Substance-use disorders and poverty as prospective predictors of first-time homelessness in the United States
R.G. Thompson ,
M.M. Wall,
E. Greenstein,
B.F. Grant and
D.S. Hasin
American Journal of Public Health, 2013, vol. 103, issue S2, S282-S288
Abstract:
Objectives. We examined whether substance-use disorders and poverty predicted first-time homelessness over 3 years. Methods. We analyzed longitudinal data from waves 1 (2001-2002) and 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions to determine the main and interactive effects of wave 1 substance use disorders and poverty on first-time homelessness by wave 2, among those who were never homeless at wave 1 (n = 30 558). First-time homelessness was defined as having no regular place to live or having to live with others for 1 month or more as a result of having no place of one's own since wave 1. Results. Alcohol-use disorders (adjusted odds ratio [AOR] = 1.34), drug-use disorders (AOR = 2.51), and poverty (AOR = 1.34) independently increased prospective risk for first-time homelessness, after adjustment for ecological variables. Substance-use disorders and poverty interacted to differentially influence risk for first-time homelessness (P
Keywords: addiction; adolescent; adult; alcoholism; article; female; health status; homelessness; human; longitudinal study; male; mental health; middle aged; poverty; risk factor; socioeconomics; statistics; United States; young adult; homelessness; poverty; statistics and numerical data; Substance-Related Disorders; United States, Adolescent; Adult; Alcoholism; Female; Health Status; Homeless Persons; Humans; Longitudinal Studies; Male; Mental Health; Middle Aged; Poverty; Risk Factors; Socioeconomic Factors; Substance-Related Disorders; United States; Young Adult, Adolescent; Adult; Alcoholism; Female; Health Status; Homeless Persons; Humans; Longitudinal Studies; Male; Mental Health; Middle Aged; Poverty; Risk Factors; Socioeconomic Factors; Substance-Related Disorders; United States; Young Adult (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301302_9
DOI: 10.2105/AJPH.2013.301302
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