ArticleThe American journal on addictions
Does experiencing homelessness affect women's motivation to change alcohol or drug use?
Article in The American journal on addictions. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Associations of housing stress with later substance use outcomes: A systematic review.Addictive behaviors · 2021Pooled it
- A randomized control trial of a chronic care intervention for homeless women with alcohol use problems.Journal of substance abuse treatment · 2015Trial
- Correlates of Treatment Readiness among Formerly Incarcerated Homeless Women.Criminal justice and behavior · 2018Article
- Homeless women's service use, barriers, and motivation for participating in substance use treatment.The American journal of drug and alcohol abuse · 2018Article
- Prevalence and predictors of substance use disorders among homeless women seeking primary care: An 11 site survey.The American journal on addictions · 2017Article
- "It's been an Experience, a Life Learning Experience": A Qualitative Study of Hospitalized Patients with Substance Use Disorders.Journal of general internal medicine · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesHomeless women are at high risk of drug and alcohol dependence and may receive less opportunity for treatment. Our objective was to examine the association between experiencing homelessness and motivation to change drug or alcohol use.
methodsWomen (n = 154) participants in a study of substance dependence at an urban medical center (69 with some homeless days in the last 90 days; 85 continuously housed at baseline) completed six items rating motivation to change alcohol or drug use (ie, importance, readiness, and confidence) at baseline and in 3-, 6-, and 12-month follow-up interviews. Unadjusted and longitudinal analyses controlling for covariates (eg, demographics, insurance status, substance use consequences, mental health status, and participation in treatment) were conducted.
resultsThere were no significant differences between women experiencing homeless days versus continuously housed women in the odds of reporting high motivation to change alcohol or drug use, either in unadjusted baseline analyses or longitudinal analyses adjusted for covariates. Covariates that were significantly associated with high importance, readiness or confidence to change behavior were higher life time consequences of substance use, and participation in 12-step programs. DISCUSSION AND
conclusionsThe findings suggest that clinicians should not make assumptions that homeless women have low motivation to change their substance use. SCIENTIFIC SIGNIFICANCE AND FUTURE DIRECTIONS: The same opportunities for addiction treatment should be offered to homeless as to housed women.
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Registered trials
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