Title |
Daily Substance Use and Mental Health Symptoms among a Cohort of Homeless Adults in Vancouver, British Columbia
|
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Published in |
Journal of Urban Health, October 2012
|
DOI | 10.1007/s11524-012-9775-6 |
Pubmed ID | |
Authors |
Anita Palepu, Michelle Patterson, Verena Strehlau, Akm Moniruzzamen, Jason Tan de Bibiana, James Frankish, Michael Krausz, Julian Somers |
Abstract |
Substance use can be a barrier to stable housing for homeless persons with mental disorders. We examined DSM-IV symptoms among homeless adults (N = 497), comparing those who reported daily substance use (DSU) with non-daily substance users. Multivariable linear regression modeling was used to test the independent association between DSU and symptoms using the Colorado Symptom Index total score. DSU was independently associated with higher symptoms (beta = 3.67, 95 % CI 1.55-5.77) adjusting for homelessness history, age, gender, ethnicity, education, marital status, and mental disorder sub-type (adjusted R (2) = 0.24). We observed a higher prevalence of DSU in our sample than has been previously reported in a Housing First intervention. DSU was also independently associated with more DSM-IV symptomatology. We have an opportunity to observe this cohort longitudinally and examine if there are changes in substance use based on treatment assignment and commensurate changes in housing stability, community integration, health status, and quality of life. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | <1% |
Canada | 1 | <1% |
Unknown | 100 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 18 | 18% |
Student > Master | 17 | 17% |
Researcher | 14 | 14% |
Student > Ph. D. Student | 12 | 12% |
Student > Doctoral Student | 7 | 7% |
Other | 10 | 10% |
Unknown | 24 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 21 | 21% |
Medicine and Dentistry | 19 | 19% |
Psychology | 17 | 17% |
Nursing and Health Professions | 8 | 8% |
Sports and Recreations | 2 | 2% |
Other | 10 | 10% |
Unknown | 25 | 25% |