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. 2014 Jan-Feb;23(1):76-83.
doi: 10.1111/j.1521-0391.2013.12066.x. Epub 2013 Jun 26.

Does experiencing homelessness affect women's motivation to change alcohol or drug use?

Carole C Upshur  1 , Linda Weinreb, Debbie M Cheng, Theresa W Kim, Jeffrey H Samet, Richard Saitz
Affiliations

Does experiencing homelessness affect women's motivation to change alcohol or drug use?

Carole C Upshur et al. Am J Addict. 2014 Jan-Feb.

Abstract

Background and objectives: Homeless women are at high risk of drug and alcohol dependence and may receive less opportunity for treatment. Our objective was to examine the association between experiencing homelessness and motivation to change drug or alcohol use.

Methods: Women (n = 154) participants in a study of substance dependence at an urban medical center (69 with some homeless days in the last 90 days; 85 continuously housed at baseline) completed six items rating motivation to change alcohol or drug use (ie, importance, readiness, and confidence) at baseline and in 3-, 6-, and 12-month follow-up interviews. Unadjusted and longitudinal analyses controlling for covariates (eg, demographics, insurance status, substance use consequences, mental health status, and participation in treatment) were conducted.

Results: There were no significant differences between women experiencing homeless days versus continuously housed women in the odds of reporting high motivation to change alcohol or drug use, either in unadjusted baseline analyses or longitudinal analyses adjusted for covariates. Covariates that were significantly associated with high importance, readiness or confidence to change behavior were higher life time consequences of substance use, and participation in 12-step programs.

Discussion and conclusions: The findings suggest that clinicians should not make assumptions that homeless women have low motivation to change their substance use.

Scientific significance and future directions: The same opportunities for addiction treatment should be offered to homeless as to housed women.

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Conflict of interest statement

The authors report no conflict of interest. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the three institutes that have provided funding.

References

    1. Reardon ML, Burns AB, Priest R, Sachs-Erickson N, Lang AR. Alcohol use and other psychiatric disorders in the formerly homeless and never homeless: Prevalence, age of onset, comorbity, temporal sequencing, and service utilization. Subst Use Misuse. 2003;38:601–644. - PubMed
    1. Nyamathi A, Longshore D, Galaif ER, Leake B. Motivation to stop substance use and psychological and environmental characteristics of homeless women. Addict Behav. 2004;29:1839–1843. - PubMed
    1. Wenzel SL, Tucker JS, Elliot MM, Hambarsoomians K, Perlman J, Becker K, Kollross C, Golinelli D. Prevalence and co-occurrence of violence, substance use and disorders, and HIV risk behavior: a comparison of sheltered and low income women in Los Angeles county. Prev Med. 2004;39:617–634. - PubMed
    1. Robertson JM, Zlotnick C, Westerfelt A. Drug use disorders and treatment contact among homeless adults in Alameda County, California. AJPH. 1997;87:221–28. - PMC - PubMed
    1. Zlotnick C, Tam T, Robertson MJ. Disaffiliation, substance use, and existing homelessness. Subst Use Misuse. 2003;38:577–599. - PubMed

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