Evidence map›Paper›PMID 28677919›Full record

ArticleThe American journal on addictions2017

Prevalence and predictors of substance use disorders among homeless women seeking primary care: An 11 site survey.

Carole Christofk Upshur, Darlene Jenkins, Linda Weinreb, Lillian Gelberg, Elizabeth Aaker Orvek

Open access · greenAbstract read
In one paragraph

Article in The American journal on addictions, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Frontiers in sociology · 2026
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  10. 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 · 2022
    Article
  11. Predictors of Overnight and Emergency Treatment among Homeless Adults.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Carole Christofk UpshurDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts.ORCID http://orcid.org/0000-0003-1979-2186
Darlene JenkinsNational Health Care for the Homeless Council, Nashville, Tennessee.
Linda WeinrebDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts.
Lillian GelbergDepartment of Family Medicine, David Geffen School of Medicine, and Department of Health Policy and Management, Fielding School of Public Health, University of California at Los Angeles, Los Angeles, California.
Elizabeth Aaker OrvekDepartment of Quantitative Methods, University of Massachusetts Medical School, Worcester, Massachusetts.
University of Massachusetts Chan Medical School · USUniversity of California, Los Angeles · US

Funding

Substance Abuse, Mental Health, and Health in Homeless Women in Primary CareR21AA020871 · NIAAA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI UPSHUR, CAROLE C · 2014 to 2015
$427k
NIAAA NIH HHS R21 AA020871
6 · The paper itself

Abstract

BACKGROUND AND

objectivesHomeless women have shown high rates of substance use disorders (SUD), but many studies are more than a decade old, limited in geographic location, or focus only on women living outdoors or in shelters. The purpose of this study was to obtain a more current and representative sample of homeless women and the prevalence and predictors of substance use disorders among women seeking primary care at Health Care for the Homeless clinics across the US.

methodsEleven Health Care for the Homeless (HCH) clinics in nine states contributed proportionally to a sample of n = 780 female patients who completed a self-administered survey including demographics, housing history, health, mental health, and drug and alcohol use.

resultsCompared to the general population of women, rates were four times higher for an alcohol use disorder, and 12 times higher for a drug use disorder. DISCUSSION AND

conclusionsThe findings indicate a significant need for SUD services, with an equally high need for mental health services. In addition, high rates of victimization and use of tobacco, and overall poor health status, indicate overall health disparities. SCIENTIFIC SIGNIFICANCE: Addressing barriers to full integration of substance use and mental health services, such as improving screening, reimbursement, clinician training, and addressing biases about motivation of this population to engage in treatment, are necessary to improve the health of women seeking care in HCH settings. (Am J Addict 2017;26:680-688).

Indexed as

Ill-Housed PersonsMental Health ServicesPatient Acceptance of Health CareSubstance-Related DisordersAdultCross-Sectional StudiesDelivery of Health Care, IntegratedFemaleHealth Services AccessibilityHumansMental DisordersMiddle AgedNeeds AssessmentPrevalencePrimary Health CareSurveys and Questionnaires

Identifiers

PMID28677919
PMCPMC5610631
OpenAlexW2732019091

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.