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Area of Science:

  • Public Health
  • Rural Health
  • Health Equity

Background:

  • Homeless individuals experience higher rates of chronic health conditions.
  • Barriers to healthcare access are often influenced by community factors.
  • Understanding these barriers is crucial for improving health outcomes.

Purpose of the Study:

  • To assess the specific health care needs and barriers faced by people experiencing homelessness in a rural Midwestern city.
  • To identify community-based factors impacting healthcare access for this population.

Main Methods:

  • Adapted survey methodology from a previous study in Milwaukee, Wisconsin.
  • Distributed surveys through city-wide outreach in Wausau, Wisconsin.
  • Analyzed transcribed survey data using descriptive statistics.

Main Results:

  • 45 surveys were completed, with most participants being White, non-Hispanic males aged 46-55.
  • Key barriers identified: lack of housing, cost, transportation, no mailing address, limited clinic hours, and disrespectful care.
  • 86% reported a mental health diagnosis, but only 26% saw a mental health professional.

Conclusions:

  • Homeless individuals in rural settings encounter multifaceted barriers to healthcare access.
  • Limited resources in rural communities necessitate creative and comprehensive strategies for equitable care delivery.