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. 2004 May;94(5):830-5.
doi: 10.2105/ajph.94.5.830.

Self-reported changes in drug and alcohol use after becoming homeless

Thomas P O'Toole  1 , Jeanette L Gibbon, Barbara H Hanusa, Paul J Freyder, Alicia M Conde, Michael J Fine
Affiliations

Self-reported changes in drug and alcohol use after becoming homeless

Thomas P O'Toole et al. Am J Public Health. 2004 May.

Abstract

Objectives: We identified substance use patterns and factors associated with increased substance use after users become homeless.

Methods: We carried out a 2-city, community-based survey that used population-proportionate sampling of 91 sites with random selection at each site.

Results: Five hundred thirty-one adults were interviewed; 78.3% of them met Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition criteria for substance abuse or dependence. Most of those who met the criteria reported using drugs and alcohol less since they became homeless, commonly because they were in recovery. Factors independently associated with increased use were no health insurance (odds ratio [OR] = 1.6; 95% confidence interval [CI] = 1.02, 2.58), alcohol abuse or dependence (OR = 3.5; 95% CI = 1.85, 6.78), and selling plasma (OR = 2.6; 95% CI = 1.32, 5.14) or panhandling (OR = 3.0; 95% CI = 1.65, 5.55) to acquire drugs.

Conclusions: Becoming homeless plays a role in self-reported substance use. Multiservice treatment programs and tailored interventions for homeless persons are needed.

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References

    1. Hwang SW, Orav EJ, O’Connell JJ, Lebow JM, Brennan TA. Causes of death in homeless adults in Boston. Ann Intern Med. 1997;126:625–628. - PubMed
    1. Hanzlick R, Parrish RG. Deaths among the homeless in Fulton County, GA, 1988–90. Public Health Rep. 1993;108:488–491. - PMC - PubMed
    1. Hanzlick R, Parrish RG. Deaths among homeless persons—San Francisco, 1985–1990. MMWR Morb Mortal Wkly Rep. 1991;40:877–880. - PubMed
    1. O’Toole TP, Gibbon JL, Hanusa BH, Fine MJ. Utilization of health care services among subgroups of urban homeless and housed poor. J Health Polit Policy Law. 1999:24;91–114. - PubMed
    1. Wenzel SL, Bakhtiar L, Caskey NH, et al. Homeless veterans’ utilization of medical, psychiatric, and substance abuse services. Med Care. 1995;33:1132–1144. - PubMed

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