ArticleDrug and alcohol dependence2018
Substance use and homelessness among emergency department patients.
Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers.
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
92 citing papers in PubMed, 166 citations in OpenAlex.
- Designing and evaluating a technology-based intervention to address deep ambivalence about COVID vaccination among people who inject drugs.Health education research · 2025Trial
- Perception and Correlates of Opioid Overdose Risk Among Overdose Survivors Who Use Nonprescribed Opioids in San Francisco and Boston.Substance use & addiction journal · 2024Trial
- Impact of Harm Reduction Treatment with or without Pharmacotherapy on Polysubstance Use among People Experiencing Homelessness and Alcohol Use Disorder.Journal of addiction medicineTrial
- Using structured analysis and design technique to characterize barriers and facilitators to outpatient care coordination after emergency department-initiated buprenorphine.Journal of substance use and addiction treatment · 2026Article
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Stroke Care and Outcomes Among Patients Experiencing Homelessness: A Systematic Review and Meta-Analysis.Neurology open access · 2026Article
- Heroin assessment in Spanish population-based studies: a scoping review.Acta neuropsychiatrica · 2026Article
- Community-level perceptions of housing services for people with opioid use disorder: a qualitative analysis of community stakeholders in the HEALing communities study.Substance abuse treatment, prevention, and policy · 2026Article
- A Novel Index Measure of Housing-Related Risk as a Predictor of Overdose Among Young People Who Inject Drugs and Injection Networks.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Homelessness, justice involvement, and publicly funded substance use treatment after Medicaid expansion.Health affairs scholar · 2026Article
- Assessing working musicians' perspectives of need and barriers regarding lay harm reduction efforts for substance-related harm in South Carolina.Harm reduction journal · 2026Article
- Understanding and Addressing Bias in Artificial Intelligence Systems: A Primer for the Emergency Medicine Physician.Journal of the American College of Emergency Physicians open · 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
- Emergency Department Peer Recovery Support Services for Individuals with Substance Use Disorders: A Systematic Review of Comparative Studies.Substance abuse and rehabilitation · 2026Review
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.medRxiv : the preprint server for health sciences · 2025Article
- Identifying Bias at Scale in Clinical Notes Using Large Language Models.Mayo Clinic proceedings. Digital health · 2025Article
- Urban mental health: a position paper of the European psychiatric association.European psychiatry : the journal of the Association of European Psychiatrists · 2025Review
- Opioid use disorder, pain, and cognitive impairment in older adults who have experienced homelessness.Innovation in aging · 2025Article
- Unpredictable Drug Access and its Relevance for Substance Use Disorders: A Critical Review.Perspectives on behavior science · 2025Review
- Comparison of heroin and fentanyl use in US nationally representative surveys.Addiction science & clinical practice · 2025Article
32 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHomelessness and substance use often coexist, resulting in high morbidity. Emergency department (ED) patients have disproportionate rates of both homelessness and substance use, yet little research has examined the overlap of these issues in the ED setting. We aimed to characterize alcohol and drug use in a sample of homeless vs. non-homeless ED patients.
methodsA random sample of urban hospital ED patients were invited to complete an interview regarding housing, substance use, and other health and social factors. We compared substance use characteristics among patients who did vs. did not report current literal (streets/shelter) homelessness. Additional analyses were performed using a broader definition of homelessness in the past 12-months.
resultsPatients who were currently homeless (n = 316, 13.7%) versus non-homeless (n = 1,993, 86.3%) had higher rates of past year unhealthy alcohol use (44.4% vs. 30.5%, p < .0001), any drug use (40.8% vs. 18.8%, p < .0001), heroin use (16.7% vs. 3.8%, p < .0001), prescription opioid use (12.5% vs. 4.4%, p < .0001), and lifetime opioid overdose (15.8% vs. 3.7%, p < .0001). In multivariable analyses, current homelessness remained significantly associated with unhealthy alcohol use, AUDIT scores among unhealthy alcohol users, any drug use, heroin use, and opioid overdose; past 12-month homelessness was additionally associated with DAST-10 scores among drug users and prescription opioid use.
conclusionsPatients experiencing homelessness have higher rates and greater severity of alcohol and drug use than other ED patients across a range of measures. These findings have implications for planning services for patients with concurrent substance use and housing problems.
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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.