This study explores the interrelations of hypertension, homelessness, and access to healthcare in urban ill-housed populations. It was found that conditions such as heart disease and diabetes significantly exacerbate hypertension, which remains highly prevalent due to the population's limited access to consistent medical care. Homelessness further complicates the management of hypertension due to unstable living conditions, making adherence to treatment and follow-up with healthcare providers challenging. Additionally, factors like higher rates of substance abuse and malnutrition among homeless populations contribute to worsening hypertension, which, if untreated, can lead to severe health crises including heart attacks and strokes. The research underscores the critical public health implications of hypertension within these communities, emphasizing the role of social determinants of health in exacerbating health disparities. The study suggests that interventions such as improved housing, accessible healthcare services, and nutrition support are crucial. It also calls for policymakers to allocate resources strategically to address these disparities and support the health and well-being of homeless populations. Our findings reveal a stark connection between a lack of basic needs, as framed by Maslow's Hierarchy of Needs, and poor health outcomes, particularly in managing chronic conditions like hypertension. This study not only highlights the health inequities faced by ill-housed individuals but also outlines the next steps for public health measures and policy adjustments aimed at reducing these disparities and improving overall community health.
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Goldberg et al. (2024) studied this question.
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