Violence and Emergency Department Use among Community-Recruited Women Who Experience Homelessness and Housing Instability.

摘要: Women who experience housing instability are at high risk for violence and have disproportionately rates of emergency department (ED) use. However, little has been done to characterize the they experience, or understand how it may be related ED We recruited homeless unstably housed women from San Francisco shelters, free meal programs, single room occupancy (SRO) hotels. used generalized estimating equations examine associations between any use (i.e., an visit stated reason) every 6 months 3 years. Among 300 participants, 44% were African-American, mean age was 48 The prevalence experienced in prior included psychological (87%), physical without a weapon (48%), with (18%), sexual (18%). While most participants (85%) had not visited ED, these only two types significantly associated when all same model (ORphysical/weapon = 1.83, 95% CI 1.02-3.28; ORsexual 2.15, 1.30-3.53). Only perpetrated by someone primary intimate partner categorized perpetrator. need reduce this population is urgent. In context health care delivery, policies facilitate trauma-informed strategies that increase access non-ED care, such as street-based medicine, could substantial impact on homelessness instability.