NDLI: Shared risk: who engages in substance use with American homeless youth?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Green, Harold D. de la Haye, Kayla Tucker, Joan S. Golinelli, Daniela
Spatial Coverage	Los Angeles
Description	Country affiliation: United States Author Affiliation: Green HD ( RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, USA. hgreen@rand.org)
Abstract	AIMS: To identify characteristics of social network members with whom homeless youth engage in drinking and drug use. DESIGN: A multi-stage probability sample of homeless youth completed a social network survey. SETTING: Forty-one shelters, drop-in centers and known street hangouts in Los Angeles County. PARTICIPANTS: A total of 419 homeless youth, aged 13-24 years (mean age = 20.09, standard deviation = 2.80). MEASUREMENTS: Respondents described 20 individuals in their networks, including their substance use and demographics, and the characteristics of the relationships they shared, including with whom they drank and used drugs. Dyadic, multi-level regressions identified predictors of shared substance use. FINDINGS: Shared drinking was more likely to occur with recent sex partners [odds ratio (OR) = 2.64, confidence interval (CI): 1.67, 4.18], drug users (OR = 4.57, CI: 3.21, 6.49), sexual risk takers (OR = 1.71, CI: 1.25, 2.33), opinion leaders (OR = 1.69, CI: 1.42, 2.00), support providers (OR = 1.41, CI: 1.03, 1.93) and popular people (those with high degree scores in the network) (OR = 1.07, CI: 1.01, 1.14). Shared drug use was more likely to occur with recent sex partners (OR = 2.44, CI: 1.57, 3.80), drinkers (OR = 4.53, CI: 3.05, 6.74), sexual risk takers (OR = 1.51, CI: 1.06, 2.17), opinion leaders (OR = 1.24, CI: 1.03, 1.50), support providers (OR = 1.83, CI: 1.29, 2.60) and popular people (OR = 1.16, CI: 1.08, 1.24). CONCLUSIONS: Homeless youth in the United States are more likely to drink or use drugs with those who engage in multiple risk behaviors and who occupy influential social roles (popular, opinion leaders, support providers, sex partners). Understanding these social networks may be helpful in designing interventions to combat substance misuse.
File Format	HTM / HTML
ISSN	09652140
e-ISSN	13600443
DOI	10.1111/add.12177
Journal	Addiction
Issue Number	9
Volume Number	108
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2013-09-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Psychology Alcohol Drinking Discipline Addiction Epidemiology Risk-taking Substance-related Disorders Adolescent Homeless Youth Statistics & Numerical Data Los Angeles Interpersonal Relations
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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