Literature DB >> 26359444

Increased risk for substance use and health-related problems among homeless veterans.

Eugene M Dunne1, Larry E Burrell1, Allyson D Diggins1, Nicole Ennis Whitehead1, William W Latimer2.   

Abstract

BACKGROUND AND OBJECTIVES: The first aim of this study was to compare self-reported causes of homelessness between veterans and nonveterans. A second aim examined whether homeless male veterans were more likely than homeless male nonveterans to experience current problems with addictions, mental health, and physical health. Additionally, a third aim was to compare frequency of emergency room visits and treatment needs between the two groups.
METHODS: Secondary data analyses compared male homeless veterans and nonveterans (N = 353) enrolled in the Alachua County Point in Time study in central Florida. Participants completed a questionnaire on demographics and health variables. Additional questions included recent emergency room visits and medical or other needs not being met.
RESULTS: Veterans reported higher rates of substance use and mental health problems as a primary cause of homelessness when compared to nonveterans. Homeless veterans were more likely than nonveterans to report current problems with addictions (OR = 6.29, 95% CI: 3.43-11.53, p < .001), mental health problems (OR = 4.12, 95% CI: 2.28-7.42, p < .001), and physical problems (OR = 1.83, 95% CI: 1.08-3.67, p < .01). Finally, over half of homeless veterans (53.1%) reported an ER visit in the past year compared to only 40.9% of nonveterans (OR = 1.73, 95% CI: 1.07-2.80, p < .05). CONCLUSION AND SCIENTIFIC SIGNIFICANCE: Veterans may be more likely to become homeless due to addiction and mental health and over half of homeless veterans are presenting to hospital emergency rooms. Given the greater utilization among homeless veterans, emergency rooms may serve as a prime opportunity to provide brief treatment and referrals for needed services. © American Academy of Addiction Psychiatry.

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Mesh:

Year:  2015        PMID: 26359444      PMCID: PMC6941432          DOI: 10.1111/ajad.12289

Source DB:  PubMed          Journal:  Am J Addict        ISSN: 1055-0496


  24 in total

1.  Drug use and the role of homelessness in the process of marginalization.

Authors:  Moniek Coumans; Marinus Spreen
Journal:  Subst Use Misuse       Date:  2003 Feb-May       Impact factor: 2.164

2.  Disaffiliation, substance use, and exiting homelessness.

Authors:  Cheryl Zlotnick; Tammy Tam; Marjorie J Robertson
Journal:  Subst Use Misuse       Date:  2003 Feb-May       Impact factor: 2.164

3.  A wraparound treatment engagement intervention for homeless veterans with co-occurring disorders.

Authors:  David A Smelson; Anna Kline; John Kuhn; Stephanie Rodrigues; Kathryn O'Connor; William Fisher; Leon Sawh; Vincent Kane
Journal:  Psychol Serv       Date:  2012-12-17

4.  Suicidal behavior in a national sample of older homeless veterans.

Authors:  John A Schinka; Katherine C Schinka; Roger J Casey; Wes Kasprow; Robert M Bossarte
Journal:  Am J Public Health       Date:  2012-01-25       Impact factor: 9.308

5.  Medical, psychiatric and demographic factors associated with suicidal behavior in homeless veterans.

Authors:  Gerald Goldstein; James Francis Luther; Gretchen Louise Haas
Journal:  Psychiatry Res       Date:  2012-04-21       Impact factor: 3.222

Review 6.  Major depression and comorbid substance use disorders.

Authors:  Lori Davis; Akihito Uezato; Jason M Newell; Elizabeth Frazier
Journal:  Curr Opin Psychiatry       Date:  2008-01       Impact factor: 4.741

7.  Prevalence of Hepatitis C virus infection in a sample of homeless veterans.

Authors:  Rani A Desai; Robert A Rosenheck; Vincent Agnello
Journal:  Soc Psychiatry Psychiatr Epidemiol       Date:  2003-07       Impact factor: 4.328

8.  A Taxonomy of medical comorbidity for veterans who are homeless.

Authors:  Gerald Goldstein; James F Luther; Aaron M Jacoby; Gretchen L Haas; Adam J Gordon
Journal:  J Health Care Poor Underserved       Date:  2008-08

9.  Losing the housing game. The leveling effects of substance abuse.

Authors:  J A Devine; J D Wright
Journal:  Am J Orthopsychiatry       Date:  1997-10

10.  Homeless female U.S. veterans in a national supported housing program: comparison of individual characteristics and outcomes with male veterans.

Authors:  Jack Tsai; Robert A Rosenheck; Vincent Kane
Journal:  Psychol Serv       Date:  2014-04-14
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  4 in total

Review 1.  Evidence Review-Social Determinants of Health for Veterans.

Authors:  Wei Duan-Porter; Brian C Martinson; Nancy Greer; Brent C Taylor; Kristen Ullman; Lauren McKenzie; Christina Rosebush; Roderick MacDonald; Samuel Falde; Timothy J Wilt
Journal:  J Gen Intern Med       Date:  2018-07-20       Impact factor: 5.128

2.  Predictors of treatment initiation for alcohol use disorders in primary care.

Authors:  Katherine E Watkins; Allison Ober; Colleen McCullough; Claude Setodji; Karen Lamp; Mimi Lind; Sarah B Hunter; Karen Chan Osilla
Journal:  Drug Alcohol Depend       Date:  2018-07-24       Impact factor: 4.492

3.  Preventing Suicide Among Homeless Veterans: A Consensus Statement by the Veterans Affairs Suicide Prevention Among Veterans Experiencing Homelessness Workgroup.

Authors:  Ryan Holliday; Shawn Liu; Lisa A Brenner; Lindsey L Monteith; Maurand M Cappelletti; John R Blosnich; Diana P Brostow; Lillian Gelberg; Dina Hooshyar; Jennifer Koget; D Keith McInnes; Ann E Montgomery; Robert O'Brien; Robert A Rosenheck; Susan Strickland; Gloria M Workman; Jack Tsai
Journal:  Med Care       Date:  2021-04-01       Impact factor: 3.178

4.  Financing Cocaine Use in a Homeless Population.

Authors:  Carol S North; David E Pollio
Journal:  Behav Sci (Basel)       Date:  2017-10-25
  4 in total

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