Concurrent Disorders and Health Care Utilization Among Homeless and Vulnerably Housed Persons in Canada

Journal of Dual Diagnosis
Linda ZhangAnita Palepu

Abstract

Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having a mental health diagnosis and problematic substance use, compared to the general housed population. The study objective was to investigate the effect of having concurrent disorders on health care utilization among homeless or vulnerably housed individuals, using longitudinal data from the Health and Housing in Transition Study. In 2009, 1190 homeless or vulnerably housed adults were recruited in Ottawa, Toronto, and Vancouver, Canada. Participants completed baseline interviews and four annual follow-up interviews, providing data on sociodemographics, housing history, mental health diagnoses, problematic drug use with the Drug Abuse Screening Test (DAST-10), problematic alcohol use with the Alcohol Use Disorders Identification Test (AUDIT), chronic health conditions, and utilization of the following health care services: emergency department (ED), hospitalization, and primary care. Concurrent disorders were defined as the participant having ever received a mental health diagnosis at baseline and having problematic substance use (i.e., DAST-10 ≥ 6 and/or AUDIT ≥ 20) at any time during the study period. Three gener...Continue Reading

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Citations

Apr 2, 2019·Journal of Dual Diagnosis·Christian SchützMichael Krausz
Jan 8, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Elise D RileyMartha Shumway
Oct 24, 2019·Revista brasileira de enfermagem·Anna Cláudia Freire de Araújo PatrícioMaria Amanda Pereira Leite
Aug 1, 2020·Journal of Clinical Medicine·Syune HakobyanChristian G Schutz
Feb 15, 2019·Frontiers in Psychiatry·Lia GentilMarie-Josée Fleury
Feb 23, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Anne M GadermannAnita Palepu
Mar 7, 2020·Journal of Primary Care & Community Health·Cyndi Gilmer, Kristy Buccieri
Jul 8, 2020·International Journal of Environmental Research and Public Health·Lin-Yun WangJin-Ding Lin
Oct 25, 2020·International Journal of Epidemiology·Fahmida HomayraBohdan Nosyk
Jul 31, 2020·The International Journal on Drug Policy·Lindsay A PearceBohdan Nosyk
Nov 14, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Susan E CollinsGail Hoffmann

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