Drug use patterns and predictors among homeless youth: Results of an ecological momentary assessment

The American Journal of Drug and Alcohol Abuse
Diane M Santa MariaMichael S Businelle

Abstract

Alcohol and drug use is associated with significant morbidity and mortality and is highly prevalent among homeless youth. Ecological Momentary Assessments (EMA) have been used to examine the effect of urges on drug use, though not among homeless youth. We assessed the patterns of drug use and the correlation between real-time contextual factors and drug use using EMA collected daily. We identified predictors of drug use among a sample of homeless youth 18-25 years old in Houston, Texas. Homeless youth (n = 66, 62% male) were recruited from a drop-in center between September 2015 and May 2016. We used generalized linear mixed models and cross-validation methods to determine the best predictive model of drug use. The overall drug use was high: 61% and 32% of participants reported using drugs or alcohol at least one day, respectively. Marijuana and synthetic marijuana use (i.e., Kush, K2, incense packs) were reported most frequently; 86% and 13% of the total drug use EMAs, respectfully. Drug use urge was reported on 26% of days and was the highest on drug use days. Drug use was predicted by discrimination, pornography use, alcohol use, and urges for drugs, alcohol, and to steal. EMA can be used to predict drug use among homeless y...Continue Reading

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Citations

Jul 26, 2018·The American Journal of Drug and Alcohol Abuse·Darla E KendzorMichael S Businelle
Jan 1, 2019·Journal of Child & Adolescent Substance Abuse·Kimberly A TylerColleen M Ray
Sep 24, 2020·International Journal of Environmental Research and Public Health·Robert SuchtingDiane M Santa Maria

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