Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless

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

    Research output: Contribution to journalArticle

    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.

    Original languageEnglish (US)
    Pages (from-to)830-835
    Number of pages6
    JournalAmerican Journal of Public Health
    Volume94
    Issue number5
    StatePublished - May 2004

    Fingerprint

    Odds Ratio
    Alcohols
    Confidence Intervals
    Pharmaceutical Preparations
    Alcoholism
    Substance-Related Disorders
    Homeless Persons
    Health Insurance
    Diagnostic and Statistical Manual of Mental Disorders
    Population
    Therapeutics

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

    Cite this

    O'Toole, T. P., Gibbon, J. L., Hanusa, B. H., Freyder, P. J., Conde, A. M., & Fine, M. J. (2004). Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless. American Journal of Public Health, 94(5), 830-835.

    Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless. / O'Toole, Thomas P.; Gibbon, Jeanette L.; Hanusa, Barbara H.; Freyder, Paul J.; Conde, Alicia M.; Fine, Michael J.

    In: American Journal of Public Health, Vol. 94, No. 5, 05.2004, p. 830-835.

    Research output: Contribution to journalArticle

    O'Toole, TP, Gibbon, JL, Hanusa, BH, Freyder, PJ, Conde, AM & Fine, MJ 2004, 'Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless', American Journal of Public Health, vol. 94, no. 5, pp. 830-835.
    O'Toole TP, Gibbon JL, Hanusa BH, Freyder PJ, Conde AM, Fine MJ. Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless. American Journal of Public Health. 2004 May;94(5):830-835.
    O'Toole, Thomas P. ; Gibbon, Jeanette L. ; Hanusa, Barbara H. ; Freyder, Paul J. ; Conde, Alicia M. ; Fine, Michael J. / Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless. In: American Journal of Public Health. 2004 ; Vol. 94, No. 5. pp. 830-835.
    @article{8e978d4f12a64c88aa536682c47784fc,
    title = "Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless",
    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.",
    author = "O'Toole, {Thomas P.} and Gibbon, {Jeanette L.} and Hanusa, {Barbara H.} and Freyder, {Paul J.} and Conde, {Alicia M.} and Fine, {Michael J.}",
    year = "2004",
    month = "5",
    language = "English (US)",
    volume = "94",
    pages = "830--835",
    journal = "American Journal of Public Health",
    issn = "0090-0036",
    publisher = "American Public Health Association Inc.",
    number = "5",

    }

    TY - JOUR

    T1 - Self-Reported Changes in Drug and Alcohol Use after Becoming Homeless

    AU - O'Toole, Thomas P.

    AU - Gibbon, Jeanette L.

    AU - Hanusa, Barbara H.

    AU - Freyder, Paul J.

    AU - Conde, Alicia M.

    AU - Fine, Michael J.

    PY - 2004/5

    Y1 - 2004/5

    N2 - 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.

    AB - 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.

    UR - http://www.scopus.com/inward/record.url?scp=2342420642&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=2342420642&partnerID=8YFLogxK

    M3 - Article

    VL - 94

    SP - 830

    EP - 835

    JO - American Journal of Public Health

    JF - American Journal of Public Health

    SN - 0090-0036

    IS - 5

    ER -