{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T21:48:32Z","timestamp":1774734512045,"version":"3.50.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000910","name":"Conrad N Hilton Foundation","doi-asserted-by":"publisher","award":["#32793"],"award-info":[{"award-number":["#32793"]}],"id":[{"id":"10.13039\/100000910","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001018","name":"California Healthcare Foundation","doi-asserted-by":"crossref","award":["#G-33361"],"award-info":[{"award-number":["#G-33361"]}],"id":[{"id":"10.13039\/100001018","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Estimates of behavioral and physical health conditions among unsheltered populations are often used to guide policy initiatives for healthcare and housing, yet robust, disease-specific prevalence estimates remain limited. We address this gap by leveraging multiple data sources to generate more reliable estimates of specific disease conditions for unsheltered adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We triangulate data from three sources in Los Angeles County, which has the largest unsheltered population in the US: a probability-based survey of adults experiencing homelessness (n = 898), and electronic health records from two field-based medical providers (n = 1683; n = 527). We report univariate estimates by source and summarize across sources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across sources, median prevalence was 40% for mental health conditions (range: 40%-61%) and 33% for substance use conditions (range: 31%-43%). Post-traumatic stress disorder and major depression were the most common mental health conditions (median 22%), and stimulant use disorder was the most common substance use condition (median 17%). Physical health conditions were more common than both mental health and substance use conditions overall (median 57%; range: 49%-73%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings underscore that housing and health care are complementary components of care and support, integrating field-based medical services with permanent housing investments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/haschl\/qxag062","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T16:43:35Z","timestamp":1773333815000},"source":"Crossref","is-referenced-by-count":1,"title":["What are the true medical concerns facing unsheltered homeless adults?"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5664-6933","authenticated-orcid":false,"given":"Randall","family":"Kuhn","sequence":"first","affiliation":[{"name":"Fielding School of Public Health, UCLA, Los Angeles, CA 90095, United States Department of Community Health Sciences,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4968-2789","authenticated-orcid":false,"given":"Jessie","family":"Chien","sequence":"additional","affiliation":[{"name":"Fielding School of Public Health, UCLA, Los Angeles, CA 90095, United States Department of Community Health Sciences,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0248-7038","authenticated-orcid":false,"given":"Evan Michael","family":"Shannon","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, UCLA, Los Angeles, CA 90095 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2750-5821","authenticated-orcid":false,"given":"Sonali","family":"Saluja","sequence":"additional","affiliation":[{"name":"Healthcare in Action, Long Beach, CA 90806 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2042-456X","authenticated-orcid":false,"given":"Giovanni","family":"Righi","sequence":"additional","affiliation":[{"name":"Department of Economics, UCLA, Los Angeles, CA 90095 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8615-286X","authenticated-orcid":false,"given":"Mohammad","family":"Damra","sequence":"additional","affiliation":[{"name":"Healthcare in Action, Long Beach, CA 90806 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coley M","family":"King","sequence":"additional","affiliation":[{"name":"Homeless Health Care, Venice Family Clinic, Los Angeles, CA 90291 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9772-0116","authenticated-orcid":false,"given":"Lillian","family":"Gelberg","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA 90095 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8346-3569","authenticated-orcid":false,"given":"Benjamin F","family":"Henwood","sequence":"additional","affiliation":[{"name":"Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles CA 90089 ,","place":["United 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