title: Episodic illness, chronic disease, and health care use among homeless persons in Metropolitan Atlanta, Georgia, 2007.
abstract: BACKGROUND
  Homeless persons are at higher risk for morbidity and mortality from both chronic and episodic illness than the general population. Few data are available on the prevalence of these conditions and uptake of vaccination for prevention.
  
  
  METHODS
  In March 2007, we administered a cross-sectional survey to a convenience sample of homeless persons in Atlanta.
  
  
  RESULTS
  Approximately half (46.2%) of the survey participants reported at least one chronic medical condition. Acute respiratory symptoms within the previous 30 days were reported by up to 57.7% of survey participants. Receipt of influenza vaccination was reported by 31.9% of survey participants, receipt of pneumococcal vaccine by 18.7%. Vaccination rates varied by age and risk group.
  
  
  CONCLUSIONS
  The survey demonstrated high rates of morbidity in this population. Influenza and pneumococcal vaccination rates were suboptimal. Culturally appropriate interventions must be developed to prevent respiratory and other diseases in this important group.
authors.affiliation: Epidemic Intelligence Service, Centers for Disease Control and Prevention; Centers for Disease Control and Prevention, Atlanta, GA, USA. petra.wiersma@gmail.com
authors.forename: Petra
authors.initials: P
authors.lastname: Wiersma
authors.forename: Scott
authors.initials: S
authors.lastname: Epperson
authors.forename: Sophie
authors.initials: S
authors.lastname: Terp
authors.forename: Sylvia
authors.initials: S
authors.lastname: LaCourse
authors.forename: Bob
authors.initials: B
authors.lastname: Finton
authors.forename: Cherie
authors.initials: C
authors.lastname: Drenzek
authors.forename: Kathryn
authors.initials: K
authors.lastname: Arnold
authors.forename: Lyn
authors.initials: L
authors.lastname: Finelli
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D002908:Chronic Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D005845:Georgia / Q000453:epidemiology; D006703:Ill-Housed Persons / Q000706:statistics & numerical data*; D006798:Housing; D006801:Humans; D007252:Influenza Vaccines / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D022242:Pneumococcal Vaccines / Q000627:therapeutic use; D015995:Prevalence; D012141:Respiratory Tract Infections / Q000453:epidemiology* / Q000517:prevention & control*; D014505:Urban Population / Q000706:statistics & numerical data; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines