Drug problems among homeless individuals in Toronto, Canada: prevalence, drugs of choice, and relation to health status.
Drug problems among homeless individuals in Toronto, Canada: prevalence, drugs of choice, and relation to health status.
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DOI：
10.1186/1471-2458-10-94
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发表时间：
2010-02-24
影响因子：
4.5
通讯作者：
Hwang SW
中科院分区：
文献类型：
--
作者：
Grinman MN;Chiu S;Redelmeier DA;Levinson W;Kiss A;Tolomiczenko G;Cowan L;Hwang SW
吸毒被认为是造成无家可归者健康状况不佳和死亡风险增加的一个重要因素。本研究的目的是确定无家可归者的代表性样本之间的吸毒的流行率和特点，并检查毒品问题和身心健康状况之间的关联。在加拿大多伦多的无家可归者收容所和膳食计划中，招募了603名单身男性、304名单身女性和284名有受抚养子女的成年人。收集了关于人口特征和吸毒模式的资料。成瘾严重程度指数用于评估参与者是否患有药物问题。使用回归分析检查药物问题与身心健康状况（SF-12量表测量）的关联。40%的研究样本在过去30天内有药物问题。这些人更可能是单身男性，受教育程度低于那些没有毒品问题的人。他们也更有可能在更年轻的时候（平均24.8对30.9年）和更长的时间（平均4.8对2.9年）成为无家可归者。海洛因和可卡因是过去两年中使用最频繁的毒品（分别为40%和27%）。过去30天内的药物问题与心理健康状况显著较差相关（-4.9分，95% CI -6.5至-3.2），但与身体健康状况较差无关（-0.03分，95% CI -1.3至1.3）。吸毒在多伦多无家可归的人中很常见。目前的毒品问题与较差的心理健康状况有关，但与较差的身体健康状况无关。
Drug use is believed to be an important factor contributing to the poor health and increased mortality risk that has been widely observed among homeless individuals. The objective of this study was to determine the prevalence and characteristics of drug use among a representative sample of homeless individuals and to examine the association between drug problems and physical and mental health status. Recruitment of 603 single men, 304 single women, and 284 adults with dependent children occurred at homeless shelters and meal programs in Toronto, Canada. Information was collected on demographic characteristics and patterns of drug use. The Addiction Severity Index was used to assess whether participants suffered from drug problems. Associations of drug problems with physical and mental health status (measured by the SF-12 scale) were examined using regression analyses. Forty percent of the study sample had drug problems in the last 30 days. These individuals were more likely to be single men and less educated than those without drug problems. They were also more likely to have become homeless at a younger age (mean 24.8 vs. 30.9 years) and for a longer duration (mean 4.8 vs. 2.9 years). Marijuana and cocaine were the most frequently used drugs in the past two years (40% and 27%, respectively). Drug problems within the last 30 days were associated with significantly poorer mental health status (-4.9 points, 95% CI -6.5 to -3.2) but not with poorer physical health status (-0.03 points, 95% CI -1.3 to 1.3)). Drug use is common among homeless individuals in Toronto. Current drug problems are associated with poorer mental health status but not with poorer physical health status.
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DOI：
10.1111/j.1468-0009.2009.00565.x
发表时间：
2009-06
期刊：
The Milbank quarterly
影响因子：
--
作者：
Kertesz SG;Crouch K;Milby JB;Cusimano RE;Schumacher JE
通讯作者：
Schumacher JE
影响因子：
14.6
作者：
Little, M;Shah, R;Ray, JG
通讯作者：
Ray, JG
影响因子：
12.7
作者：
Phelan, JC;Link, BG
通讯作者：
Link, BG
影响因子：
5.6
作者：
VanGeest, JB;Johnson, TP
通讯作者：
Johnson, TP
影响因子：
120.7
作者：
Hwang, SW
通讯作者：
Hwang, SW