Description of Otolaryngology (OTO) Disease in Houseless Patients on O'ahu, Hawai'i

Overview

Journal Hawaii J Health Soc Welf

Specialties General Medicine
Public Health

Date 2023 Sep 11

PMID 37694217

Authors

Enze Ma

Rylie M Wada

Brendan K Seto

Dylan S Singh

Teresa L Schiff-Elfalan

Lawrence Burgess

Affiliations

Soon will be listed here.

Abstract

This retrospective study assesses the prevalence of otolaryngology (OTO) disease in houseless patients on O'ahu based on data from the Houseless Outreach and Medical Education (HOME) clinics, a medical student-run, primary health care service. It is important to note that this data represents only a snapshot in time of the OTO diseases present in this population. Records were examined from September 3, 2020 to September 30, 2021. Patients with at least 1 OTO disease were included in this study. A total of 597 patient records were reviewed; a total of 58 patients were included in this study. The most common OTO diagnoses in this sample were facial trauma (n = 12, 21%), dental caries (n = 7, 12%), cerumen impaction (n = 6, 10%), viral upper respiratory infection (n = 5, 9%), otitis media (n = 4, 7%), and allergic conjunctivitis (n = 3, 5%). Roughly 10% of patients seen in HOME clinics between September 2020 and September 2021 were seen for OTO disease.

References

Kushel M, Vittinghoff E, Haas J . Factors associated with the health care utilization of homeless persons. JAMA. 2001; 285(2):200-6. DOI: 10.1001/jama.285.2.200. View

Emerick K, Deschler D . Common ENT disorders. South Med J. 2006; 99(10):1090-9. DOI: 10.1097/01.smj.0000233214.49561.c1. View

Ewing J . Detecting alcoholism. The CAGE questionnaire. JAMA. 1984; 252(14):1905-7. DOI: 10.1001/jama.252.14.1905. View

Omerov P, Craftman A, Mattsson E, Klarare A . Homeless persons' experiences of health- and social care: A systematic integrative review. Health Soc Care Community. 2019; 28(1):1-11. DOI: 10.1111/hsc.12857. View

Ralli M, Marinelli A, De-Giorgio F, Crescenzi D, de Vincentiis M, Greco A . Prevalence of Otolaryngology Diseases in an Urban Homeless Population. Otolaryngol Head Neck Surg. 2021; 166(6):1022-1027. DOI: 10.1177/01945998211060699. View

Carter J, Winters R, Lipin R, Lookabaugh S, Cai D, Friedlander P . A faith- and community-based approach to identifying the individual at risk for head and neck cancer in an inner city. Laryngoscope. 2013; 123(6):1439-43. DOI: 10.1002/lary.23981. View

Aldridge R, Menezes D, Lewer D, Cornes M, Evans H, Blackburn R . Causes of death among homeless people: a population-based cross-sectional study of linked hospitalisation and mortality data in England. Wellcome Open Res. 2019; 4:49. PMC: 6449792. DOI: 10.12688/wellcomeopenres.15151.1. View

Ambrose A, Hixon A, Omori J . Medical school hotline: Homelessness in Hawai'i: challenges, progress, and prospects. Hawaii J Med Public Health. 2013; 72(8):282-5. PMC: 3848180. View

van Dongen S, van Straaten B, Wolf J, Onwuteaka-Philipsen B, van der Heide A, Rietjens J . Self-reported health, healthcare service use and health-related needs: A comparison of older and younger homeless people. Health Soc Care Community. 2019; 27(4):e379-e388. PMC: 6850679. DOI: 10.1111/hsc.12739. View

10.

Kujan O, Glenny A, Oliver R, Thakker N, Sloan P . Screening programmes for the early detection and prevention of oral cancer. Cochrane Database Syst Rev. 2006; (3):CD004150. DOI: 10.1002/14651858.CD004150.pub2. View

11.

Sorichetti B, Pauwels J, Jacobs T, Chadha N, Kozak E, Kozak F . High frequency of otolaryngology/ENT encounters in Canadian primary care despite low medical undergraduate experiences. Can Med Educ J. 2022; 13(1):86-89. PMC: 8909819. DOI: 10.36834/cmej.72328. View

12.

Biedrzycki B . Homeless With Cancer: An Unrecognized Problem in the United States. Clin J Oncol Nurs. 2018; 22(6):676-679. DOI: 10.1188/18.CJON.676-679. View

13.

Piccirillo J, Lacy P, Basu A, Spitznagel E . Development of a new head and neck cancer-specific comorbidity index. Arch Otolaryngol Head Neck Surg. 2002; 128(10):1172-9. DOI: 10.1001/archotol.128.10.1172. View

14.

Moore C, Durden F . Head and neck cancer screening in homeless communities: HEAL (Health Education, Assessment, and Leadership). J Natl Med Assoc. 2010; 102(9):811-6. DOI: 10.1016/s0027-9684(15)30678-7. View

15.

Wu V, Noel C, Forner D, Mok F, Zirkle M, Eskander A . Otolaryngology needs among an adult homeless population: a prospective study. J Otolaryngol Head Neck Surg. 2020; 49(1):47. PMC: 7346481. DOI: 10.1186/s40463-020-00445-2. View

16.

Lewin F, Norell S, Johansson H, Gustavsson P, Wennerberg J, Biorklund A . Smoking tobacco, oral snuff, and alcohol in the etiology of squamous cell carcinoma of the head and neck: a population-based case-referent study in Sweden. Cancer. 1998; 82(7):1367-75. DOI: 10.1002/(sici)1097-0142(19980401)82:7<1367::aid-cncr21>3.0.co;2-3. View

17.

Kroenke K, Spitzer R, Williams J . The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9):606-13. PMC: 1495268. DOI: 10.1046/j.1525-1497.2001.016009606.x. View

18.

Purkey E, MacKenzie M . Experience of healthcare among the homeless and vulnerably housed a qualitative study: opportunities for equity-oriented health care. Int J Equity Health. 2019; 18(1):101. PMC: 6604349. DOI: 10.1186/s12939-019-1004-4. View

19.

Gurgel R, Lund G, Gundlapalli A . Role of otolaryngologists in health care for the homeless. Ann Otol Rhinol Laryngol. 2009; 118(7):471-4. DOI: 10.1177/000348940911800701. View

20.

Noel C, Mok F, Wu V, Eskander A, Yao C, Hwang S . Hearing loss and hearing needs in an adult homeless population: a prospective cross-sectional study. CMAJ Open. 2020; 8(1):E199-E204. PMC: 7082104. DOI: 10.9778/cmajo.20190220. View