Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness
The purpose of this manuscript is to determine the prevalence of opioid misuse/opioid use disorder (OUD) among adults experiencing homelessness and describe characteristics that account for significant variance in relation to opioid misuse in those who misuse and do not misuse opioids. From six home...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
New Prairie Press
2019-10-01
|
| Series: | Health Behavior Research |
| Subjects: | |
| Online Access: | https://newprairiepress.org/cgi/viewcontent.cgi?article=1059&context=hbr |
| _version_ | 1818401956444504064 |
|---|---|
| author | Valentina Maza Daphne C. Hernandez Darla E. Kendzor Michael S. Businelle |
| author_facet | Valentina Maza Daphne C. Hernandez Darla E. Kendzor Michael S. Businelle |
| author_sort | Valentina Maza |
| collection | DOAJ |
| description | The purpose of this manuscript is to determine the prevalence of opioid misuse/opioid use disorder (OUD) among adults experiencing homelessness and describe characteristics that account for significant variance in relation to opioid misuse in those who misuse and do not misuse opioids. From six homeless shelters in Oklahoma City, adults participated in a survey about their demographics, substance use, mental health, and physical health from July to August of 2016 (n = 569). For assessing substance use, participants responded about their opioid misuse and diagnosis of OUD, current smoking status, arrests due to drug possession or driving while intoxicated, and diagnosis with alcohol use disorder or another drug use disorder, excluding opiate use disorder. A cumulative score of mental health comorbidity was created based on affirmative responses for having been diagnosed with depression, post-traumatic stress disorder (PTSD), schizophrenia/schizoaffective disorder, bipolar disorder, or an anxiety disorder besides PTSD. For physical health, one item from the General Health Survey-Short Form assessed pain, one item from the Behavioral Risk Factor Surveillance Survey assessed health, and one item assessed history of concussion. Bivariate analyses and logistic regression models identified the association. Sixteen percent of participants reported having experienced opioid misuse/been diagnosed with OUD. Substance use behaviors and physical health accounted for significant variance among those who misuse compared to those that do not misuse opioids. The most robust positive association of opioid misuse included: being white, being a current smoker, being diagnosed with another drug disorder, and having a concussion history. Additional research among the homeless population with a focus on concussion history as it relates to substance use and mental health comorbidity is needed. |
| first_indexed | 2024-12-14T08:00:42Z |
| format | Article |
| id | doaj.art-fc36db53ca3447158ad72bea563f5daa |
| institution | Directory Open Access Journal |
| issn | 2572-1836 |
| language | English |
| last_indexed | 2024-12-14T08:00:42Z |
| publishDate | 2019-10-01 |
| publisher | New Prairie Press |
| record_format | Article |
| series | Health Behavior Research |
| spelling | doaj.art-fc36db53ca3447158ad72bea563f5daa2022-12-21T23:10:26ZengNew Prairie PressHealth Behavior Research2572-18362019-10-012410.4148/2572-1836.1059Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing HomelessnessValentina MazaDaphne C. HernandezDarla E. KendzorMichael S. BusinelleThe purpose of this manuscript is to determine the prevalence of opioid misuse/opioid use disorder (OUD) among adults experiencing homelessness and describe characteristics that account for significant variance in relation to opioid misuse in those who misuse and do not misuse opioids. From six homeless shelters in Oklahoma City, adults participated in a survey about their demographics, substance use, mental health, and physical health from July to August of 2016 (n = 569). For assessing substance use, participants responded about their opioid misuse and diagnosis of OUD, current smoking status, arrests due to drug possession or driving while intoxicated, and diagnosis with alcohol use disorder or another drug use disorder, excluding opiate use disorder. A cumulative score of mental health comorbidity was created based on affirmative responses for having been diagnosed with depression, post-traumatic stress disorder (PTSD), schizophrenia/schizoaffective disorder, bipolar disorder, or an anxiety disorder besides PTSD. For physical health, one item from the General Health Survey-Short Form assessed pain, one item from the Behavioral Risk Factor Surveillance Survey assessed health, and one item assessed history of concussion. Bivariate analyses and logistic regression models identified the association. Sixteen percent of participants reported having experienced opioid misuse/been diagnosed with OUD. Substance use behaviors and physical health accounted for significant variance among those who misuse compared to those that do not misuse opioids. The most robust positive association of opioid misuse included: being white, being a current smoker, being diagnosed with another drug disorder, and having a concussion history. Additional research among the homeless population with a focus on concussion history as it relates to substance use and mental health comorbidity is needed.https://newprairiepress.org/cgi/viewcontent.cgi?article=1059&context=hbrdrug usesubstance useaddictionconcussionmental health |
| spellingShingle | Valentina Maza Daphne C. Hernandez Darla E. Kendzor Michael S. Businelle Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness Health Behavior Research drug use substance use addiction concussion mental health |
| title | Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness |
| title_full | Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness |
| title_fullStr | Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness |
| title_full_unstemmed | Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness |
| title_short | Cross-sectional Associations of Opiate Misuse/Opioid Use Disorder among Adults Experiencing Homelessness |
| title_sort | cross sectional associations of opiate misuse opioid use disorder among adults experiencing homelessness |
| topic | drug use substance use addiction concussion mental health |
| url | https://newprairiepress.org/cgi/viewcontent.cgi?article=1059&context=hbr |
| work_keys_str_mv | AT valentinamaza crosssectionalassociationsofopiatemisuseopioidusedisorderamongadultsexperiencinghomelessness AT daphnechernandez crosssectionalassociationsofopiatemisuseopioidusedisorderamongadultsexperiencinghomelessness AT darlaekendzor crosssectionalassociationsofopiatemisuseopioidusedisorderamongadultsexperiencinghomelessness AT michaelsbusinelle crosssectionalassociationsofopiatemisuseopioidusedisorderamongadultsexperiencinghomelessness |