Evidence map›Paper›PMID 36084220›Full record

ArticleJournal of addiction medicine

Increased Difficulties Managing Chronic Medical Conditions During the COVID-19 Pandemic Are Associated With Increased Alcohol and Cannabis Use Among Unhoused and Unstably Housed Women.

Elise D Riley, Leah Warner, Judith A Hahn, Carl Braun, Samantha Dilworth, Barry Zevin, Torsten B Neilands, Sheri D Weiser

Open access · greenAbstract read
In one paragraph

Article in Journal of addiction medicine. 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
0.6field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. The Unhoused Burn Population: An Alarming Increase of Leaving Against Medical Advice.Journal of burn care & research : official publication of the American Burn Association · 2025
    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

8 authors at 2 institutions in 1 country.

Elise D RileyFrom the Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, University of California, San Francisco, California (EDR, JAH, CB, SD, SDW); San Francisco Department of Public Health, Shelter and Street Medicine (LW, BZ); and Division of Prevention Science, Department of Medicine, University of California, San Francisco, San Francisco, California (TBN).
Leah Warner
Judith A Hahn
Carl Braun
Samantha Dilworth
Barry Zevin
Torsten B Neilands
Sheri D Weiser
University of California, San Francisco · USSan Francisco Department of Public Health · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
Impact of Cocaine and Polydrug Use on Cranial Small Vessel DiseaseR01DA037012 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2014 to 2018
$4.1M
Cocaine use, viral suppression and precursors of stroke in HIV infectionR01DA049648 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2020 to 2024
$4.0M
Mentoring patient-oriented research on the health consequences of polydrug useK24DA039780 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2015 to 2025
$1.9M
NIDA NIH HHS K24 DA039780NIDA NIH HHS R01 DA037012NIDA NIH HHS R01 DA049648NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

objectivesThe COVID-19 pandemic caused dramatic upsurges in stress and anxiety across the United States, as well as increased substance use to cope with pandemic-related stress. Few studies have focused exclusively on extremely disadvantaged individuals who are already at risk for substance use. We sought to understand factors associated with increased alcohol and cannabis use during the first 10 months of the COVID-19 pandemic among unsheltered and unstably housed women.

methodsBetween July and December 2020, we conducted phone surveys with San Francisco unhoused and unstably housed women regarding substance use, health, and health services use since the beginning of the pandemic (March 2020).

resultsAmong 128 participants, increased use of alcohol and cannabis were reported by 15% and 23%, respectively. The odds of increased use of both substances were 4 times higher in participants who also had increased difficulties managing symptoms of a chronic medical condition during the pandemic.

conclusionsAn intentional and comprehensive approach to managing the health of particularly vulnerable individuals during the COVID pandemic could help alleviate its exacerbating influences. Such an approach should include resources, tools and interventions for managing substance use, as well as chronic, non-COVID medical conditions, which are common and strongly tied to substance use in unhoused and unstably housed women.

Indexed as

CannabisCOVID-19HIV InfectionsSubstance-Related DisordersFemaleHumansPandemicsUnited States

Identifiers

PMID36084220
PMCPMC9992454
OpenAlexW4295038139

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.