Evidence map›Paper›PMID 32076717›Full record

ArticleJournal of public health (Oxford, England)2021

Clinically significant substance use and residential stability among homeless or vulnerably housed persons in Canada: a longitudinal cohort study.

Trudy E Nasmith, Anne Gadermann, Denise Jaworsky, Monica Norena, Matthew J To, Stephen W Hwang, Anita Palepu

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Trudy E NasmithDepartment of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Anne GadermannCentre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, BC V6Z 1Y6, Canada.
Denise JaworskyDepartment of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
Monica NorenaCentre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, BC V6Z 1Y6, Canada.
Matthew J ToCentre for Research on Inner City Health, St. Michael's Hospital, Toronto, ON M5B 1W8, Canada.
Stephen W HwangCentre for Research on Inner City Health, St. Michael's Hospital, Toronto, ON M5B 1W8, Canada.
Anita PalepuDepartment of Medicine, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.

Funding

CIHRHousing and Health HOA-80066Interdisciplinary Capacity Enhancement Grant on Homelessness MOP-86765
6 · The paper itself

Abstract

backgroundWe examined clinically significant substance use among homeless or vulnerably housed persons in three Canadian cities and its association with residential stability over time using data from the Health and Housing in Transition study.

methodsIn 2009, 1190 homeless or vulnerably housed individuals were recruited in three Canadian cities and followed for 4 years. We collected information on housing and incarceration history, drug and alcohol use, having a primary care provider at baseline and annually for 4 years. Participants who screened positive for substance use at baseline were included in the analyses. We used a generalized logistic mixed effect regression model to examine the association between clinically significant substance use and residential stability, adjusting for confounders.

resultsInitially, 437 participants met the criteria for clinically significant substance use. The proportion of clinically significant substance use declined, while the proportion of participants who achieved residential stability increased over time. Clinically significant substance use was negatively associated with achieving residential stability over the 4-year period (AOR 0.7; 95% CI 0.57, 0.86).

conclusionsIn this cohort of homeless or vulnerably housed individuals, clinically significant substance use was negatively associated with achieving residential stability over time, highlighting the need to better address substance use in this population.

Indexed as

Ill-Housed PersonsSubstance-Related DisordersCanadaCohort StudiesHousingHumansLongitudinal StudiesVulnerable Populationsalcohol useCanadahomelesssubstance usevulnerable population

Identifiers

PMID32076717
PMCPMC8458013

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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.