Homelessness and Health Disparities

Abstract

A graduate level nursing course was enhanced by adding photo voice methodology to explore cultural dimensions of health care delivery in urban and rural settings. Photo voice enables the student to record community strengths and concerns. It promotes critical dialogue and knowledge about important issues through large and small group discussion of photographs and ultimately reach policymakers (Wang & Burris, 1997).

Three of twenty-seven exposures, represent the raw, uncut harsh realities of homelessness in the heart of downtown Houston, Texas. In a city, known for the largest medical center in the world, health disparities are seen on nearly every corner. Healthcare and accessibility to healthcare services for the homeless are scarce and not effectively utilized. Deplorable, unsanitary environments are breathing grounds for infection and communicable diseases. Substance abuse and mental health disorders negatively impact the lives of many. Within the homeless community, chronic diseases are usually not diagnosed or poorly managed possibly due to poor follow-up and/or healthcare accessibility. There is an abundance of healthcare services, but for whatever unforeseen circumstances, health promotion does not appear to be prevalent within the homeless community.