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The Journal of the American Board of Family Medicine 20 (6): 572-580 (2007)
DOI: 10.3122/jabfm.2007.06.070036
© 2007 American Board of Family Medicine
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Original Research

The Health Status of Patients of a Student-Run Free Medical Clinic in Inner-City Buffalo, NY

Renee B. Cadzow, MA, Timothy J. Servoss, MS and Chester H. Fox, MD

Department of Family Medicine, Primary Care Research Institute (CHF, RBC, TJS), State University of New York at Buffalo, Buffalo
Department of Anthropology (RBC), State University of New York at Buffalo, Buffalo
Department of Psychology, Canisius College (TJS), Buffalo, NY

Correspondence: Corresponding author: Renee B. Cadzow, MA, Department of Family Medicine, State University of New York at Buffalo, ECMC Clinical Center, CC-119, 462 Grider Street, Buffalo, NY 14215 (E-mail: rcadzow{at}buffalo.edu)

Background: This study explores the health status and the social and economic correlates of adults 20 years of age and older who presented at an urban free medical clinic in Buffalo, NY, between 2002 and 2005.

Methods: Clinic staff asked patients to fill out a Health Risk Assessment questionnaire that addressed their chronic disease and illness history, mental health, social support, substance use, income, education, and housing. Through statistical analysis of 469 anonymous patient questionnaires, we identified prevalent health conditions in this patient population and compared these rates to regional and national data.

Results: Of those patients 20 years of age and older, 70% earned less than US $10,000 a year. The rates of obesity, hypertension, asthma, diabetes, anxiety, and depression were higher in this population than in the Buffalo, NY, region and the general United States population.

Conclusion: The data reflect the health disparity experienced by low-income minority populations in the United States and emphasize a need to plan additional services that target hypertension, heart disease, obesity, diabetes, and mental health disorders such as anxiety and depression. Findings also serve as an introduction to the patient population for volunteer medical students who have limited exposure to urban, low-income populations.


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Home page
 Arch Intern MedHome page
J. S. Darnell
Free Clinics in the United States: A Nationwide Survey
Arch Intern Med, June 14, 2010; 170(11): 946 - 953.
[Abstract] [Full Text] [PDF]


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