ArticleThe American journal of drug and alcohol abuse2018
Homeless women's service use, barriers, and motivation for participating in substance use treatment.
Article in The American journal of drug and alcohol abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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.
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.
Who cites it
21 citing papers in PubMed.
- Leveraging a digital health intervention to improve recovery outcomes among people with substance misuse experiencing housing insecurity.Drug and alcohol dependence · 2026Article
- Insights from COVID-19 pandemic-era innovations at the intersection of homelessness and substance use: in-depth qualitative interviews with key informants.Harm reduction journal · 2026Article
- "Stigma's Every Day, All Day Long": A Qualitative Exploration of Experiences of Overlapping Stigmas and HIV Prevention Service Use Among Women Who Use Drugs.Stigma and health · 2026Article
- Designing a trauma informed service to deliver trauma therapy with people experiencing homelessness: a qualitative study.BMC health services research · 2025Article
- Barriers to healthcare utilization among adults engaging in heavy drinking: Results from the All of Us research program.Preventive medicine · 2025Article
- Longitudinal evaluation examining implementation and sustainment of an opioid overdose education and naloxone distribution among veterans who are unstably housed.Implementation science communications · 2025Article
- Sex differences in the impact of social determinants of health on substance use disorder treatment outcomes.Biology of sex differences · 2025Article
- How and Why Do People Use Behavioral Health Services? A Qualitative Exploration of Service Use Among People Experiencing Housing Insecurity.The journal of behavioral health services & research · 2025Article
- "Especially being homeless, they just think you're infected with COVID or something": A qualitative exploration of the COVID-19 pandemic's impact on people experiencing homelessness with a history of injection drug use in Baltimore, Maryland.Housing policy debate · 2024Article
- Daily opioid and stimulant co-use and nonfatal overdoses in the context of social disadvantage: Findings on marginalized populations.Journal of substance use and addiction treatment · 2023Article
- Utilization of mental health services in relation to the intention to reduce chemsex behavior among clients from an integrated sexual health services center in Taiwan.Harm reduction journal · 2023Article
- Health Care Utilization among Homeless-Experienced Adults Who Were Seen by a Mobile Addiction Health Clinic in Boston, Massachusetts: A Quasi-Experimental Study.Substance use & misuse · 2023Article
- Understanding the primary health care experiences of individuals who are homeless in non-traditional clinic settings.BMC primary care · 2022Article
- Development and preliminary effectiveness of a smartphone-based, just-in-time adaptive intervention for adults with alcohol misuse who are experiencing homelessness.Alcoholism, clinical and experimental research · 2022Article
- Violence, policing, and systemic racism as structural barriers to substance use treatment amongst women sex workers who use drugs: Findings of a community-based cohort in Vancouver, Canada (2010-2019).Drug and alcohol dependence · 2022Article
- Drug Overdoses During the COVID-19 Pandemic Among Recently Homeless Individuals.Addiction (Abingdon, England) · 2022Article
- A longitudinal cross-sectional analysis of substance use treatment trends for individuals experiencing homelessness, criminal justice involvement, both, or neither - United States, 2006-2018.Lancet regional health. Americas · 2022Article
- Barriers to Accessing Addiction Treatment for Women at Risk of Homelessness.Frontiers in global women's health · 2022Article
- Opioid use disorder treatment for people experiencing homelessness: A scoping review.Drug and alcohol dependence · 2021Article
- Association between homelessness and opioid overdose and opioid-related hospital admissions/emergency department visits.Social science & medicine (1982) · 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
5 authors.
Funding
Abstract
backgroundHomeless women are at high risk for substance use disorder (SUD), and are a growing proportion of the homeless population. However, homeless women experience barriers to engaging in substance use services.
objectivesAmong homeless women with SUD, to explore service use, motivation to change, service barriers, and willingness to have substance use and mental health problems addressed in primary health care.
methodsWomen with SUD were sampled from 11 Health Care for the Homeless (HCH) primary care clinics in 9 states, yielding 241 with either an alcohol or drug use disorder who then completed questions about SUD services.
resultsOver 60% of women with dual alcohol and drug use disorders used some type of SUD service in the past year, while 52% with a drug only disorder, and 44% with an alcohol only disorder used services. The most mentioned barrier to service use was depression, but cost, wait time, where to find treatment, and facilities located too far away, were also frequently noted. A large proportion across all groups indicated high motivation for treatment and willingness to discuss their SUD in a primary care setting.
conclusionThere are continued barriers to SUD service use for homeless women despite high motivation for treatment, and willingness to be asked about SUD and mental health problems in primary care. HCH primary care sites should more systematically ask about SUD and mental health issues and address women's expressed need for support groups and alternative therapies to more holistically address their SUD needs.
Indexed as
Identifiers
What OpenQuestion holds
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.