Challenges of managing diabetes while homeless

dc.contributor.advisorJenkins, Jennifer L
dc.contributor.authorJardel, Hanna
dc.contributor.departmentEmergency Health Services
dc.contributor.programEmergency Health Services
dc.date.accessioned2021-01-29T18:11:52Z
dc.date.available2021-01-29T18:11:52Z
dc.date.issued2017-01-01
dc.description.abstractObjective: This study investigated structural challenges that homeless individuals in Baltimore face in managing diabetes and how social services interact with these challenges. Background: Homelessness is associated with poor heath, and diabetes is of increasing concern. Poor health contributes to heavy use of emergency departments, placing enormous financial burden on the healthcare system. Methods: Qualitative data were collected with 15 interviews from individuals gathered from Healthcare for the Homeless Baltimore. Findings: Findings emphasized instability in diet and medication storage as well as competing needs that divert precious resources. Difficulties are exacerbated by the low density of grocery stores and a primary healthcare system limited in effective scope. Conclusion: In order to manage their diabetes, participants showed perseverance, employing strategies to overcome challenges. Social services are able to reduce the effects of some difficulties, especially in medication access and healthcare access, but also have opportunities to more effectively address challenges. Findings suggest that the structure of social services would be more effective as a cohesive, cooperative network to aid clients manage complex conditions in challenging circumstances.
dc.formatapplication:pdf
dc.genretheses
dc.identifierdoi:10.13016/m2lwnf-rfhd
dc.identifier.other11701
dc.identifier.urihttp://hdl.handle.net/11603/20645
dc.languageen
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Emergency Health Services Department Collection
dc.relation.ispartofUMBC Theses and Dissertations Collection
dc.relation.ispartofUMBC Graduate School Collection
dc.relation.ispartofUMBC Student Collection
dc.sourceOriginal File Name: Jardel_umbc_0434M_11701.pdf
dc.subjectdiabetes
dc.subjectfood insecurity
dc.subjecthomeless
dc.subjectsocial services
dc.subjectstructural factors
dc.titleChallenges of managing diabetes while homeless
dc.typeText
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