Medical Debt, Credit Card Debt, and Other Financial Debt Among Veterans Who Receive Homeless Assistance in the Veterans Affairs Healthcare System.

The US Department of Veterans Affairs (VA) healthcare system is dedicated to preventing veteran homelessness, but there is limited research on the specific sources of financial debt among homeless veterans. We investigated the proportion of veterans seeking VA homeless services reporting any debt an...

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Publicado en:Inquiry (00469580) Vol. 63; pp. 1 - 10
Autores principales: Beydoun, Hind A., Szymkowiak, Dorota, Tsai, Jack
Formato: Artículo
Publicado: Sage Publications Inc. 4/10/2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Medical Debt, Credit Card Debt, and Other Financial Debt Among Veterans Who Receive Homeless Assistance in the Veterans Affairs Healthcare System.
      aug:
        au:
          Beydoun, Hind A.
          Szymkowiak, Dorota
          Tsai, Jack
        affil:
          U.S. Department of Veterans Affairs, Homeless Programs Office, Washington, DC, USA
          University of Texas Health Science Center at Houston, School of Public Health, TX, USA
          Yale School of Medicine, New Haven, CT, USA
      su:
        Research funding
        T-test (Statistics)
        Scholarships
        Debt
        Sex distribution
        Logistic regression analysis
        Social services
        Questionnaires
        Help-seeking behavior
        Descriptive statistics
        Chi-squared test
        Multivariate analysis
        Psychology of veterans
        Odds ratio
        Taxation
        Government programs
        Statistics
        Financial management
        Homelessness
        Quality assurance
        Confidence intervals
        Medical care costs
        United States
      sug:
        subj:
          United States
          Research funding
          T-test (Statistics)
          Scholarships
          Debt
          Sex distribution
          Logistic regression analysis
          Social services
          Questionnaires
          Help-seeking behavior
          Descriptive statistics
          Chi-squared test
          Multivariate analysis
          Psychology of veterans
          Odds ratio
          Taxation
          Government programs
          Statistics
          Financial management
          Homelessness
          Quality assurance
          Confidence intervals
          Medical care costs
      keyword:
        assessment
        financial debt
        healthcare system
        homelessness
        veterans
      ab: The US Department of Veterans Affairs (VA) healthcare system is dedicated to preventing veteran homelessness, but there is limited research on the specific sources of financial debt among homeless veterans. We investigated the proportion of veterans seeking VA homeless services reporting any debt and specific types of outstanding debt, associations between homelessness experiences and debt, and whether these associations vary by sex. Using VA administrative data, we cross-sectionally evaluated various types of outstanding debt among 118 594 homeless and at-risk veterans in the VA healthcare system from fiscal years 2023–2024. Multivariable logistic regression models were constructed for history of homelessness experiences in relation to any and different types of financial debt, overall, and by sex. About 48% of veterans in VA homeless programs had outstanding debt, with credit cards being the most prevalent contributors to debt. Outstanding debt related to student loans, child support, medical expenses, and tax bills were significantly associated with greater episodes of recent homelessness. Medical expenses, fines, or other legal obligations were significantly associated with lifetime homelessness duration. Housing loans were associated with shorter duration and fewer episodes of homelessness (over the past 3 years). Similar patterns were observed among male and female veterans. Financial debt is linked to prolonged homelessness among veterans, necessitating increased social services for financial literacy, debt consolidation, and other interventions to mitigate risks.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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