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Applying the Gelberg-Andersen Behavioral Model for Vulnerable Populations to Health Services Utilization in Homeless Women

University of California, USA, jastein{at}ucla.edu

Ronald Andersen

University of California, USA

Lillian Gelberg

University of California, USA

We 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.

Key Words: Gelberg-Andersen Behavioral Model for Vulnerable Populations • health services utilization • homeless women • homeless women's health

Journal of Health Psychology, Vol. 12, No. 5, 791-804 (2007)
DOI: 10.1177/1359105307080612


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