{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T04:02:44Z","timestamp":1784952164434,"version":"3.55.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,3,13]],"date-time":"2020-03-13T00:00:00Z","timestamp":1584057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"University of Southern California Center for Health Equities in the Americas"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The urban homeless population has increased exposure to risk factors associated with chronic rhinosinusitis (CRS). However, a gap in knowledge of the prevalence of sinonasal symptoms in these demographic limits complete understanding of CRS epidemiology. There is a need to elucidate sinonasal disease burden in this vulnerable patient population to bring awareness to any existing disparities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the prevalence, severity, and associated factors of CRS clinical symptoms and health-care barriers in an urban homeless population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Homeless adults completed a sociodemographic questionnaire and the 22-item Sinonasal Outcome Test (SNOT-22) and EuroQol-5 Dimension-3 Level-Visual Analog Scale surveys. Responses were categorized by potential CRS symptoms defined as reporting at least 2 CRS cardinal symptoms. Risk factors associated with potential CRS symptoms were analyzed with multivariate regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-six (16%) out of 341 total subjects reported potential CRS symptoms. Those with potential CRS symptoms had a higher median SNOT-22 score (53 vs 22, P\u2009&lt;\u2009.001) than those without. Logistic regression models identified history of smoking (odds ratio [OR], 6.54; 95% confidence interval [CI], 2.04\u201321.04) and duration of homelessness over 3 months (OR, 3.46; CI, 1.51\u20137.94) as factors associated with potential CRS symptoms. Duration of homelessness over 3 months was associated with higher SNOT-22 scores (standardized beta coefficient [\u03b2], 0.48; CI, 0.39\u20130.57). Among those reporting 2 or more CRS cardinal symptoms, 18% had ever been seen by any physician for their symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study estimates a high prevalence of potential CRS symptoms in the urban homeless population. Longer duration of homelessness was associated with potential CRS symptoms and poor CRS-specific quality of life scores. Disparities in access to care emphasize the need for increased preventive efforts designed for this unique patient group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1945892420912152","type":"journal-article","created":{"date-parts":[[2020,3,14]],"date-time":"2020-03-14T00:41:43Z","timestamp":1584146503000},"page":"494-501","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Characterization of Chronic Sinonasal Disease Symptoms in an Urban Homeless Population"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6496-3119","authenticated-orcid":false,"given":"Kyohei","family":"Itamura","sequence":"first","affiliation":[{"name":"Caruso Department of Otolaryngology\u2014Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Hur","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2014Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Ference","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2014Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bozena","family":"Wrobel","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2014Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara N.","family":"Chambers","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2014Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,13]]},"reference":[{"key":"bibr1-1945892420912152","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2016.30.4297"},{"key":"bibr2-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-015-0064-8"},{"key":"bibr3-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818774006"},{"key":"bibr4-1945892420912152","unstructured":"Henry M, Shivji A, de Sousa T, Cohen R.\n                      The 2015 Annual Homeless Assessment Report (AHAR) to Congress: Part 1: Point-In-Time (PIT) Estimates of Homelessness\n                      . Washington, DC: Office of Community Planning and Development; 2015."},{"key":"bibr5-1945892420912152","unstructured":"Los Angeles Almanac. Homeless in Los Angeles County, California. http:\/\/www.laalmanac.com\/social\/so14.php. Accessed June 27, 2019."},{"key":"bibr6-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b4036"},{"key":"bibr7-1945892420912152","doi-asserted-by":"publisher","DOI":"10.2500\/aap.2013.34.3675"},{"key":"bibr8-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24630"},{"key":"bibr9-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000701"},{"key":"bibr10-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201308-1500ED"},{"key":"bibr11-1945892420912152","unstructured":"EQ-5D-3L \u2013 EQ-5D. https:\/\/euroqol.org\/eq-5d-instruments\/eq-5d-3l-about\/. Accessed May 31, 2019."},{"key":"bibr12-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818773065"},{"key":"bibr13-1945892420912152","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino12.000"},{"key":"bibr14-1945892420912152","unstructured":"Los Angeles County. City and Community Health Profiles. City of Los Angeles. http:\/\/publichealth.lacounty.gov\/ohae\/docs\/cchp\/PDF\/2018\/CityofLosAngeles.pdf. Accessed May 30, 2019."},{"key":"bibr15-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21408"},{"key":"bibr16-1945892420912152","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302248"},{"key":"bibr17-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1301935"},{"key":"bibr18-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-018-0763-0"},{"key":"bibr19-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22052"},{"key":"bibr20-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2018.12.986"},{"key":"bibr21-1945892420912152","doi-asserted-by":"publisher","DOI":"10.21037\/ajo.2018.01.03"},{"key":"bibr22-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.21476"},{"key":"bibr23-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818757697"},{"key":"bibr24-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.18760"},{"key":"bibr25-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199806113382406"},{"key":"bibr26-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.07.015"},{"key":"bibr27-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1177\/000348940911800701"},{"key":"bibr28-1945892420912152","doi-asserted-by":"publisher","DOI":"10.1016\/S0027-9684(15)30678-7"}],"container-title":["American Journal of Rhinology &amp; Allergy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1945892420912152","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1945892420912152","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1945892420912152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:36:32Z","timestamp":1777368992000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1945892420912152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,13]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1177\/1945892420912152"],"URL":"https:\/\/doi.org\/10.1177\/1945892420912152","relation":{},"ISSN":["1945-8924","1945-8932"],"issn-type":[{"value":"1945-8924","type":"print"},{"value":"1945-8932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,13]]}}}