Risk factors for stimulant use among homeless and unstably housed adult women
Open accessAbstract
Background One of the most common causes of death among homeless and unstably housed women is acute intoxication where cocaine is present. While correlates of stimulant use have been determined in prior research, few studies have assessed risk factors of use specifically in this high-risk population.Methods We sampled biological women with a history of housing instability from community-based venues to participate in a cohort study. Baseline and 6-month follow-up data were used to determine the relative risk of stimulant use (crack cocaine, powder cocaine or methamphetamine) among individuals who did not use at baseline.Results Among 260 study participants, the median age was 47 years, 70% were women of color; 47% reported having unmet subsistence needs and 53% reported abstinence from stimulants at baseline. In analyses adjusting for baseline sociodemographics and drug treatment, the risk of using stimulants within 6 months was significantly higher among women who reported recent sexual violence (Adjusted Relative Risk [ARR]=4.31; 95% CI:1.97-9.45), sleeping in a shelter or public place (ARR=2.75; 95% CI:1.15-6.57), and using unprescribed opioid analgesics (ARR=2.54; 95% CI:1.01-6.38).Conclusion We found that almost half of homeless and unstably housed women used stimulants at baseline and 14% of those who did not use began within 6 months. Addressing homelessness and sexual violence is critical to reduce stimulant use among impoverished women.
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The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder
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- Authors
- Riley, E. D., Shumway, M., Knight, K. R., Guzman, D., Cohen, J., & Weiser, S. D.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Riley, Elise D.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 153
- Pages
- 173-179
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC4510017
- OpenAlex
- W1584363730
- Cited by
- 46
- References
- 83
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 2 · 2020: 6 · 2019: 5 · 2018: 1 · 2017: 9 · 2016: 1
- FWCI
- 6.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Drug Abuse (R01 R01DA15605, R01DA037012, R01DA015605, R01 DA036301, K24DA039780)
- National Center for Research Resources (UL1RR024131)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- stimulant use, homelessness, housing instability, women, cocaine, methamphetamine, crack cocaine, sexual violence, opioid analgesic use, risk factors, homeless shelters, substance use initiation, women of color
- MeSH terms
- Adult, Central Nervous System Stimulants, Female, Ill-Housed Persons, Housing, Humans, Methamphetamine, Middle Aged, Risk Factors, Sex Offenses, Cohort Studies, Substance-Related Disorders
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