ArticleSubstance abuse
Substance use among persons with homeless experience in primary care.
Article in Substance abuse. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 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
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Associations of housing stress with later substance use outcomes: A systematic review.Addictive behaviors · 2021Pooled it
- Substance use and posttraumatic stress disorder: 12-month outcomes among adults experiencing chronic homelessness in Australia.Drug and alcohol review · 2023Trial
- Surviving against the odds: a qualitative exploration of the resilience of adults experiencing homelessness in Accra, Ghana.BMC public health · 2025Article
- Buprenorphine adherence among a prospective cohort of homeless-experienced adults with opioid use disorder.Drug and alcohol dependence · 2025Article
- Affordable housing through the Low-Income Housing Tax Credit program and opioid overdose emergency department visits.Journal of substance use and addiction treatment · 2024Article
- Population-based examination of substance use disorders and treatment use among US young adults in the National Survey on Drug Use and Health, 2011-2019.Drug and alcohol dependence reports · 2023Article
- Article
- Mental health symptoms among homeless shelter residents during COVID-19 lockdown in Tshwane, South Africa.African journal of primary health care & family medicine · 2023Article
- Article
- Scoping review of managed alcohol programs.Harm reduction journal · 2022Article
- The relations between discrimination, stressful life events, and substance use among adults experiencing homelessness.Stress and health : journal of the International Society for the Investigation of Stress · 2022Article
- Correlates of depression and anxiety among homeless adults with latent tuberculosis infection.Journal of health psychology · 2022Article
- Article
- Discrimination, Substance Use, and Mental Health among Sexual and Gender Minority Adults Accessing Day Shelter Services.Substance use & misuse · 2022Article
- Technically Accessible, Practically Ineligible: The Effects of Medicaid Expansion Implementation on Chronic Homelessness.Journal of health politics, policy and law · 2021Article
- Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder.International journal of environmental research and public health · 2021Article
- Aims, development, and early results of an interdisciplinary primary care initiative to address patient vulnerabilities.The American journal of drug and alcohol abuse · 2021Article
- Smoke-Free Home Intervention in Permanent Supportive Housing: A Multifaceted Intervention Pilot.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- Prevalence of and Risk Factors Associated With Nonfatal Overdose Among Veterans Who Have Experienced Homelessness.JAMA network open · 2020Article
- Homelessness, Personal Hygiene, and MRSA Nasal Colonization among Persons Who Inject Drugs.Journal of urban health : bulletin of the New York Academy of Medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundCommunity survey data suggest high prevalence of substance use disorders among currently homeless individuals. There are less data regarding illicit drug and alcohol use problems of homeless-experienced persons engaged in primary care. They may have less severe use and require different care responses from primary care teams.
methodsThe authors surveyed currently and formerly homeless, i.e., homeless-experienced, persons engaged in primary care at five federally funded programs in the United States, administering the World Health Organization (WHO) Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). The ASSIST definitions of lower, moderate, and high risk were used to assess a spectrum of lifetime and recent substance use, from any use to likely dependence, and to identify sociodemographic and health status characteristics associated with severity of use.
resultsAlmost one half of the sample (N = 601) had recently (within the past three months) used alcohol, and one third had recently used an illicit drug. The most commonly used illicit drugs in the past three months were cannabis (19%), cocaine (16%), and opioids (7.5%). Over one half (59%) of respondents had ASSIST-defined moderate- or high-risk substance use. A significant proportion (31%) of those identified as at moderate risk had no recent substance use, but did report past problematic use. Ten percent of the lower-risk group had past problematic use of alcohol. Severity of use was associated with worse health status, but not with housing status or type of homelessness experienced.
conclusionsLess severe (moderate-risk) use and past problematic use, potentially indicative of remitted substance use disorders, were more common than high-risk use in this primary care, homeless-experienced sample. These findings highlight the urgency of identifying effective ways to reduce risky substance use and prevent relapse in homeless-experienced persons.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.