Authors:

Bella Albiani

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About Paper:

Homelessness Co-Author(s): Tian Walker, Allissa L. Van Steenis, L. Zachary DuBois, Lesley Jo Weaver People experiencing homelessness (PEH) face numerous barriers to health, including limited access to health insurance and food assistance. This study examines how enrollment in these programs relates to food insecurity and chronic health conditions among PEH in a mid-sized Oregon city. Participants (n = 216) were surveyed about insurance, SNAP enrollment, housing status and food insecurity. Biomarkers were assessed via blood pressure, HbA1c and lipids (HDL, LDL, triglycerides, and total cholesterol) utilizing point-of-care devices. 75% of participants met the clinical criteria for hypertension (systolic ≥ 140, diastolic ≥ 80), with only 19% previously diagnosed, while 8. 8% of participants met the criteria for diabetes with 7.4% previously diagnosed (HbA1c ≥ 6. 5%). Significant associations were not found between access to a medical provider or SNAP benefits and lower systolic blood pressure or lower HbA1c. There was a significant association between temporary housing status and lower food insecurity. Many of those with insurance and SNAP benefits still reported an inability to access a provider (50%) and severe food insecurity (87%). These findings point to a mismatch between service access and meaningful utilization. Barriers beyond eligibility, such as stigma and logistical challenges, may prevent the effective use of services. Results from this study contribute to understanding of how inequality and institutional access shape health outcomes among PEH.

Source:

University of Oregon / 2025

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No topics listed

Co-authors:

Bella Albiani