Drug use disorders and treatment contact among homeless adults in Alameda County, California
This study estimates the extent and distribution of specific drug problems among homeless adults. A countywide probability sample of 564 homeless adults received structured interviews that included a standardized assessment of substance use disorders. Two thirds of the sample (69.1%) had a lifetime...
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| Veröffentlicht in: | American journal of public health (1971) 1997-02, Vol.87 (2), p.221-228 |
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| container_title | American journal of public health (1971) |
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| creator | Robertson, M J Zlotnick, C Westerfelt, A |
| description | This study estimates the extent and distribution of specific drug problems among homeless adults.
A countywide probability sample of 564 homeless adults received structured interviews that included a standardized assessment of substance use disorders.
Two thirds of the sample (69.1%) had a lifetime history of a substance use disorder (including abuse of or dependence on alcohol [52.6%] or drugs [52.2%]); half had a current (52.4%) substance use disorder (including alcohol [38.8%] or drugs [31.3%]). Current drug disorders were higher among respondents who were younger, homeless longer, or sampled from the city of Oakland, Calif. Alcohol use disorders were higher among men than among women; surprisingly, drug use disorders were not.
Rates of current drug use disorders for homeless adults were more than eight times higher than general population estimates. However, estimates of drug problems among homeless adults vary as a function of case ascertainment and sampling strategy. Estimates based only on samples from urban areas may overestimate drug problems among the area's larger homeless populations. |
| doi_str_mv | 10.2105/AJPH.87.2.221 |
| format | Article |
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A countywide probability sample of 564 homeless adults received structured interviews that included a standardized assessment of substance use disorders.
Two thirds of the sample (69.1%) had a lifetime history of a substance use disorder (including abuse of or dependence on alcohol [52.6%] or drugs [52.2%]); half had a current (52.4%) substance use disorder (including alcohol [38.8%] or drugs [31.3%]). Current drug disorders were higher among respondents who were younger, homeless longer, or sampled from the city of Oakland, Calif. Alcohol use disorders were higher among men than among women; surprisingly, drug use disorders were not.
Rates of current drug use disorders for homeless adults were more than eight times higher than general population estimates. However, estimates of drug problems among homeless adults vary as a function of case ascertainment and sampling strategy. Estimates based only on samples from urban areas may overestimate drug problems among the area's larger homeless populations.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.87.2.221</identifier><identifier>PMID: 9103101</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>Addictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Adults ; Alameda County ; Alcohol ; Biological and medical sciences ; California - epidemiology ; Cocaine ; Data collection ; Design ; Drug abuse ; Drug abusers ; Drug addiction ; Drug use ; Epidemiology ; Female ; Homeless people ; Homeless Persons - statistics & numerical data ; Humans ; Interviews ; Male ; Medical sciences ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Middle Aged ; Prevalence ; Probability ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health ; Questionnaires ; Sex Factors ; Substance abuse treatment ; Substance Abuse Treatment Centers - statistics & numerical data ; Substance use disorder ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - therapy ; Treatment</subject><ispartof>American journal of public health (1971), 1997-02, Vol.87 (2), p.221-228</ispartof><rights>1997 INIST-CNRS</rights><rights>Copyright American Public Health Association Feb 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-6f6874fbeb91530c6e4bcfdf8f4ac62218ca9429df82515e0c9105fc1577e5953</citedby><cites>FETCH-LOGICAL-c562t-6f6874fbeb91530c6e4bcfdf8f4ac62218ca9429df82515e0c9105fc1577e5953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1380798/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1380798/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,27853,27911,27912,30987,53778,53780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2708351$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9103101$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robertson, M J</creatorcontrib><creatorcontrib>Zlotnick, C</creatorcontrib><creatorcontrib>Westerfelt, A</creatorcontrib><title>Drug use disorders and treatment contact among homeless adults in Alameda County, California</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>This study estimates the extent and distribution of specific drug problems among homeless adults.
A countywide probability sample of 564 homeless adults received structured interviews that included a standardized assessment of substance use disorders.
Two thirds of the sample (69.1%) had a lifetime history of a substance use disorder (including abuse of or dependence on alcohol [52.6%] or drugs [52.2%]); half had a current (52.4%) substance use disorder (including alcohol [38.8%] or drugs [31.3%]). Current drug disorders were higher among respondents who were younger, homeless longer, or sampled from the city of Oakland, Calif. Alcohol use disorders were higher among men than among women; surprisingly, drug use disorders were not.
Rates of current drug use disorders for homeless adults were more than eight times higher than general population estimates. However, estimates of drug problems among homeless adults vary as a function of case ascertainment and sampling strategy. Estimates based only on samples from urban areas may overestimate drug problems among the area's larger homeless populations.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Adults</subject><subject>Alameda County</subject><subject>Alcohol</subject><subject>Biological and medical sciences</subject><subject>California - epidemiology</subject><subject>Cocaine</subject><subject>Data collection</subject><subject>Design</subject><subject>Drug abuse</subject><subject>Drug abusers</subject><subject>Drug addiction</subject><subject>Drug use</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Homeless people</subject><subject>Homeless Persons - statistics & numerical data</subject><subject>Humans</subject><subject>Interviews</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Probability</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Sex Factors</subject><subject>Substance abuse treatment</subject><subject>Substance Abuse Treatment Centers - statistics & numerical data</subject><subject>Substance use disorder</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - therapy</subject><subject>Treatment</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqFks2LFDEQxYMo67h69CgEEU_2mEp3upOLMIwfqyzoQW9CqEmnZzKkkzHpVva_N8MO48dlTwmpH--9qhQhT4EtOTDxevXpy9VSdku-5BzukQWIBirGGnmfLBhTrNzr9iF5lPOeMQAl4IJcKGA1MFiQ72_TvKVztrR3Oabepkwx9HRKFqfRhomaGCY0E8Uxhi3dxdF6mwvUz37K1AW68jjaHuk6zmG6eUXX6N0QU3D4mDwY0Gf75HRekm_v331dX1XXnz98XK-uKyNaPlXt0MquGTZ2o0DUzLS22ZihH-TQoGlLV9KgargqL1yAsMyU-GIwILrOCiXqS_LmVvcwb0oUU2In9PqQ3IjpRkd0-t9KcDu9jT811JJ1ShaBlyeBFH_MNk96dNlY7zHYOGddjIQE0d4JgpQCWtbdDQpVy6Y-Wj__D9zHOYUyLs1BMKWE4gWqbiGTYs7JDufegOnjFujjFmjZaa7LvAr_7O-BnOnTt5f6i1Mds0E_JAzG5TPGOyZrAX-a2Lnt7pdLVucRvS-ioHF_2J39fgPmtcdn</recordid><startdate>19970201</startdate><enddate>19970201</enddate><creator>Robertson, M J</creator><creator>Zlotnick, C</creator><creator>Westerfelt, A</creator><general>Am Public Health Assoc</general><general>American Public Health Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>LK8</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7U7</scope><scope>C1K</scope><scope>7TS</scope><scope>7QJ</scope><scope>5PM</scope></search><sort><creationdate>19970201</creationdate><title>Drug use disorders and treatment contact among homeless adults in Alameda County, California</title><author>Robertson, M J ; Zlotnick, C ; Westerfelt, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-6f6874fbeb91530c6e4bcfdf8f4ac62218ca9429df82515e0c9105fc1577e5953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Adults</topic><topic>Alameda County</topic><topic>Alcohol</topic><topic>Biological and medical sciences</topic><topic>California - epidemiology</topic><topic>Cocaine</topic><topic>Data collection</topic><topic>Design</topic><topic>Drug abuse</topic><topic>Drug abusers</topic><topic>Drug addiction</topic><topic>Drug use</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Homeless people</topic><topic>Homeless Persons - statistics & numerical data</topic><topic>Humans</topic><topic>Interviews</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Probability</topic><topic>Psychology. 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J</au><au>Zlotnick, C</au><au>Westerfelt, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Drug use disorders and treatment contact among homeless adults in Alameda County, California</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>1997-02-01</date><risdate>1997</risdate><volume>87</volume><issue>2</issue><spage>221</spage><epage>228</epage><pages>221-228</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>This study estimates the extent and distribution of specific drug problems among homeless adults.
A countywide probability sample of 564 homeless adults received structured interviews that included a standardized assessment of substance use disorders.
Two thirds of the sample (69.1%) had a lifetime history of a substance use disorder (including abuse of or dependence on alcohol [52.6%] or drugs [52.2%]); half had a current (52.4%) substance use disorder (including alcohol [38.8%] or drugs [31.3%]). Current drug disorders were higher among respondents who were younger, homeless longer, or sampled from the city of Oakland, Calif. Alcohol use disorders were higher among men than among women; surprisingly, drug use disorders were not.
Rates of current drug use disorders for homeless adults were more than eight times higher than general population estimates. However, estimates of drug problems among homeless adults vary as a function of case ascertainment and sampling strategy. Estimates based only on samples from urban areas may overestimate drug problems among the area's larger homeless populations.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>9103101</pmid><doi>10.2105/AJPH.87.2.221</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of public health (1971), 1997-02, Vol.87 (2), p.221-228 |
| issn | 0090-0036 1541-0048 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1380798 |
| source | MEDLINE; PAIS Index; Business Source Complete; Applied Social Sciences Index & Abstracts (ASSIA); Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Addictive behaviors Adolescent Adult Adult and adolescent clinical studies Adults Alameda County Alcohol Biological and medical sciences California - epidemiology Cocaine Data collection Design Drug abuse Drug abusers Drug addiction Drug use Epidemiology Female Homeless people Homeless Persons - statistics & numerical data Humans Interviews Male Medical sciences Mental Disorders - diagnosis Mental Disorders - epidemiology Middle Aged Prevalence Probability Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health Questionnaires Sex Factors Substance abuse treatment Substance Abuse Treatment Centers - statistics & numerical data Substance use disorder Substance-Related Disorders - epidemiology Substance-Related Disorders - therapy Treatment |
| title | Drug use disorders and treatment contact among homeless adults in Alameda County, California |
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