Prevalence of homelessness among hospitalized patients: A point-in-time survey

Neelam Mistry, Julie Knoeckel, Lauren McBeth, Amanda Johnson, Erin Bredenberg, Katie Raffel, John Cunningham, Ellen Sarcone, Gregory Misky, Sarah A. Stella

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Although homelessness is associated with increased acute healthcare utilization and poorer health outcomes, the prevalence of homelessness and housing insecurity in hospitalized patients is poorly characterized. We conducted an in-person survey to determine the prevalence of housing insecurity and homelessness among hospitalized patients at two hospitals in metropolitan Denver in conjunction with the Housing and Urban Development point-in-time count on January 24, 2022. Of the 271 surveyed patients, 79 (29.2%) reported experiencing either housing insecurity (17.3%) or homelessness (11.8%). Of those experiencing housing insecurity or homelessness, 69.6% reported chronic health conditions, 55.7% reported multiple hospitalizations in the preceding year, 38% reported mental health concerns and 39.2% reported substance use. The prevalence of homelessness among a hospitalized patient population was over 20-fold higher than community prevalence estimates. Housing insecurity also impacted a substantial proportion of hospitalized patients and was associated with high rates of co-morbid conditions.

Original languageEnglish (US)
Pages (from-to)45-50
Number of pages6
JournalJournal of hospital medicine
Issue number1
StatePublished - Jan 2024

ASJC Scopus subject areas

  • Internal Medicine
  • Leadership and Management
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis


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