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The Behavioral Model for Vulnerable Populations: Application to Medical Care Use and Outcomes for Homeless People (Health Services Research)

Publication Topics

Use of Health Services; Health Behaviors; Access to Health Care; Health Promotion/Disease Prevention Issues

Publication Type

Journal Article

Publication Date


Author 1

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=487&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=487&RootFolder=*">Lillian Gelberg, M.D., M.S.P.H.</a>

Author 2

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=428&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=428&RootFolder=*">Ronald M. Andersen, PhD</a>

Author 3

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=7&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=7&RootFolder=*">Barbara D. Leake</a>

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The authors applied the Gelberg-Andersen Behavioral Model for Vulnerable Populations to predict health services utilization (HSU) in 875 homeless US women. Structural models assessed the impact of predisposing (demographics, psychological distress, alcohol/drug problems, homelessness severity), enabling (health insurance, source of care, barriers) and need (illness) variables on HSU (preventive care, outpatient visits, hospitalizations). Homelessness severity predicted illness, barriers and less insurance. Distress predicted more barriers, illness and less outpatient HSU. Drug problems predicted hospitalizations. Barriers predicted more illness and less outpatient HSU. Health and homelessness indicators were worse for White women. Better housing, access to care and insurance would encourage appropriate HSU.

Gelberg L, Andersen R, Leake B. The Behavioral Model for Vulnerable Populations: Application to Medical Care Use and Outcomes for Homeless People. Health Services Research. 2000 Feb;34(6):1273-302.


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Version: 2.0
Created at 9/27/2011 11:58 AM by Harout Katerjian
Last modified at 1/10/2013 3:57 PM by i:0#.f|uclachissqlmembershipprovider|jonathan