Keith Wrenn, MD
Homelessness is increasing. Factors contributing to health problems in homeless persons include lifestyle, exposure to the elements, contaminated environments, malnutrition, a high prevalence of substance abuse, and an increased risk for physical injury (1). In addition, access to health care is limited by financial barriers, self-neglect, transportation difficulties, fear of large institutions, and mental illness (2). Foot problems represent a relatively large proportion of complaints (up to 20%) among homeless persons (2-4). Traumatic disorders, ulcers, infections, immersion foot, and frostbite are among the many foot problems found in homeless persons.
Trauma is a major cause of morbidity and mortality in
Wrenn K. Foot Problems in Homeless Persons. Ann Intern Med. ;113:567–569. doi: 10.7326/0003-4819-113-8-567
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Published: Ann Intern Med. 1990;113(8):567-569.
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