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Assessing the Health Risks Faced by the Patients of an Urban Free Medical Clinic

Assessing the Health Risks Faced by the Patients of an Urban Free Medical Clinic. Kristin Broderick, BA Renee Cadzow, MA. Background. The Lighthouse Free Medical Clinic is a student run initiative to provide free basic medical care and triage to residents of the East side community of Buffalo

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Assessing the Health Risks Faced by the Patients of an Urban Free Medical Clinic

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  1. Assessing the Health Risks Faced by the Patients of an Urban Free Medical Clinic Kristin Broderick, BA Renee Cadzow, MA © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  2. Background • The Lighthouse Free Medical Clinic is a student run initiative to provide free basic medical care and triage to residents of the East side community of Buffalo • Because this is a low income population with many uninsured or underinsured people, there are higher frequencies of certain health problems and health risks © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  3. Goals • To describe the patient population of a free clinic in inner-city Buffalo • To identify subpopulations that suffer the greatest health risks and the demographic and behavioral characteristics that are associated with those risks • To assess the population’s perception of health problems in the community surrounding the Lighthouse Free Medical Clinic © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  4. Methods • De-identified database from Lighthouse Free Clinic • Data source: HRA questionnaire • Structured interview with patients at the clinic (18 and older) • Data source: Audio recorded interviews © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  5. RESULTS © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  6. Description of the Patient Population © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  7. Income Distribution of the Patient Population-only those 18 and overN=405 © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  8. Prevalence of Chronic Disease in Patients 40 and older © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  9. Prevalence of Asthma based on Age © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  10. Prevalence of Health Conditions based on Age group © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  11. Prevalence of Certain Health Risks Based on Gender in Patients 40 and Older © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  12. Mental Health and Age © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  13. Health Conditions and Smoking Status © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  14. Smoking and Income, only those age 18 and overN=394 © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  15. BMI and Patients with Hypertension and DiabetesN=635, p=.001 © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  16. Perceived Health Problems in the Community • Other Health Problems mentioned once: Herpes, Dental Problems, MS, and Lead Paint © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  17. Conclusions • The patient population most frequently seen at the Lighthouse clinic are low-income, African Americans between the ages of 10-19 • The chronic conditions most prevalent in this community are hypertension and obesity • HIV/AIDS, Hypertension and Diabetes are the main perceived health problems in the community surrounding the clinic • The subpopulations that suffer the greatest health risks are low income; females; smokers; and people of increasing age • Anxiety and Depression consistently increase with age. Reasons for this should be explored in future research © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  18. Limitations • Potential reporter bias, gender • Wording of HRA form • Incomplete HRA forms/ Errors in data entry of HRA form © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

  19. Implications/Further Research • Target grammar schools with educational programs • Attack Obesity to prevent Diabetes, Hypertension • Increase Availability of Medical Services • Children’s Obesity Status • Reasons for the consistent increase of anxiety and depression with age © 2005-2006 CDHS/Research Foundation of SUNY/BSC College Relations Group

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