Financing Cocaine Use in a Homeless Population
Background: Cocaine use is highly prevalent among homeless populations, yet little is known about how it is financed. This study examined associations of income sources with cocaine use and financing of drugs in a longitudinal evaluation of a homeless sample. Methods: A homeless sample was recruited...
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| Format: | Article |
| Language: | English |
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MDPI AG
2017-10-01
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| Series: | Behavioral Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-328X/7/4/74 |
| _version_ | 1811270124125028352 |
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| author | Carol S. North David E. Pollio |
| author_facet | Carol S. North David E. Pollio |
| author_sort | Carol S. North |
| collection | DOAJ |
| description | Background: Cocaine use is highly prevalent among homeless populations, yet little is known about how it is financed. This study examined associations of income sources with cocaine use and financing of drugs in a longitudinal evaluation of a homeless sample. Methods: A homeless sample was recruited systematically in St. Louis in 1999–2001 and longitudinally assessed annually over two years using the Diagnostic Interview Schedule and the Homeless Supplement, with urine drug testing. Results: More than half (55%) of participants with complete follow-up data (N = 255/400) had current year cocaine use. Current users spent nearly $400 (half their income) in the last month on drugs at baseline. Benefits, welfare, and disability were negatively associated and employment and income from family/friends, panhandling, and other illegal activities were positively associated with cocaine use and monetary expenditures for cocaine. Conclusions: Findings suggest that illegal and informal income-generating activities are primary sources for immediate gratification with cocaine use and public entitlements do not appear to be primary funding sources used by homeless populations. Policy linking drug testing to benefits is likely to have little utility, and public expenditures on measures to unlink drug use and income might be more effectively used to fund employment and treatment programs. |
| first_indexed | 2024-04-12T21:55:29Z |
| format | Article |
| id | doaj.art-890accfadcca41c09ed1b5d6702a4d31 |
| institution | Directory Open Access Journal |
| issn | 2076-328X |
| language | English |
| last_indexed | 2024-04-12T21:55:29Z |
| publishDate | 2017-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj.art-890accfadcca41c09ed1b5d6702a4d312022-12-22T03:15:20ZengMDPI AGBehavioral Sciences2076-328X2017-10-01747410.3390/bs7040074bs7040074Financing Cocaine Use in a Homeless PopulationCarol S. North0David E. Pollio1The Altshuler Center for Education & Research at Metrocare Services and the Department of Psychiatry, The University of Texas Southwestern Medical Center, 6363 Forest Park Rd., Suite BL6.226, Dallas, TX 75390-8828, USADepartment of Social Work, College of Arts and Sciences, University of Alabama Birmingham, Heritage Hall Building 322, 1720 2nd Avenue South, Birmingham, AL 35294-1152, USABackground: Cocaine use is highly prevalent among homeless populations, yet little is known about how it is financed. This study examined associations of income sources with cocaine use and financing of drugs in a longitudinal evaluation of a homeless sample. Methods: A homeless sample was recruited systematically in St. Louis in 1999–2001 and longitudinally assessed annually over two years using the Diagnostic Interview Schedule and the Homeless Supplement, with urine drug testing. Results: More than half (55%) of participants with complete follow-up data (N = 255/400) had current year cocaine use. Current users spent nearly $400 (half their income) in the last month on drugs at baseline. Benefits, welfare, and disability were negatively associated and employment and income from family/friends, panhandling, and other illegal activities were positively associated with cocaine use and monetary expenditures for cocaine. Conclusions: Findings suggest that illegal and informal income-generating activities are primary sources for immediate gratification with cocaine use and public entitlements do not appear to be primary funding sources used by homeless populations. Policy linking drug testing to benefits is likely to have little utility, and public expenditures on measures to unlink drug use and income might be more effectively used to fund employment and treatment programs.https://www.mdpi.com/2076-328X/7/4/74homelessnesssubstance usecocainefinancingincomepublic entitlementslongitudinaldiagnostic assessmenturine drug testingpanhandling |
| spellingShingle | Carol S. North David E. Pollio Financing Cocaine Use in a Homeless Population Behavioral Sciences homelessness substance use cocaine financing income public entitlements longitudinal diagnostic assessment urine drug testing panhandling |
| title | Financing Cocaine Use in a Homeless Population |
| title_full | Financing Cocaine Use in a Homeless Population |
| title_fullStr | Financing Cocaine Use in a Homeless Population |
| title_full_unstemmed | Financing Cocaine Use in a Homeless Population |
| title_short | Financing Cocaine Use in a Homeless Population |
| title_sort | financing cocaine use in a homeless population |
| topic | homelessness substance use cocaine financing income public entitlements longitudinal diagnostic assessment urine drug testing panhandling |
| url | https://www.mdpi.com/2076-328X/7/4/74 |
| work_keys_str_mv | AT carolsnorth financingcocaineuseinahomelesspopulation AT davidepollio financingcocaineuseinahomelesspopulation |