Margot Kushel, MD

Professor of Medicine

Margot Kushel, MD is a Professor of Medicine and Division Chief at the Division of Health Equity and Society at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Action Research Center for Health Equity (formerly Center for Vulnerable Populations) and UCSF Benioff Homelessness and Housing Initiative. Margot's research focuses on reducing the burden of homelessness on health through examining efforts to prevent and end homelessness and mitigating the effects of housing instability on health care outcomes. She uses a variety of research methodologies with an aim towards informing the development of programs and policies to end homelessness via understanding the complex interactions between health and housing. She has a particular interest in homelessness in older adults and homelessness in medically complicated individuals. She is the PI of an NIA funded R01 that developed the HOPE HOME (Health Outcomes in Populations Experiencing Homelessness in Older Middle agE) cohort, an ongoing longitudinal cohort study examining the causes and effects of homelessness on adults aged 50 and over in Oakland, CA and MPI of the Empowering Formerly Homeless Older Adults to Engage in Advance Care Planning in Permanent Supportive Housing (ACP-PSH): An RCT. She is the PI of the California Statewide Study of People Experiencing Homelessness. Margot is actively engaged in training and mentorship. She is the PI of a K24 award from NIA to mentor junior investigators in aging in historically marginalized populations. Margot works with diverse stakeholders to implement programmatic and policy changes based on her research. She maintains an active clinical practice at ZSFG in primary care internal medicine. Margot gives testimony at local and state levels and frequently speaks to the press about issues surrounding homelessness. Margot is a Board Member of Housing California and the National Homelessness Law Center and the Steinberg Institute and is an appointed member of the California Interagency Task Force on Homelessness.

Education
2019 - Diversity, Equity, and Inclusion Champion Training, University of California
Fellow, 2001 - General Internal Medicine, University of California, San Francisco
Chief Resident, 1999 - Medicine, University of California, San Francisco
Resident, 1998 - Medicine/Primary Care, University of California, San Francisco
Intern, 1996 - Medicine/Primary Care, University of California, San Francisco
MD, 1995 - , Yale School of Medicine
AB, 1990 - English, Harvard University
Honors and Awards
  • The Lloyd Holly Smith Award for Exceptional Service to the School of Medicine, UCSF, 2024
  • Woman of the Year, California Senate District 9, 2021
  • Distinguished Citizen, Commonwealth Club, 2021
  • Thomas N. Burbridge Public Service Award, UCSF, 2020
Websites
Publications

  1. Hargrave AS, Garcia CM, Birkmeyer JA, DeGaetano A, Kushel M. Experience of Violence During Homelessness. JAMA internal medicine 2024. PMID: 39401025


  2. Decker H, Colom S, Evans JL, Graham-Squire D, Perez K, Kushel M, Wick E, Raven MC, Kanzaria HK. Association of housing status and cancer diagnosis, care coordination and outcomes in a public hospital: a retrospective cohort study. BMJ open 2024. PMID: 39266319


  3. Wesson P, Graham-Squire D, Perry E, Assaf RD, Kushel M. Novel methods to construct a representative sample for surveying California's unhoused population: the California Statewide Study of People Experiencing Homelessness. American journal of epidemiology 2024. PMID: 39267209


  4. Dobbins SK, Garcia CM, Evans JL, Valle K, Guzman D, Kushel MB. Continued Homelessness and Depressive Symptoms in Older Adults. JAMA network open 2024. PMID: 39145977


  5. Hargrave AS, Knight KR, Dhatt ZK, Taylor G, Martinez D, Kushel M. The Impact of Intimate Partner Violence on Homelessness and Returns to Housing: A Qualitative Analysis From the California Statewide Study of People Experiencing Homelessness. Journal of interpersonal violence 2024. PMID: 39008369


  6. Patanwala MY, Garcia CM, Kushel M. Health Care for People Experiencing Homelessness. JAMA 2024. PMID: 38837140


  7. Decker H, Colom S, Graham-Squire D, Wick E, Kushel MB, Raven M, Kanzaria HK. Housing Status and Acute Care Use After Cancer Diagnosis. JAMA network open 2024. PMID: 38954418


  8. Yuan Y, Knight KR, Weeks J, King S, Olsen P, Kushel M. Loneliness among homeless-experienced older adults with cognitive or functional impairments: qualitative findings from the HOPE HOME study. BMC public health 2024. PMID: 38388904


  9. Garcia C, Doran K, Kushel M. Homelessness And Health: Factors, Evidence, Innovations That Work, And Policy Recommendations. Health affairs (Project Hope) 2024. PMID: 38315930


  10. Decker HC, Graham LA, Titan A, Hawn MT, Kanzaria HK, Wick E, Kushel MB. Housing Status Changes Are Associated With Cancer Outcomes Among US Veterans. Health affairs (Project Hope) 2024. PMID: 38315919


  11. Decker HC, Graham LA, Titan A, Kanzaria HK, Hawn MT, Kushel M, Wick E. Housing Status, Cancer Care, and Associated Outcomes Among US Veterans. JAMA network open 2023. PMID: 38127343


  12. Yuan Y, Knight KR, Weeks J, King S, Olsen P, Kushel M. Loneliness among older adults who have experienced homelessness: qualitative findings from the HOPE HOME study. Research square 2023. PMID: 38014138


  13. Michael Duke, Zena K. Dhatt, Tianna Jacques, Cheyenne Garcia, Grace Taylor, Margot Kushel, Kelly Knight. A mereological qualitative study protocol for understanding the lived experience of homelessness in California. Annals of Anthropological Practice 2023. PMID:


  14. Garcia CM, Schrier EF, Carey C, Valle KA, Evans JL, Kushel M. Sleep Quality among Homeless-Experienced Older Adults: Exploratory Results from the HOPE HOME Study. Journal of general internal medicine 2023. PMID: 37783981


  15. Castellanos S, Cooke A, Koenders S, Joshi N, Miaskowski C, Kushel M, Knight KR. Accounting for the interplay of interpersonal and structural trauma in the treatment of chronic non-cancer pain, opioid use disorder, and mental health in urban safety-net primary care clinics. JACS Au 2023. PMID: 38464953


  16. Cooke A, Castellanos S, Koenders S, Joshi N, Enriquez C, Olsen P, Miaskowski C, Kushel M, Knight KR. The intersection of drug use discrimination and racial discrimination in the management of chronic non-cancer pain in United States primary care safety-net clinics: Implications for healthcare system and clinic-level changes. Drug and alcohol dependence 2023. PMID: 37459819


  17. Zahir A, Yip D, Garcia C, Smith AN, Dhatt Z, Duke M, Kushel M. "I Needed for You to See What I'm Talking About": Experiences With Telehealth Among Homeless-Experienced Older Adults. Gerontology & geriatric medicine 2023. PMID: 37168020


  18. Kushel M. Involuntary Displacements-Making a Bad Situation Worse. JAMA 2023. PMID: 37036719


  19. Palar K, Sheira LA, Frongillo EA, Kushel M, Wilson TE, Conroy AA, Adedimeji A, Merenstein D, Cohen MH, Wentz EL, Adimora AA, Ofotokun I, Metsch LR, Turan JM, Tien PC, Weiser SD. Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV. AIDS and behavior 2023. PMID: 37067613


  20. Cooke A, Castellanos S, Enriquez C, Olsen P, Miaskowski C, Kushel M, Knight KR. Telehealth for management of chronic non-cancer pain and opioid use disorder in safety net primary care. BMC health services research 2023. PMID: 37005610


  21. Pajka SE, Kushel M, Handley MA, Olsen P, Li B, Enriquez C, Kaplan L, Sudore RL. Using behavioral theory to adapt advance care planning for homeless-experienced older adults in permanent supportive housing. Journal of the American Geriatrics Society 2023. PMID: 36928791


  22. Miller J, Cuby J, Hall SM, Stitzer M, Kushel M, Appiah D, Vijayaraghavan M. Tobacco use behaviors and views on engaging in clinical trials for tobacco cessation among individuals who experience homelessness. Contemporary Clinical Trials Communications 2023. PMID: 36852099


  23. Molina MF, Hall SM, Stitzer M, Kushel M, Chakravarty D, Vijayaraghavan M. Contingency management to promote smoking cessation in people experiencing homelessness: Leveraging the electronic health record in a pilot, pragmatic randomized controlled trial. PloS one 2022. PMID: 36525405


  24. Hewlett MM, Raven MC, Graham-Squire D, Evans JL, Cawley C, Kushel M, Kanzaria HK. Cluster Analysis of the Highest Users of Medical, Behavioral Health, and Social Services in San Francisco. Journal of general internal medicine 2022. PMID: 36447066


  25. Odes R, Alway J, Kushel M, Max W, Vijayaraghavan M. The smoke-free home study: study protocol for a cluster randomized controlled trial of a smoke-free home intervention in permanent supportive housing. BMC public health 2022. PMID: 36376812


  26. Brown RT, Evans JL, Valle K, Guzman D, Chen YH, Kushel MB. Factors Associated With Mortality Among Homeless Older Adults in California: The HOPE HOME Study. JAMA internal medicine 2022. PMID: 36036902


  27. Augustine D, Kushel M. Community Supervision, Housing Insecurity, & Homelessness. The Annals of the American Academy of Political and Social Science 2022. PMID: 36540854


  28. Schwartz HEM, Abel MK, Lin JA, Decker HC, Kushel MB, Wick EC. Barriers to Colorectal Cancer Screening and Surveillance in Homeless Patients: A Case Report and Policy Recommendations. Annals of surgery open : perspectives of surgical history, education, and clinical approaches 2022. PMID: 36187331


  29. Mullady SS, Castellanos S, Lopez L, Aguirre G, Weeks J, King S, Valle K, Goode C, Tsoy E, Possin K, Miller B, Kushel M, Lanata S. Neurocognitive health of older adults experiencing homelessness in Oakland, California. Frontiers in neurology 2022. PMID: 35937073


  30. Fleming MD, Evans JL, Graham-Squire D, Cawley C, Kanzaria HK, Kushel MB, Raven MC. Association of Shelter-in-Place Hotels With Health Services Use Among People Experiencing Homelessness During the COVID-19 Pandemic. JAMA network open 2022. PMID: 35895061


  31. Garcia CM, Kushel MB. Integrating mental health and substance use treatment with HIV care for people experiencing homelessness. The lancet. Psychiatry 2022. PMID: 35750061


  32. Hargrave AS, Garcia CM, Lightfoot M, Handley MA, Weeks J, Olsen P, Knight KR, Kushel MB. "We Remember the Pain": A qualitative study of intergenerational trauma among older adults experiencing homelessness in the HOPE HOME study. Journal of Social Distress and the Homeless 2022. PMID: 38948456


  33. Routledge I, Takahashi S, Epstein A, Hakim J, Janson O, Turcios K, Vinden J, Risos JT, Baniqued MR, Pham L, Di Germanio C, Busch M, Kushel M, Greenhouse B, Rodríguez-Barraquer I. Using sero-epidemiology to monitor disparities in vaccination and infection with SARS-CoV-2. 2022. PMID: 35508478


  34. Abel MK, Schwartz H, Lin JA, Decker HC, Wu CL, Grant MC, Kushel M, Wick EC. Surgical Care of Patients Experiencing Homelessness: A Scoping Review Using a Phases of Care Conceptual Framework. Journal of the American College of Surgeons 2022. PMID: 35839414


  35. Aranda-Díaz A, Imbert E, Strieff S, Graham-Squire D, Evans JL, Moore J, McFarland W, Fuchs J, Handley MA, Kushel M. Implementation of rapid and frequent SARS-CoV2 antigen testing and response in congregate homeless shelters. 2022. PMID: 35271622


  36. Novick TK, Kushel M, Crews D. Unstable Housing and Kidney Disease: A Primer. 2022. PMID: 35372820


  37. Cawley C, Kanzaria HK, Zevin B, Doran KM, Kushel M, Raven MC. Mortality Among People Experiencing Homelessness in San Francisco During the COVID-19 Pandemic. 2022. PMID: 35267030


  38. Semere W, Kaplan L, Valle K, Guzman D, Ramsey C, Garcia C, Kushel M. Caregiving Needs Are Unmet for Many Older Homeless Adults: Findings from the HOPE HOME Study. 2022. PMID: 35167064


  39. Cai C, Knight KR, Olsen P, Weeks J, Handley MA, Kushel MB. Barriers and Facilitators to Resolving Older Adult Homelessness through Stays with Family: Qualitative findings from the HOPE HOME Study. Journal of Social Distress and the Homeless 2022. PMID: 38144397


  40. Hargrave AS, Kimberg L, Machtinger EL, Kushel MB, Cohen BE. The Association Between Interpersonal Violence and Unstable Housing Among Veterans. 2022. PMID: 35018446


  41. Handley MA, Kushel M, Weeks J, Olsen P, Castillo J, Knight KR. Ground-Truthing the Experiences of Homeless Older Adults' Recent Stays with Family and Friends: A Case Study of Participatory Data Analysis. 2022. PMID: 35153219


  42. Suen LW, McMahan VM, Rowe C, Bhardwaj S, Knight K, Kushel MB, Santos GM, Coffin P. Factors Associated with Pain Treatment Satisfaction Among Patients with Chronic Non-Cancer Pain and Substance Use. 2021. PMID: 34772764


  43. Knight KR, Duke MR, Carey CA, Pruss G, Garcia CM, Lightfoot M, Imbert E, Kushel M. COVID-19 Testing and Vaccine Acceptability Among Homeless-Experienced Adults: Qualitative Data from Two Samples. 2021. PMID: 34704204


  44. Routledge I, Takahashi S, Epstein A, Hakim J, Janson O, Turcios K, Vinden J, Risos JT, Baniqued MR, Pham L, Di Germanio C, Busch M, Kushel M, Greenhouse B, Rodríguez-Barraquer I. Structural inequalities in the pathway to COVID-19 immunity. 2021. PMID: 34642695


  45. Suen LW, Makam AN, Snyder HR, Repplinger D, Kushel MB, Martin M, Nguyen OK. National Prevalence of Alcohol and Other Substance Use Disorders Among Emergency Department Visits and Hospitalizations: NHAMCS 2014-2018. Journal of general internal medicine 2021. PMID: 34518978


  46. Imbert E, Kinley PM, Scarborough A, Cawley C, Sankaran M, Cox SN, Kushel M, Stoltey J, Cohen S, Fuchs JD. Coronavirus Disease 2019 (COVID-19) Outbreak in a San Francisco Homeless Shelter. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2020. PMID: 32744615


  47. Cawley C, Raven MC, Martinez MX, Niedzwiecki M, Kushel MB, Kanzaria HK. Understanding the 100 highest users of health and social services in San Francisco. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2021. PMID: 34021517


  48. Garcia-Grossman I, Kaplan L, Valle K, Guzman D, Williams B, Kushel M. Factors Associated with Incarceration in Older Adults Experiencing Homelessness: Results from the HOPE HOME Study. Journal of general internal medicine 2021. PMID: 34109543


  49. Chapman LAC, Kushel M, Cox SN, Scarborough A, Cawley C, Nguyen TQ, Rodriguez-Barraquer I, Greenhouse B, Imbert E, Lo NC. Comparison of infection control strategies to reduce COVID-19 outbreaks in homeless shelters in the United States: a simulation study. BMC medicine 2021. PMID: 33962621


  50. Knight KR, Weiser J, Handley MA, Olsen P, Weeks J, Kushel M. Temporary stays with housed family and friends among older adults experiencing homelessness: Qualitative findings from the HOPE HOME study. Qualitative social work : QSW : research and practice 2021. PMID: 35706979


  51. Chen YH, Glymour MM, Catalano R, Fernandez A, Nguyen T, Kushel M, Bibbins-Domingo K. Excess Mortality in California During the Coronavirus Disease 2019 Pandemic, March to August 2020. JAMA internal medicine 2021. PMID: 33346804


  52. Cawley CL, Kanzaria HK, Kushel M, Raven MC, Zevin B. Mortality Among People Experiencing Homelessness in San Francisco 2016-2018. Journal of general internal medicine 2021. PMID: 33835316


  53. Beliveau CM, McMahan VM, Arenander J, Angst MS, Kushel M, Torres A, Santos GM, Coffin PO. Stimulant use for self-management of pain among safety-net patients with chronic non-cancer pain. Substance abuse 2021. PMID: 33798030


  54. Haq N, McMahan VM, Torres A, Santos GM, Knight K, Kushel M, Coffin PO. Race, pain, and opioids among patients with chronic pain in a safety-net health system. Drug and alcohol dependence 2021. PMID: 33810908


  55. Fuchs JD, Carter HC, Evans J, Graham-Squire D, Imbert E, Bloome J, Fann C, Skotnes T, Sears J, Pfeifer-Rosenblum R, Moughamian A, Eveland J, Reed A, Borne D, Lee M, Rosenthal M, Jain V, Bobba N, Kushel M, Kanzaria HK. Assessment of a Hotel-Based COVID-19 Isolation and Quarantine Strategy for Persons Experiencing Homelessness. JAMA network open 2021. PMID: 33651111


  56. Lo NC, Nyathi S, Chapman LAC, Rodriguez-Barraquer I, Kushel M, Bibbins-Domingo K, Lewnard JA. Influenza, Varicella, and Mumps Outbreaks in US Migrant Detention Centers. JAMA 2020. PMID: 33119037


  57. Raven MC, Niedzwiecki MJ, Kushel M. A randomized trial of permanent supportive housing for chronically homeless persons with high use of publicly funded services. Health services research 2020. PMID: 32976633


  58. Weiser SD, Sheira LA, Palar K, Kushel M, Wilson TE, Adedimeji A, Merenstein D, Cohen M, Turan JM, Metsch L, Adimora AA, Ofotokun I, Wentz E, Tien PC, Frongillo EA. Mechanisms from Food Insecurity to Worse HIV Treatment Outcomes in US Women Living with HIV. AIDS patient care and STDs 2020. PMID: 32941054


  59. Khatana SAM, Wadhera RK, Choi E, Groeneveld PW, Culhane DP, Kushel M, Kazi DS, Yeh RW, Shen C. Association of Homelessness with Hospital Readmissions-an Analysis of Three Large States. Journal of general internal medicine 2020. PMID: 32556872


  60. Essien UR, Paul DW, Kushel M. Database Inaccuracies and Disparities in Care Among Homeless Adults Hospitalized for Cardiovascular Conditions. JAMA internal medicine 2020. PMID: 32250398


  61. Kaplan LM, Sudore RL, Cuervo IA, Bainto D, Olsen P, Kushel M. Barriers and Solutions to Advance Care Planning among Homeless-Experienced Older Adults. Journal of palliative medicine 2020. PMID: 32182155


  62. Abbs E, Brown R, Guzman D, Kaplan L, Kushel M. Risk Factors for Falls in Older Adults Experiencing Homelessness: Results from the HOPE HOME Cohort Study. Journal of general internal medicine 2020. PMID: 31965522


  63. Rosenwohl-Mack S, Kushel M, Ramsey C, Handley M, Knight KR. "We Really Help, Taking Care of Each Other": Older Homeless Adults as Caregivers. Gerontology & geriatric medicine 2019. PMID: 31903411


  64. Paul DW, Knight KR, Olsen P, Weeks J, Yen IH, Kushel MB. Racial Discrimination in the Life Course of Older Adults Experiencing Homelessness: Results from the HOPE HOME Study. Journal of Social Distress and the Homeless 2019. PMID: 33727778


  65. Nouri SS, Barnes DE, Volow AM, McMahan RD, Kushel M, Jin C, Boscardin J, Sudore RL. Health Literacy Matters More Than Experience for Advance Care Planning Knowledge Among Older Adults. Journal of the American Geriatrics Society 2019. PMID: 31424575


  66. Kaplan LM, Vella L, Cabral E, Tieu L, Ponath C, Guzman D, Kushel MB. Unmet mental health and substance use treatment needs among older homeless adults: Results from the HOPE HOME Study. Journal of community psychology 2019. PMID: 31424102


  67. Brown RT, Guzman D, Kaplan LM, Ponath C, Lee CT, Kushel MB. Trajectories of functional impairment in homeless older adults: Results from the HOPE HOME study. PloS one 2019. PMID: 31408488


  68. Martin P, Liaw W, Bazemore A, Jetty A, Petterson S, Kushel M. Adults with Housing Insecurity Have Worse Access to Primary and Preventive Care. Journal of the American Board of Family Medicine : JABFM 2019. PMID: 31300572


  69. Tong M, Tieu L, Lee CT, Ponath C, Guzman D, Kushel M. Factors associated with food insecurity among older homeless adults: results from the HOPE HOME study. Journal of public health (Oxford, England) 2018. PMID: 29617886


  70. Tong MS, Kaplan LM, Guzman D, Ponath C, Kushel MB. Persistent Homelessness and Violent Victimization Among Older Adults in the HOPE HOME Study. Journal of interpersonal violence 2019. PMID: 31135255


  71. Chan B, Goldman LE, Sarkar U, Guzman D, Critchfield J, Saha S, Kushel M. High perceived social support and hospital readmissions in an older multi-ethnic, limited English proficiency, safety-net population. BMC health services research 2019. PMID: 31126336


  72. Satterwhite S, Knight KR, Miaskowski C, Chang JS, Ceasar R, Zamora K, Kushel M. Sources and Impact of Time Pressure on Opioid Management in the Safety-Net. Journal of the American Board of Family Medicine : JABFM 2019. PMID: 31068401


  73. Tuthill EL, Sheira LA, Palar K, Frongillo EA, Wilson TE, Adedimeji A, Merenstein D, Cohen MH, Wentz EL, Adimora AA, Ofotokun I, Metsch L, Kushel M, Turan JM, Konkle-Parker D, Tien PC, Weiser SD. Persistent Food Insecurity Is Associated with Adverse Mental Health among Women Living with or at Risk of HIV in the United States. The Journal of nutrition 2019. PMID: 30753638


  74. Raven MC, Kaplan LM, Rosenberg M, Tieu L, Guzman D, Kushel M. Mobile Phone, Computer, and Internet Use Among Older Homeless Adults: Results from the HOPE HOME Cohort Study. JMIR mHealth and uHealth 2018. PMID: 30530464


  75. Freitas DJ, Kaplan LM, Tieu L, Ponath C, Guzman D, Kushel M. Oral health and access to dental care among older homeless adults: results from the HOPE HOME study. Journal of public health dentistry 2018. PMID: 30295922


  76. Kushel M. Homelessness: A Potent Risk Factor for Readmission. Volume 56 of Issue 6. Medical care 2018. PMID: 29746347


  77. Bazari A, Patanwala M, Kaplan LM, Auerswald CL, Kushel MB. 'The thing that really gets me is the future': Symptomatology in Older Homeless Adults in the HOPE HOME Study. Journal of pain and symptom management 2018. PMID: 29783004


  78. Sudore RL, Cuervo IA, Tieu L, Guzman D, Kaplan LM, Kushel M. Advance Care Planning for Older Homeless-Experienced Adults: Results from the Health Outcomes of People Experiencing Homelessness in Older Middle Age Study. Journal of the American Geriatrics Society 2018. PMID: 29741765


  79. . Mobile Phone, Computer, and Internet Use among Older Homeless Adults: Results from the HOPE HOME Study (Preprint). 2018. PMID:


  80. Kushel M. Hepatitis A Outbreak in California - Addressing the Root Cause. Volume 378 of Issue 3. The New England journal of medicine 2017. PMID: 29211622


  81. Spinelli MA, Frongillo EA, Sheira LA, Palar K, Tien PC, Wilson T, Merenstein D, Cohen M, Adedimeji A, Wentz E, Adimora AA, Metsch LR, Turan JM, Kushel MB, Weiser SD. Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States. Volume 21 of Issue 12. AIDS and behavior 2017. PMID: 29119474


  82. Patanwala M, Tieu L, Ponath C, Guzman D, Ritchie CS, Kushel M. Physical, Psychological, Social, and Existential Symptoms in Older Homeless-Experienced Adults: An Observational Study of the Hope Home Cohort. Volume 33 of Issue 5. Journal of general internal medicine 2017. PMID: 29185174


  83. Vijayaraghavan M, Olsen P, Weeks J, McKelvey K, Ponath C, Kushel M. Older African American Homeless-Experienced Smokers' Attitudes Toward Tobacco Control Policies-Results from the HOPE HOME Study. Volume 32 of Issue 2. American journal of health promotion : AJHP 2017. PMID: 28893086


  84. Metzger L, Ahalt C, Kushel M, Riker A, Williams B. Mobilizing cross-sector community partnerships to address the needs of criminal justice-involved older adults: a framework for action. Volume 13 of Issue 3-4. International journal of prisoner health 2017. PMID: 28914125


  85. Whittle HJ, Palar K, Ranadive NA, Turan JM, Kushel M, Weiser SD. "The land of the sick and the land of the healthy": Disability, bureaucracy, and stigma among people living with poverty and chronic illness in the United States. Volume 190. Social science & medicine (1982) 2017. PMID: 28865254


  86. Brown RT, Hemati K, Riley ED, Lee CT, Ponath C, Tieu L, Guzman D, Kushel MB. Geriatric Conditions in a Population-Based Sample of Older Homeless Adults. Volume 57 of Issue 4. The Gerontologist 2017. PMID: 26920935


  87. Hurstak E, Johnson JK, Tieu L, Guzman D, Ponath C, Lee CT, Jamora CW, Kushel M. Factors associated with cognitive impairment in a cohort of older homeless adults: Results from the HOPE HOME study. Volume 178. Drug and alcohol dependence 2017. PMID: 28738314


  88. Knight KR, Kushel M, Chang JS, Zamora K, Ceasar R, Hurstak E, Miaskowski C. Opioid pharmacovigilance: A clinical-social history of the changes in opioid prescribing for patients with co-occurring chronic non-cancer pain and substance use. Volume 186. Social science & medicine (1982) 2017. PMID: 28599142


  89. Landefeld JC, Miaskowski C, Tieu L, Ponath C, Lee CT, Guzman D, Kushel M. Characteristics and Factors Associated With Pain in Older Homeless Individuals: Results From the Health Outcomes in People Experiencing Homelessness in Older Middle Age (HOPE HOME) Study. Volume 18 of Issue 9. The journal of pain : official journal of the American Pain Society 2017. PMID: 28412229


  90. Hurstak EE, Kushel M, Chang J, Ceasar R, Zamora K, Miaskowski C, Knight K. The risks of opioid treatment: Perspectives of primary care practitioners and patients from safety-net clinics. Volume 38 of Issue 2. Substance abuse 2017. PMID: 28394752


  91. Raven MC, Tieu L, Lee CT, Ponath C, Guzman D, Kushel M. Emergency Department Use in a Cohort of Older Homeless Adults: Results From the HOPE HOME Study. Volume 24 of Issue 1. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2017. PMID: 27520382


  92. Kertesz SG, Baggett TP, O'Connell JJ, Buck DS, Kushel MB. Permanent Supportive Housing for Homeless People - Reframing the Debate. Volume 375 of Issue 22. The New England journal of medicine 2016. PMID: 27959753


  93. Spinelli MA, Ponath C, Tieu L, Hurstak EE, Guzman D, Kushel M. Factors associated with substance use in older homeless adults: Results from the HOPE HOME study. Volume 38 of Issue 1. Substance abuse 2016. PMID: 27897965


  94. Raven MC, Guzman D, Chen AH, Kornak J, Kushel M. Out-of-Network Emergency Department Use among Managed Medicaid Beneficiaries. Volume 52 of Issue 6. Health services research 2016. PMID: 27861836


  95. Chang JS, Kushel M, Miaskowski C, Ceasar R, Zamora K, Hurstak E, Knight KR. Provider Experiences With the Identification, Management, and Treatment of Co-occurring Chronic Noncancer Pain and Substance Use in the Safety Net. Volume 52 of Issue 2. Substance use & misuse 2016. PMID: 27754719


  96. Vijayaraghavan M, Schroeder SA, Kushel M. The effectiveness of tobacco control policies on vulnerable populations in the USA: a review. Postgraduate medical journal 2016. PMID: 27660283


  97. Kushel M. Things Fall Apart: Preventing High Readmission Rates Among Homeless Adults. Volume 31 of Issue 9. Journal of general internal medicine 2016. PMID: 27184753


  98. Lee CM, Mangurian C, Tieu L, Ponath C, Guzman D, Kushel M. Childhood Adversities Associated with Poor Adult Mental Health Outcomes in Older Homeless Adults: Results From the HOPE HOME Study. Volume 25 of Issue 2. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2016. PMID: 27544890


  99. Raven MC, Kushel M, Ko MJ, Penko J, Bindman AB. The Effectiveness of Emergency Department Visit Reduction Programs: A Systematic Review. Volume 68 of Issue 4. Annals of emergency medicine 2016. PMID: 27287549


  100. Brown RT, Goodman L, Guzman D, Tieu L, Ponath C, Kushel MB. Pathways to Homelessness among Older Homeless Adults: Results from the HOPE HOME Study. Volume 11 of Issue 5. PloS one 2016. PMID: 27163478


  101. Vijayaraghavan M, Tieu L, Ponath C, Guzman D, Kushel M. Tobacco Cessation Behaviors Among Older Homeless Adults: Results From the HOPE HOME Study. Volume 18 of Issue 8. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2016. PMID: 26920648


  102. Lee CT, Guzman D, Ponath C, Tieu L, Riley E, Kushel M. Residential patterns in older homeless adults: Results of a cluster analysis. Volume 153. Social science & medicine (1982) 2016. PMID: 26896877


  103. Ceasar R, Chang J, Zamora K, Hurstak E, Kushel M, Miaskowski C, Knight K. Primary care providers' experiences with urine toxicology tests to manage prescription opioid misuse and substance use among chronic noncancer pain patients in safety net health care settings. Volume 37 of Issue 1. Substance abuse 2016. PMID: 26682471


  104. Chodos AH, Kushel MB, Greysen SR, Guzman D, Kessell ER, Sarkar U, Goldman LE, Critchfield JM, Pierluissi E. Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital. Volume 30 of Issue 12. Journal of general internal medicine 2015. PMID: 25986139


  105. Chan B, Goldman LE, Sarkar U, Schneidermann M, Kessell E, Guzman D, Critchfield J, Kushel M. The Effect of a Care Transition Intervention on the Patient Experience of Older Multi-Lingual Adults in the Safety Net: Results of a Randomized Controlled Trial. Volume 30 of Issue 12. Journal of general internal medicine 2015. PMID: 25986136


  106. Palar K, Kushel M, Frongillo EA, Riley ED, Grede N, Bangsberg D, Weiser SD. Food Insecurity is Longitudinally Associated with Depressive Symptoms Among Homeless and Marginally-Housed Individuals Living with HIV. Volume 19 of Issue 8. AIDS and behavior 2015. PMID: 25351185


  107. Kushel M. The First Step is the Hardest: Overcoming Barriers to Primary Care. Volume 30 of Issue 7. Journal of general internal medicine 2015. PMID: 25788245


  108. Brown RT, Pierluissi E, Guzman D, Kessell ER, Goldman LE, Sarkar U, Schneidermann M, Critchfield JM, Kushel MB. Functional disability in late-middle-aged and older adults admitted to a safety-net hospital. Volume 62 of Issue 11. Journal of the American Geriatrics Society 2014. PMID: 25367281


  109. Fazel S, Geddes JR, Kushel M. The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. Volume 384 of Issue 9953. Lancet (London, England) 2014. PMID: 25390578


  110. Goldman LE, Sarkar U, Kessell E, Guzman D, Schneidermann M, Pierluissi E, Walter B, Vittinghoff E, Critchfield J, Kushel M. Support from hospital to home for elders: a randomized trial. Volume 161 of Issue 7. Annals of internal medicine 2014. PMID: 25285540


  111. Kushel M. Improving care for hospitalized, opioid-dependent patients: a promising start. Volume 174 of Issue 8. JAMA internal medicine 2014. PMID: 24978013


  112. Vijayaraghavan M, Freitas D, Bangsberg DR, Miaskowski C, Kushel MB. Non-medical use of non-opioid psychotherapeutic medications in a community-based cohort of HIV-infected indigent adults. Volume 143. Drug and alcohol dependence 2014. PMID: 25107312


  113. Jeevanjee S, Penko J, Guzman D, Miaskowski C, Bangsberg DR, Kushel MB. Opioid analgesic misuse is associated with incomplete antiretroviral adherence in a cohort of HIV-infected indigent adults in San Francisco. Volume 18 of Issue 7. AIDS and behavior 2014. PMID: 24077929


  114. Greysen SR, Hoi-Cheung D, Garcia V, Kessell E, Sarkar U, Goldman L, Schneidermann M, Critchfield J, Pierluissi E, Kushel M. "Missing pieces"--functional, social, and environmental barriers to recovery for vulnerable older adults transitioning from hospital to home. Volume 62 of Issue 8. Journal of the American Geriatrics Society 2014. PMID: 24934494


  115. Vijayaraghavan M, Penko J, Vittinghoff E, Bangsberg DR, Miaskowski C, Kushel MB. Smoking behaviors in a community-based cohort of HIV-infected indigent adults. Volume 18 of Issue 3. AIDS and behavior 2014. PMID: 23918243


  116. Weiser SD, Yuan C, Guzman D, Frongillo EA, Riley ED, Bangsberg DR, Kushel MB. Food insecurity and HIV clinical outcomes in a longitudinal study of urban homeless and marginally housed HIV-infected individuals. Volume 27 of Issue 18. AIDS (London, England) 2013. PMID: 23921612


  117. Vogenthaler NS, Kushel MB, Hadley C, Frongillo EA, Riley ED, Bangsberg DR, Weiser SD. Food insecurity and risky sexual behaviors among homeless and marginally housed HIV-infected individuals in San Francisco. Volume 17 of Issue 5. AIDS and behavior 2013. PMID: 23086429


  118. Vijayaraghavan M, Kushel MB, Vittinghoff E, Kertesz S, Jacobs D, Lewis CE, Sidney S, Bibbins-Domingo K. Housing instability and incident hypertension in the CARDIA cohort. Volume 90 of Issue 3. Journal of urban health : bulletin of the New York Academy of Medicine 2013. PMID: 22752301


  119. Wang EA, Hong CS, Shavat S, Kessell ER, Sanders R, Kushel MB. Wang et al. Respond. Volume 103 of Issue 6. American journal of public health 2013. PMID: 23597355


  120. Vijayaraghavan M, Penko J, Bangsberg DR, Miaskowski C, Kushel MB. Opioid analgesic misuse in a community-based cohort of HIV-infected indigent adults. Volume 173 of Issue 3. JAMA internal medicine 2013. PMID: 23319013


  121. Weiser SD, Hatcher A, Frongillo EA, Guzman D, Riley ED, Bangsberg DR, Kushel MB. Food insecurity is associated with greater acute care utilization among HIV-infected homeless and marginally housed individuals in San Francisco. Volume 28 of Issue 1. Journal of general internal medicine 2012. PMID: 22903407


  122. Vijayaraghavan M, Penko J, Guzman D, Miaskowski C, Kushel MB. Primary care providers' views on chronic pain management among high-risk patients in safety net settings. Volume 13 of Issue 9. Pain medicine (Malden, Mass.) 2012. PMID: 22846057


  123. Wang EA, Hong CS, Shavit S, Sanders R, Kessell E, Kushel MB. Engaging individuals recently released from prison into primary care: a randomized trial. Volume 102 of Issue 9. American journal of public health 2012. PMID: 22813476


  124. Penko J, Mattson J, Miaskowski C, Kushel M. Do patients know they are on pain medication agreements? Results from a sample of high-risk patients on chronic opioid therapy. Volume 13 of Issue 9. Pain medicine (Malden, Mass.) 2012. PMID: 22757769


  125. Chartier M, Carrico AW, Weiser SD, Kushel MB, Riley ED. Specific psychiatric correlates of acute care utilization among unstably housed HIV-positive adults. Volume 24 of Issue 12. AIDS care 2012. PMID: 22533713


  126. Kushel M. Older homeless adults: can we do more? Volume 27 of Issue 1. Journal of general internal medicine 2012. PMID: 22086754


  127. Weiser SD, Young SL, Cohen CR, Kushel MB, Tsai AC, Tien PC, Hatcher AM, Frongillo EA, Bangsberg DR. Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Volume 94 of Issue 6. The American journal of clinical nutrition 2011. PMID: 22089434


  128. Straus SG, Chen AH, Yee H, Kushel MB, Bell DS. Implementation of an electronic referral system for outpatient specialty care. Volume 2011. AMIA ... Annual Symposium proceedings. AMIA Symposium 2011. PMID: 22195195


  129. Miaskowski C, Penko JM, Guzman D, Mattson JE, Bangsberg DR, Kushel MB. Occurrence and characteristics of chronic pain in a community-based cohort of indigent adults living with HIV infection. Volume 12 of Issue 9. The journal of pain : official journal of the American Pain Society 2011. PMID: 21684218


  130. Hansen L, Penko J, Guzman D, Bangsberg DR, Miaskowski C, Kushel MB. Aberrant behaviors with prescription opioids and problem drug use history in a community-based cohort of HIV-infected individuals. Volume 42 of Issue 6. Journal of pain and symptom management 2011. PMID: 21802896


  131. Vijayaraghavan M, Penko J, Guzman D, Miaskowski C, Kushel MB. Primary care providers’ judgments of opioid analgesic misuse in a community-based cohort of HIV-infected indigent adults. Volume 26 of Issue 4. Journal of general internal medicine 2011. PMID: 21061084


  132. Moskowitz D, Thom DH, Guzman D, Penko J, Miaskowski C, Kushel M. Is primary care providers' trust in socially marginalized patients affected by race? Volume 26 of Issue 8. Journal of general internal medicine 2011. PMID: 21394422


  133. Thom DH, Wong ST, Guzman D, Wu A, Penko J, Miaskowski C, Kushel M. Physician trust in the patient: development and validation of a new measure. Volume 9 of Issue 2. Annals of family medicine 2011. PMID: 21403142


  134. Tsai AC, Weiser SD, Petersen ML, Ragland K, Kushel MB, Bangsberg DR. A marginal structural model to estimate the causal effect of antidepressant medication treatment on viral suppression among homeless and marginally housed persons with HIV. Volume 67 of Issue 12. Archives of general psychiatry 2010. PMID: 21135328


  135. Brown RT, Kimes RV, Guzman D, Kushel M. Health care access and utilization in older versus younger homeless adults. Volume 21 of Issue 3. Journal of health care for the poor and underserved 2010. PMID: 20693744


  136. . Reply to Dr. Francis Tayie and Dr. Claire Zizza. 2010. PMID:


  137. Williams BA, McGuire J, Lindsay RG, Baillargeon J, Cenzer IS, Lee SJ, Kushel M. Coming home: health status and homelessness risk of older pre-release prisoners. Volume 25 of Issue 10. Journal of general internal medicine 2010. PMID: 20532651


  138. Althoff KN, Gange SJ, Klein MB, Brooks JT, Hogg RS, Bosch RJ, Horberg MA, Saag MS, Kitahata MM, Justice AC, Gebo KA, Eron JJ, Rourke SB, Gill MJ, Rodriguez B, Sterling TR, Calzavara LM, Deeks SG, Martin JN, Rachlis AR, Napravnik S, Jacobson LP, Kirk GD, Collier AC, Benson CA, Silverberg MJ, Kushel M, Goedert JJ, McKaig RG, Van Rompaey SE, Zhang J, Moore RD. Late presentation for human immunodeficiency virus care in the United States and Canada. Volume 50 of Issue 11. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2010. PMID: 20415573


  139. Kim-Hwang JE, Chen AH, Bell DS, Guzman D, Yee HF, Kushel MB. Evaluating electronic referrals for specialty care at a public hospital. Volume 25 of Issue 10. Journal of general internal medicine 2010. PMID: 20512531


  140. Chen AH, Kushel MB, Grumbach K, Yee HF. Practice profile. A safety-net system gains efficiencies through 'eReferrals' to specialists. Volume 29 of Issue 5. Health affairs (Project Hope) 2010. PMID: 20439891


  141. Wang EA, Hong CS, Samuels L, Shavit S, Sanders R, Kushel M. Transitions clinic: creating a community-based model of health care for recently released California prisoners. Volume 125 of Issue 2. Public health reports (Washington, D.C. : 1974) 2010. PMID: 20297743


  142. Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. Volume 140 of Issue 2. The Journal of nutrition 2009. PMID: 20032485


  143. Deeks SG, Gange SJ, Kitahata MM, Saag MS, Justice AC, Hogg RS, Eron JJ, Brooks JT, Rourke SB, Gill MJ, Bosch RJ, Benson CA, Collier AC, Martin JN, Klein MB, Jacobson LP, Rodriguez B, Sterling TR, Kirk GD, Napravnik S, Rachlis AR, Calzavara LM, Horberg MA, Silverberg MJ, Gebo KA, Kushel MB, Goedert JJ, McKaig RG, Moore RD. Trends in multidrug treatment failure and subsequent mortality among antiretroviral therapy-experienced patients with HIV infection in North America. Volume 49 of Issue 10. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2009. PMID: 19845473


  144. Sewell JL, Kushel MB, Inadomi JM, Yee HF. Non-English speakers attend gastroenterology clinic appointments at higher rates than English speakers in a vulnerable patient population. Volume 43 of Issue 7. Journal of clinical gastroenterology 2009. PMID: 19169147


  145. Weiser SD, Bangsberg DR, Kegeles S, Ragland K, Kushel MB, Frongillo EA. Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. Volume 13 of Issue 5. AIDS and behavior 2009. PMID: 19644748


  146. Kim Y, Chen AH, Keith E, Yee HF, Kushel MB. Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net health system. Volume 24 of Issue 5. Journal of general internal medicine 2009. PMID: 19308334


  147. Yen IH, Hammond WP, Kushel MB. From homeless to hopeless and healthless?: the health impacts of housing challenges among former foster care youth transitioning to adulthood in California. Volume 32 of Issue 2. Issues in comprehensive pediatric nursing 2009. PMID: 21992092


  148. Reid KW, Vittinghoff E, Kushel MB. Association between the level of housing instability, economic standing and health care access: a meta-regression. Volume 19 of Issue 4. Journal of health care for the poor and underserved 2008. PMID: 19029747


  149. Das-Douglas M, Riley ED, Ragland K, Guzman D, Clark R, Kushel MB, Bangsberg DR. Implementation of the Medicare Part D prescription drug benefit is associated with antiretroviral therapy interruptions. Volume 13 of Issue 1. AIDS and behavior 2008. PMID: 18483850


  150. Ma CT, Gee L, Kushel MB. Associations between housing instability and food insecurity with health care access in low-income children. Volume 8 of Issue 1. Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association 2008. PMID: 18191782


  151. Kushel MB, Yen IH, Gee L, Courtney ME. Homelessness and health care access after emancipation: results from the Midwest Evaluation of Adult Functioning of Former Foster Youth. Volume 161 of Issue 10. Archives of pediatrics & adolescent medicine 2007. PMID: 17909143


  152. Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002. Volume 22 of Issue 7. Journal of general internal medicine 2007. PMID: 17436030


  153. Adams J, Rosenheck R, Gee L, Seibyl CL, Kushel M. Hospitalized younger: a comparison of a national sample of homeless and housed inpatient veterans. Volume 18 of Issue 1. Journal of health care for the poor and underserved 2007. PMID: 17337806


  154. Kushel MB, Miaskowski C. End-of-life care for homeless patients: "she says she is there to help me in any situation". Volume 296 of Issue 24. JAMA 2006. PMID: 17190897


  155. Kessell ER, Bhatia R, Bamberger JD, Kushel MB. Public health care utilization in a cohort of homeless adult applicants to a supportive housing program. Volume 83 of Issue 5. Journal of urban health : bulletin of the New York Academy of Medicine 2006. PMID: 16779686


  156. Hahn JA, Kushel MB, Bangsberg DR, Riley E, Moss AR. BRIEF REPORT: the aging of the homeless population: fourteen-year trends in San Francisco. Volume 21 of Issue 7. Journal of general internal medicine 2006. PMID: 16808781


  157. Kushel MB, Colfax G, Ragland K, Heineman A, Palacio H, Bangsberg DR. Case management is associated with improved antiretroviral adherence and CD4+ cell counts in homeless and marginally housed individuals with HIV infection. Volume 43 of Issue 2. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2006. PMID: 16779752


  158. Kushel MB, Gupta R, Gee L, Haas JS. Housing instability and food insecurity as barriers to health care among low-income Americans. Volume 21 of Issue 1. Journal of general internal medicine 2006. PMID: 16423128


  159. Bhandari VK, Kushel M, Price L, Schillinger D. Racial disparities in outcomes of inpatient stroke rehabilitation. Volume 86 of Issue 11. Archives of physical medicine and rehabilitation 2005. PMID: 16271552


  160. Kushel MB, Hahn JA, Evans JL, Bangsberg DR, Moss AR. Revolving doors: imprisonment among the homeless and marginally housed population. Volume 95 of Issue 10. American journal of public health 2005. PMID: 16186453


  161. Tsai M, Weintraub R, Gee L, Kushel M. Identifying homelessness at an urban public hospital: a moving target? Volume 16 of Issue 2. Journal of health care for the poor and underserved 2005. PMID: 15937393


  162. Walley AY, White MC, Kushel MB, Song YS, Tulsky JP. Knowledge of and interest in hepatitis C treatment at a methadone clinic. Volume 28 of Issue 2. Journal of substance abuse treatment 2005. PMID: 15780548


  163. Kushel M, Bindman AB. Health care lobbying: time to make patients the special interest. Volume 116 of Issue 7. The American journal of medicine 2004. PMID: 15047042


  164. Kushel MB, Evans JL, Perry S, Robertson MJ, Moss AR. No door to lock: victimization among homeless and marginally housed persons. Volume 163 of Issue 20. Archives of internal medicine 2003. PMID: 14609786


  165. Kushel MB, Perry S, Bangsberg D, Clark R, Moss AR. Emergency department use among the homeless and marginally housed: results from a community-based study. Volume 92 of Issue 5. American journal of public health 2002. PMID: 11988447


  166. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. Volume 285 of Issue 2. JAMA 2001. PMID: 11176814