, Evelyn Ganzglass, Susan Golonka, Jill Hyland, Martin Simon
Publication Date: 1998
This report explores promising welfare-to-work programs and practices of states and localities as they balance supply- with demand-side strategies to help welfare recipients and low-wage workers work their way out of poverty while meeting employers' needs for reliable workers. Chapter 2 describes the new environment created by changes in the welfare system and the labor market that poses challenges for low-skill workers as they struggle to work t...
Characteristics of Emergency Department Visits by Older Versus Younger Homeless Adults in the United States
Author(s): Rebecca T. Brown, Michael A. Steinman
Publication Date: 2013
We compared the characteristics of emergency department (ED) visits of older versus younger homeless adults. <i>Methods.</i> We analyzed 2005–2009 data from the National Hospital Ambulatory Medical Care Survey, a nationally representative survey of visits to hospitals and EDs, and used sampling weights, strata, and clustering variables to obtain nationally representative estimates. <i>Results.&l...
Health Care Access and Utilization in Older versus Younger Homeless Adults
Author(s): Rebecca T. Brown, Ryan V. Kimes, D. Guzman, Margot Kushel
Publication Date: 2010
OBJECTIVES: To examine whether demographic characteristics, health care access, and acute health care utilization differ by age among homeless adults. METHODS: We interviewed all 2,175 adult attendees of a citywide homeless outreach event. RESULTS: Older participants were more likely than younger participants to have a regular place for health care (59.8% vs. 44.3%, p<.01), a regular health care provider (53.6% vs. 35.6%, p<.01), and health...