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Factors associated with substance use in older homeless adults: Results from the HOPE HOME study
| Content Provider | Scilit |
|---|---|
| Author | Spinelli, Matthew A. Ponath, Claudia Tieu, Lina Hurstak, Emily E. Guzman, David Kushel, Margot |
| Copyright Year | 2016 |
| Description | Background: The median age of the single adult homeless population is 50 and rising. Although the prevalence of substance use decreases as individuals age, older adults now have a higher prevalence of substance use than older adults did 10 years ago. Homeless individuals have a higher prevalence of substance use disorders than the general population. However, little is known about substance use in older homeless adults. Methods: The objective of the study was to examine prevalence of and factors associated with substance use in a population-based sample (N = 350) of homeless individuals aged 50 and older in Oakland, California. Dependent variables included moderate or greater severity illicit drug symptoms (Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) score >3) and moderate or greater alcohol symptoms (Alcohol Use Disorders Identification Test (AUDIT) score >7). Independent variables included demographics, mental health problems, and negative life course events such as physical and sexual abuse, school expulsion, and onset of homelessness. Results: Almost two thirds of participants, 64.6%, had moderate or greater severity symptoms for at least 1 illicit drug; 25.8% had moderate or greater severity alcohol symptoms. History of psychiatric hospitalization was associated with moderate or greater illicit drug symptoms (adjusted odds ratio [AOR] = 1.9, 1.0–3.6). The presence of major depressive symptoms was associated with moderate or greater severity alcohol symptoms (AOR = 1.8, 1.1–3.0). Conclusions: In this sample of older homeless adults, substance use is common. There is a need for substance use treatment programs, integrated with mental health services, which are targeted towards the needs of older homeless adults. |
| Related Links | http://europepmc.org/articles/pmc5472372?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472372/pdf |
| Ending Page | 94 |
| Page Count | 7 |
| Starting Page | 88 |
| ISSN | 08897077 |
| e-ISSN | 15470164 |
| DOI | 10.1080/08897077.2016.1264534 |
| Journal | Substance Abuse |
| Issue Number | 1 |
| Volume Number | 38 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2017-01-02 |
| Access Restriction | Open |
| Subject Keyword | Substance Abuse Substance-related Disorders Homeless Persons |
| Content Type | Text |
| Resource Type | Article |
| Subject | Psychiatry and Mental Health |
