Evidence map›Paper›PMID 30382287›Full record

ArticleInternational journal of public health2019

Residential moves and its association with substance use, healthcare needs, and acute care use among homeless and vulnerably housed persons in Canada.

Miriam Harris, Anne Gadermann, Monica Norena, Matthew To, Anita M Hubley, Tim Aubry, Stephen Hwang, Anita Palepu

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Article in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

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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

8 authors.

Miriam HarrisDivision of General Internal Medicine, Department of Medicine, McGill University, Montreal, Canada.
Anne GadermannCentre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, Canada.
Monica NorenaCentre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, Canada.
Matthew ToCentre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canada.
Anita M HubleyDepartment of Education Counselling Psychology and Special Education, University of British Columbia, Vancouver, Canada.
Tim AubrySchool of Psychology, University of Ottawa, Ottawa, Canada.
Stephen HwangCentre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canada.
Anita PalepuCentre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, Canada. apalepu@hivnet.ubc.ca.

Funding

Canadian Institute for Health Research MOP-86765
6 · The paper itself

Abstract

objectivesTo determine the relationship between housing instability, as measured by the number of residential moves, with problematic substance use, unmet healthcare needs, and acute care utilization.

methodsA cohort of homeless or vulnerably housed persons from Vancouver (n = 387), Toronto (n = 390), and Ottawa (n = 396) completed interviewer-administered surveys at baseline and annually for 4 years from 2009 to 2013. Generalized mixed effects logistic regression models were used to examine the association between the number of residential moves and each of the three outcome variables, adjusting for potential confounders.

resultsThe number of residential moves was significantly associated with higher acute care utilization [adjusted odds ratio (AOR) 1.25; 95% confidence interval (CI) CI: 1.17-1.33], unmet healthcare needs (AOR 1.14; 95% CI: 1.07-1.22), and problematic substance use (AOR 1.26; 95% CI: 1.16-1.36). Having chronic physical or mental conditions and recent incarceration were also found to be associated with the outcomes.

conclusionsHousing instability increased the odds of all three poor health metrics, highlighting the importance of stable housing as a critical social determinant of health.

Indexed as

AdultCanadaCohort StudiesCritical CareFemaleHospitalizationHousingHumansIll-Housed PersonsLogistic ModelsMaleMiddle AgedNeeds AssessmentSubstance-Related DisordersSurveys and QuestionnairesVulnerable PopulationsAcute care utilizationEmergency departmentHealthHomelessnessHospitalizationHousingHousing instabilityResidential movesSubstance useUnmet healthcare needs

Identifiers

What OpenQuestion holds

Textmetadata
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.