Impact of housing insecurity on health disparities, past and present

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* 1. Race

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islanders

White

Other (please specify)

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* 2. Ethnicity

Hispanic or Latino or Spanish origin

Not Hispanic or Latino or Spanish origin

Other (please specify)

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* 3. Gender

Cisgender man

Cisgender woman

Transgender man

Transgender woman

Nonbinary

Intersex

Two-spirit

Agender

Genderfluid

Bigender

Genderqueer

Other (please specify)

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* 4. Sexual orientation

Gay

Lesbian

Straight

Bisexual

Pansexual

Queer

Other (please specify)

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* 5. While experiencing housing insecurity did you:
Ever miss doctors appointments due to lack of money?

Yes

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* 6. While experiencing housing insecurity did you:
Ever miss appointments due to lack of transportation?

Yes

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* 7. While experiencing housing insecurity did you:
Ever need medication that you couldn’t afford?

Yes

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* 8. While experiencing housing insecurity did you:
Ever need urgent medical treatment that you did not receive?

Yes

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* 9. While experiencing housing insecurity did you:
Ever experience discrimination by a healthcare worker?

Yes

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* 10. If you are no longer experiencing housing insecurity, is your health still impacted by it? If so, how?

If you are currently experiencing housing insecurity, how is your health currently affected?

Impact of housing insecurity on health disparities, past and present

Question Title

* 1. Race

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* 2. Ethnicity

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* 3. Gender

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* 4. Sexual orientation

Question Title

* 5. While experiencing housing insecurity did you:Ever miss doctors appointments due to lack of money?

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* 6. While experiencing housing insecurity did you:Ever miss appointments due to lack of transportation?

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* 7. While experiencing housing insecurity did you:Ever need medication that you couldn’t afford?

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* 8. While experiencing housing insecurity did you:Ever need urgent medical treatment that you did not receive?

Question Title

* 9. While experiencing housing insecurity did you:Ever experience discrimination by a healthcare worker?

Question Title

* 10. If you are no longer experiencing housing insecurity, is your health still impacted by it? If so, how? If you are currently experiencing housing insecurity, how is your health currently affected?

* 5. While experiencing housing insecurity did you:
Ever miss doctors appointments due to lack of money?

* 6. While experiencing housing insecurity did you:
Ever miss appointments due to lack of transportation?

* 7. While experiencing housing insecurity did you:
Ever need medication that you couldn’t afford?

* 8. While experiencing housing insecurity did you:
Ever need urgent medical treatment that you did not receive?

* 9. While experiencing housing insecurity did you:
Ever experience discrimination by a healthcare worker?

* 10. If you are no longer experiencing housing insecurity, is your health still impacted by it? If so, how?

If you are currently experiencing housing insecurity, how is your health currently affected?