{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:14:24Z","timestamp":1791864864658,"version":"4.3.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T00:00:00Z","timestamp":1624406400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Approximately 10% of homeless adults in the US are veterans and that number is increasing. Veterans who experience homelessness tend to do so for longer periods compared to non-veterans; and homelessness is associated with more chronic disease complications. We compared the prevalence of five chronic, ambulatory-care sensitive conditions in homeless and domiciled individuals who received primary care at an urban VA hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were obtained from the Veteran\u2019s Hospital Administration clinical data warehouse. Differences in disease prevalence were compared between the two groups using chi-square analyses and then adjusted for age, gender, race\/ethnicity, BMI, and other risk factors where appropriate, using logistic regression. All analyses were conducted using SAS version 9.4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Homeless individuals were 46% more likely to have asthma (OR 1.46, 95% CI 1.16\u20131.84) and 40% more likely to have COPD (OR 1.40, 95% CI 1.14\u20131.73) after adjustment for age, gender, race\/ethnicity, BMI, and tobacco use status. After adjustment for covariates, there was no difference between homeless and domiciled veterans in the prevalence of diabetes, hypertension, or congestive heart failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Future quality improvement projects should identify social-environmental risk factors like employment characteristics, and housing quality that can impact chronic respiratory illness prevalence and associated complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17423953211023959","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T01:41:50Z","timestamp":1624498910000},"page":"589-598","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Differences in disease prevalence among homeless and non-homeless veterans at an urban VA hospital"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1442-6366","authenticated-orcid":false,"given":"Candace","family":"Tannis","sequence":"first","affiliation":[{"name":"Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sritha","family":"Rajupet","sequence":"additional","affiliation":[{"name":"Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA"},{"name":"Health Promotion and Disease Prevention Program, James J. Peters VA Medical Center, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,23]]},"reference":[{"key":"bibr1-17423953211023959","unstructured":"National Alliance to End Homelessness. The state of homelessness in America. 4th ed. Washington, DC: \nNational Alliance to End Homelessness, 2014, p. 11."},{"key":"bibr2-17423953211023959","doi-asserted-by":"publisher","DOI":"10.5888\/pcd14.170230"},{"key":"bibr3-17423953211023959","first-page":"703","volume":"5","author":"Assari S.","year":"2014","journal-title":"Int J Prev Med"},{"key":"bibr4-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4193"},{"key":"bibr5-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000083"},{"key":"bibr6-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-05384-0_15"},{"key":"bibr7-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2018.02.023"},{"key":"bibr8-17423953211023959","unstructured":"Community Solutions 2011. National survey of homeless veterans in 100,000 homes campaign communities, http:\/\/100khomes.org\/sites\/default\/files\/NationalSurveyofHomelessVeterans.pdf (2011, accessed 1 May 2018)."},{"key":"bibr9-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12289"},{"key":"bibr10-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa795"},{"key":"bibr11-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2020-316706"},{"key":"bibr12-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckp197"},{"key":"bibr13-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.02.077"},{"key":"bibr14-17423953211023959","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302693"},{"key":"bibr15-17423953211023959","unstructured":"Centers for Medicare and Medicaid Services. 2016 Measure Information about the hospital admissions for acute and chronic ambulatory-care sensitive condition (ACSC) composite measures, calculated for the 2018 value-based payment modifier program, www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/PhysicianFeedbackProgram\/Downloads\/2016-ACSC-MIF.pdf (2017, accessed 30 June 2020)."},{"key":"bibr16-17423953211023959","volume-title":"AHRQ quality indicators\u2014guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions (AHRQ Pub. No. 02-R0203)","author":"Agency for Healthcare Research and Quality","year":"2001"},{"key":"bibr17-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-336"},{"key":"bibr18-17423953211023959","unstructured":"US Department of Veterans Affairs. Office of Construction and Facilities management: PACT Space Module Design Guide, www.cfm.va.gov\/til\/dGuide\/dgPACT.pdf (2015, accessed 9 February 2021)."},{"key":"bibr19-17423953211023959","unstructured":"O\u2019toole T. Development and expansion of homeless patient aligned care team (HPACT) model: H-PACT brief, www.va.gov\/HOMELESS\/nchav\/resources\/docs\/special-models\/h-pact\/Development-and-Expansion-of-Homeless-Patient-Aligned-Care-Team-508.pdf (accessed 9 February 2021)."},{"key":"bibr20-17423953211023959","first-page":"E23","volume":"15","author":"O'Toole TP","year":"2018","journal-title":"Prev Chronic Dis"},{"key":"bibr21-17423953211023959","first-page":"E44","volume":"13","author":"O'Toole TP","year":"2016","journal-title":"Prev Chronic Dis"},{"key":"bibr22-17423953211023959","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302330"},{"key":"bibr23-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12009"},{"key":"bibr24-17423953211023959","first-page":"81","volume":"8","author":"Nikoo N","year":"2015","journal-title":"J Health Dispar Res Pract"},{"key":"bibr25-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-2769"},{"key":"bibr26-17423953211023959","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.070482"},{"key":"bibr27-17423953211023959","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr28-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-025192"},{"key":"bibr29-17423953211023959","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16183259"},{"key":"bibr30-17423953211023959","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr31-17423953211023959","doi-asserted-by":"publisher","DOI":"10.3201\/eid1104.041126"},{"key":"bibr32-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.02110s2323"},{"key":"bibr33-17423953211023959","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2013.857682"},{"key":"bibr34-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6987-7"},{"key":"bibr35-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1042\/BST20190250"},{"key":"bibr36-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2019.108783"},{"key":"bibr37-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.13805"},{"key":"bibr38-17423953211023959","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"key":"bibr39-17423953211023959","unstructured":"Dipetro B, Artiga S, Gates A. Early impacts of the Medicaid expansion for the homeless population. Kaiser Commission on Medicaid and the Uninsured (Issue Brief), www.affordable-rent.com\/sites\/default\/files\/2017-01\/early-impacts-of-the-medicaid-expansion-for-the-homeless-population-issue-brief.pdf (2014, accessed 2 August 2020)."},{"key":"bibr40-17423953211023959","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyp160"},{"key":"bibr41-17423953211023959","volume-title":"Characteristics and costs of potentially preventable inpatient stays, 2017 (HCUP Statistical Brief #259)","author":"McDermott KW (IBM Watson Health)","year":"2020"}],"container-title":["Chronic Illness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17423953211023959","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17423953211023959","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17423953211023959","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:00:42Z","timestamp":1777388442000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17423953211023959"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,23]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1177\/17423953211023959"],"URL":"https:\/\/doi.org\/10.1177\/17423953211023959","relation":{},"ISSN":["1742-3953","1745-9206"],"issn-type":[{"value":"1742-3953","type":"print"},{"value":"1745-9206","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,23]]}}}