Homeless Women--Drugs, Race/Ethicity, And Health Care

描述：(申请人提供) 研究表明，吸毒和身体健康问题相当普遍 他说，在无家可归者中，他们的一般保健需求往往得不到满足。 然而，这项研究的大部分是基于主要由无家可归者组成的样本 男人。到目前为止，关于药物与药物之间关系的研究还很少。 无家可归妇女对一般保健服务的使用和利用。此外， 这种关系中可能存在的种族/民族差异还没有 经过了广泛的审查。这项研究将使用来自两个国家的二级数据 补充资助的研究，以分析药物使用和 使用普通卫生保健(住院、门诊和预防性)。第一 以社区为基础的概率筛选终生药物依赖的数据集 洛杉矶县861名无家可归妇女的样本，第二个数据集 有目的地评估当前重度药物使用和终生注射药物使用 洛杉矶1330名无家可归妇女的样本。我们将检验假设 关于广泛的诱因和促成因素(如案件 管理、医疗保险和获得公共福利)可能 与非裔美国人、拉丁裔美国人获得一般医疗服务有关， 以及有毒品问题的白人无家可归妇女。建议的研究直接 解决NIDA战略计划中突出的政策问题 健康差距。通过记录健康问题的性质和程度 影响到吸毒的无家可归妇女，她们对一般保健服务的使用， 他们对护理的需求得不到满足的程度，以及可能的种族/民族 这些模式的差异，这项研究将告知药物治疗提供者 关于他们可能采用的筛选/评估程序的价值和内容 以及哪些类型的一般健康服务具有更有效的联系 需要的。

DESCRIPTION: (provided by applicant) Research has shown that drug use and physical health problems are quite common among the homeless and that their general health-care needs often go unmet. However, much of this research is based on samples composed largely of homeless men. To date, there has been little research on the relationship between drug use and utilization of general health care among homeless women. Moreover, possible racial/ethnic differences in this relationship have not been extensively examined. This study will employ secondary data from two complementary funded studies to analyze the association between drug use and use of general health care (inpatient, ambulatory, and preventive). The first dataset screened for lifetime drug dependence in a community-based probability sample of 861 homeless women in Los Angeles County, and the second dataset assessed current heavy drug use and lifetime injection drug use in a purposive sample of 1,330 homeless women in Los Angeles. We will test hypotheses regarding a wide range of predisposing and enabling factors (such as case management, health insurance, and access to public benefits) potentially associated with access to general health services by African American, Latina, and White homeless women with drug problems. The proposed study directly addresses policy questions prominent in NIDA's strategic plan on reducing health disparities. By documenting the nature and extent of health problems affecting drug-using homeless women, their use of general health services, the extent to which their need for care goes unmet, and possible racial/ethnic differences in these patterns, this study will inform drug treatment providers on the value and content of screening/assessment procedures they might employ and the types of general health services for which more effective linkage is needed.