The impact of unregulated single room occupancy hotels on the health status of illicit drug users in Vancouver
The impact of unregulated single room occupancy hotels on the health status of illicit drug users in Vancouver
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DOI：
10.1016/j.drugpo.2005.09.002
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发表时间：
2006-03-01
影响因子：
4.4
通讯作者：
Tyndall, MW
中科院分区：
文献类型：
--
作者：
Shannon, K;Ishida, T;Tyndall, MW
简介：单间入住(SRO)酒店单元代表了为居住在温哥华市中心东区(DES)的低收入个人提供的最基本的住所。虽然无家可归和被边缘化的住房一般被确定为促进艾滋病毒危险行为的环境，但对居住在SRO酒店的具体情况关注较少。因此，这项分析是为了描述住在SRO酒店的个人的特征，并探索住在SRO酒店的个人与健康状况之间的关系。方法：从2003年1月到2004年11月，我们招募了参与者参加一项基于社区的大型队列研究(CHASE项目)，涉及I基线问卷和与现有卫生服务登记的数据联系。根据人口普查跟踪数据进行招募，以选择具有代表性的社区居民样本。结果：在2574名参与分析的参与者中，1813人(70%)报告住在SRO酒店，761人(30%)报告住在稳定的住房。中位年龄为42岁(智商范围：36-49岁)。在SRO的居民中，1108人(61%)在当前的SRO居住了不到一年，过去一年中搬家的中位数为5。与SRO独立相关的变量包括HIV感染(调整后的优势比[AOR]，1.6=95%CI：1.2-2.0)、使用急诊室(AOR=1.7，95%CI；1.3-2.2)、注射可卡因(AOR=1.9，95%CI；1.5-2.5)，注射海洛因(AOR=2.0，95%CI：1.6-2.3)，最近监禁(AOR=2.1，95%CI：1.7-2.4)，遭受过身体攻击(AOR=2.3，95%CI：1.7-2.8)，吸食强效可卡因(AOR=2.3，95%CI：1.7-2.7)，注射冰毒(AOR=2.9，95%CI：1.7~5.8)。结论：居住在SRO酒店与大量使用非法药物和健康状况不佳有关，包括HIV感染。这些调查结果突出表明，迫切需要解决DTE的住房条件问题，这些条件有可能破坏温哥华市的减少危害战略和毒品政策改革。(C)2005 Elsevier B.V.保留所有权利。
Introduction: Single room occupancy (SRO) hotel units represent the most basic shelter provided for low-income individuals living in Vancouver's Downtown Eastside (DTES). While homelessness and marginalized housing in general, have been identified as environments that facilitate HIV risk behaviours, less attention has been paid to the specific context of living in SRO hotels. This analysis was therefore undertaken to describe the characteristics of individuals living in SRO hotels and to explore the association between living in SRO hotels and health status.Methods: From January 2003 to November 2004, we enrolled participants into a large community-based cohort study (CHASE Project) involving I baseline questionnaire and data linkages to existing health service registries. Recruitment followed census track data in order to select a representative sample of the community residents. Logistic regression was used to identify socio-demographic, drug use, and health status characteristics independently associated with living in SRO hotels.Results: Of the 2574 participants included in this analysis, 1813 (70%) reported living in SROs and 761 (30%) reported living in stable housing. The median age was 42 years (IQ range: 36-49 years). Among residents of SROs, 1108 (61%) had lived in the current SRO for less than I year, with the median number of moves in the past year being 5. Variables found to be independently associated with SROs included HIV infection (Adjusted Odds Ratio [aOR], 1.6 = 95% CI: 1.2-2.0), emergency room use (aOR = 1.7, 95% CI; 1.3-2.2), cocaine injection (aOR= 1.9, 95% CI; 1.5-2.5), heroin injection (aOR=2.0, 95% CI: 1.6-2.3), recent incarceration (aOR=2.1, 95% CI: 1.7-2.4), having been physically assaulted (aOR = 2.3, 95% CI: 1.7-2.8), crack cocaine smoking (aOR = 2.3, 95% CI: 1.7-2.7), and crystal methamphetamine injection (aOR = 2.9, 95% CI: 1.7-5.8).Conclusions: Living in SRO hotels was associated with intensive illicit drug use, and poor health status, including HIV infection. These findings highlight the urgent need to address housing conditions in the DTES that threaten to undermine the harm reduction strategies and drug policy reforms in the City of Vancouver. (c) 2005 Elsevier B.V. All rights reserved.