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https://www.readbyqxmd.com/read/28542351/risk-factors-for-hepatitis-c-seropositivity-among-young-people-who-inject-drugs-in-new-york-city-implications-for-prevention
#1
Benjamin Eckhardt, Emily R Winkelstein, Marla A Shu, Michael R Carden, Courtney McKnight, Don C Des Jarlais, Marshall J Glesby, Kristen Marks, Brian R Edlin
BACKGROUND: Hepatitis C virus (HCV) infection remains a significant problem in the United States, with people who inject drugs (PWID) disproportionately afflicted. Over the last decade rates of heroin use have more than doubled, with young persons (18-25 years) demonstrating the largest increase. METHODS: We conducted a cross-sectional study in New York City from 2005 to 2012 among young people who injected illicit drugs, and were age 18 to 35 or had injected drugs for ≤5 years, to examine potentially modifiable factors associated with HCV among young adults who began injecting during the era of syringe services...
2017: PloS One
https://www.readbyqxmd.com/read/28541730/results-of-a-metabolic-health-clinic-at-a-hostel-for-homeless-men
#2
Olav Nielssen, Alan Chudleigh, Mia Chen, Matthew Large, Tania Markovic, Lucy Cooper
OBJECTIVES: People who are homeless have high mortality and morbidity, including from metabolic disorder. The aim of this study was to report on the characteristics and progress of the metabolic health of people attending a metabolic clinic at a homeless men's shelter. METHODS: Homeless men attending the clinic were assessed by measuring their weight, height, body mass index (BMI), waist circumference, blood pressure, blood lipids, fasting blood glucose and, if indicated, HbA1c...
June 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28540538/impact-of-a-community-based-frailty-intervention-among-middle-aged-and-older-prefrail-and-frail-homeless-women-a-pilot-randomized-controlled-trial
#3
Benissa E Salem, Jennifer Ma-Pham, Stephanie Chen, Mary-Lynn Brecht, Anna Liza Antonio, Masha Ames
Interventions are needed to address frailty and other behaviors (e.g., drug and alcohol use) among prefrail and frail homeless women (P/FHW). The purpose of this pilot randomized controlled trial (RCT) was to compare the efficacy of a Frailty Intervention (FI) versus a Health Promotion (HP) program among P/FHW (N = 32). Structured instruments assessed sociodemographics, individual, situational, health-related, and behavioral factors. While program differences were not statistically significant with the main outcome variables, medium-to-large effect sizes were found in favor of the HP program as it relates to physical and overall frailty, as well as, any drug use, alcohol use, and drug dependency...
May 24, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28538352/washing-the-feet-of-the-homeless-the-service-project-that-changed-me
#4
Richard Keegan
No abstract text is available yet for this article.
June 2017: Nursing
https://www.readbyqxmd.com/read/28535804/housing-first-and-harm-reduction-a-rapid-review-and-document-analysis-of-the-us-and-canadian-open-access-literature
#5
REVIEW
Dennis P Watson, Valery Shuman, James Kowalsky, Elizabeth Golembiewski, Molly Brown
BACKGROUND: Housing First is an evidence-based practice intended to serve chronically homeless individuals with co-occurring serious mental illness and substance use disorders. Despite housing active substance users, harm reduction is an often-overlooked element during the Housing First implementation process in real-world settings. In this paper, we explore the representation of the Housing First model within the open-access scholarly literature as a potential contributing factor for this oversight...
May 23, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28535474/peer-navigators-to-promote-engagement-of-homeless-african-americans-with-serious-mental-illness-in-primary-care
#6
Patrick W Corrigan, Susan Pickett, Annie Schmidt, Edward Stellon, Erin Hantke, Dana Kraus, Rachel Dubke
Homeless African Americans with serious mental illness experience higher rates of morbidity and mortality than adults with severe mental illness alone. Peer navigators, individuals with similar lived experiences, may help these individuals navigate the healthcare system to improve healthcare utilization. This study examined whether the Peer Navigator Program (PNP) improved scheduling and achieving healthcare appointments compared to treatment as usual (TAU) over the course of 12 months, including three periods within that timeframe: engagement (first three months), impact (middle six months), and maintenance (final six months)...
May 17, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28532198/provider-perceptions-on-hiv-risk-and-prevention-services-within-permanent-supportive-housing
#7
Suzanne L Wenzel, Benjamin Henwood, Taylor Harris, Hailey Winetrobe, Harmony Rhoades
Permanent supportive housing (PSH) is an evidence-based solution to homelessness for persons experiencing chronic or long-term homelessness and one or more physical or behavioral health problems. Health services through PSH typically focus on physical and behavioral health. With the exception of programs specifically designed for persons living with HIV/AIDS, little attention has focused on services through PSH to prevent transmission of HIV or other sexually transmitted infections (STIs), yet sexual risk behavior continues after homeless persons move into PSH...
May 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28531769/increases-in-prescription-opioid-injection-abuse-among-treatment-admissions-in-the-united-states-2004-2013
#8
Christopher M Jones, Aleta Christensen, R Matthew Gladden
BACKGROUND: The 2015 HIV outbreak in Indiana associated with prescription opioid injection coupled with rising rates of hepatitis C, especially in areas with long-standing opioid abuse, have raised concerns about prescription opioid injection. However, research on this topic is limited. We assessed trends in treatment admissions reporting injection, smoking, and inhalation abuse of prescription opioids and examined characteristics associated with non-oral routes of prescription opioid abuse in the U...
May 16, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28528245/can-inequality-be-tamed-through-boundary-work-a-qualitative-study-of-health-promotion-aimed-at-reducing-health-inequalities
#9
Pia Vivian Pedersen, Ulf Hjelmar, Mette Terp Høybye, Morten Hulvej Rod
This paper examines the organisational dynamics that arise in health promotion aimed at reducing health inequalities. The paper draws on ethnographic fieldwork among public health officers in Danish municipalities and qualitative interviews from an evaluation of health promotion programmes targeting homeless and other marginalised citizens. Analytically, we focus on 'boundary work', i.e. the ways in which social and symbolic boundaries are established, maintained, transgressed and negotiated, both at the administrative level and among frontline professionals...
May 10, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28525964/an-observational-study-of-suicide-death-in-homeless-and-precariously-housed-people-in-toronto
#10
Mark Sinyor, Nicole Kozloff, Catherine Reis, Ayal Schaffer
OBJECTIVE: Homelessness has been identified as an important risk factor for suicide death, but there is limited research characterising homeless people who die by suicide. The goal of this study is to identify personal, clinical, and suicide method-related factors that distinguish homeless and precariously housed people who die from suicide from those who are not homeless at the time of suicide. METHODS: Coroner records were reviewed for all suicide deaths in Toronto from 1998 to 2012...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28520660/childhood-trauma-and-lifetime-traumatic-brain-injury-among-individuals-who-are-homeless
#11
Michael Jae Song, Mohammadali Nikoo, Fiona Choi, Christian G Schütz, Kerry Jang, Reinhard Michael Krausz
OBJECTIVES: To study the association of childhood trauma and lifetime prevalence of traumatic brain injury (TBI) among individuals who are homeless. DESIGN: Cross-sectional survey. SETTING: Three cities in British Columbia, Canada. PARTICIPANTS: Five hundred individuals who are homeless and 19 years of age or older in 2009. MEASUREMENTS: Traumatic brain injury was identified with National Survey of Homeless Assistance Providers and Clients (NSHAPC) and childhood trauma using the Childhood Trauma Questionnaire-Short Form (CTQ-SF)...
May 17, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28520496/shelter-based-opioid-treatment-increasing-access-to-addiction-treatment-in-a-family-shelter
#12
Avik Chatterjee, Aura Obando, Erica Strickland, Ariana Nestler, Rachel Harrington-Levey, Toni Williams, Terri LaCoursiere-Zucchero
In 2015, the Family Team at the Boston Health Care for the Homeless Program developed shelter-based opioid treatment (SBOT) as an option to treat opioid use disorder on-site at a family motel- shelter. Our objectives in the small retrospective study outlined here were to assess SBOT's feasibility and to describe patient characteristics and early outcomes in an effort to promote dissemination. (Am J Public Health. Published online ahead of print May 18, 2017: e1-e3. doi:10.2105/AJPH.2017.303786).
May 18, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28516838/acute-alcohol-use-history-of-homelessness-and-intent-of-injury-among-a-sample-of-adult-emergency-department-patients
#13
Katelyn K Jetelina, Jennifer M Reingle Gonzalez, Carlos V R Brown, Michael L Foreman, Craig Field
BACKGROUND: The literature is clear that adults who are currently homeless also have higher rates of intentional injuries, such as assault and suicide attempts. No study has assessed whether intentional injuries are exacerbated because of substance use among adults with a history of homelessness. METHODS: Data were obtained from a cohort of adults admitted to 3 urban emergency departments (EDs) in Texas from 2007 to 2010 (N = 596). Logistic regression analyses were used to determine whether a history of homelessness was associated with alcohol use at time of injury in intentional violent injuries (gunshot, stabbing, or injury consistent with assault)...
May 17, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28513200/hiv-infected-individuals-who-use-alcohol-and-other-drugs-and-virologic-suppression
#14
Seonaid Nolan, Alexander Y Walley, Timothy C Herren, Gregory J Patts, Alicia S Ventura, Meg M Sullivan, Jeffrey H Samet, Richard Saitz
People living with HIV (PLWH) on antiretroviral therapy (ART) who use substances were examined to (a) describe those with virologic control and (b) determine which substance use-factors are associated with lack of virologic control. Participants were adult PLWH taking ART with either past 12-month DSM-IV substance dependence or past 30-day alcohol or illicit drug use. Substance use factors included number of DSM-IV alcohol or drug dependence criteria and past 30-day specific substance use. Associations with HIV viral load (HVL) (<200 vs...
May 17, 2017: AIDS Care
https://www.readbyqxmd.com/read/28511638/screening-for-tuberculosis-in-an-urban-shelter-for-homeless-in-switzerland-a-prospective-study
#15
Jean-Paul Janssens, Timothee Wuillemin, Dan Adler, Yves Jackson
BACKGROUND: Whereas high risk groups such as asylum seekers are systematically screened for active tuberculosis (TB) upon entry in Switzerland, this strategy does not apply to homeless persons despite a reported high risk. Geneva health and social authorities implemented an intersectoral project to screen for active TB in homeless persons. We aimed to assess acceptability of this program and prevalence of active TB in this group. METHODS: This prospective study targeted all homeless adults registering for shelter accommodation in Geneva during winter 2015...
May 16, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28505468/comparison-of-insight-and-clinical-variables-in-homeless-and-non-homeless-psychiatric-inpatients-in-china
#16
Yan-Nan Fu, Xiao-Lan Cao, Cai-Lan Hou, Chee H Ng, Gabor S Ungvari, Helen F K Chiu, Yong-Qiang Lin, Lihui Wang, Xiaocong Zheng, Fu-Jun Jia, Yu-Tao Xiang
There are no published data on insight in homeless patients with psychiatric disorders in China. This study examined insight in homeless and non-homeless Chinese psychiatric inpatients in relation to demographic and clinical variables. A total of 278 homeless and 222 non-homeless inpatients matched in age and gender were included in the study. Demographic and clinical characteristics were collected based on a review of medical charts and a clinical interview with standardized instruments. Insight was evaluated with the Insight and Treatment Attitudes Questionnaire...
May 9, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28494249/evaluation-of-problematic-psychoactive-substances-use-in-people-placed-in-police-custody
#17
Marie Gérardin, Gabriel Guigand, Laura Wainstein, Pascale Jolliet, Caroline Victorri-Vigneau, Renaud Clément
INTRODUCTION AND AIMS: In France, the law states that any person held in custody could be examined by a doctor. The main objective of the medical examination is to give medical evidence of health compatibility with custody. This review identifies health risks such as addictive behaviour. We wanted to know which psychoactive substances are used in this particular population, and how problematic these uses are. DESIGN AND METHODS: A prospective, monocentric, open-ended study conducted via a structured questionnaire was carried out on detainees who reported having taken drugs or illegal substances...
May 2, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28493551/utilization-of-a-sobering-center-for-acute-alcohol-intoxication
#18
Shannon Smith-Bernardin, Adam Carrico, Wendy Max, Susan Chapman
OBJECTIVE: To describe the population utilizing a sobering center for public alcohol intoxication, and compare between single-visit users, repeat users, and high users. METHODS: We conducted a secondary analysis of 1,271 adults cared for in the Sobering Center from July 2014 to June 2015. We divided the population into three groups: single-use (1 visit), repeat users (2-5 visits) and high (6+) users, and evaluated demographics, lifetime health diagnoses utilizing the Elixhauser Comorbidity Index, rates of public service utilization including ambulance and emergency department, and related costs...
May 11, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28492343/multi-level-risk-factors-associated-with-sex-trading-among-women-living-with-hiv-in-kazakhstan-a-neglected-key-population
#19
Alissa Davis, Tina Jiwatram-Negrón, Sholpan Primbetova, Assel Terlikbayeva, Yelena Bilokon, Lyubov Chubukova, Nabila El-Bassel
Little is known about the prevalence and risk factors associated with sex trading among HIV-positive women. A total of 242 HIV-positive women were recruited in five regions in Kazakhstan. These women completed a survey containing items on socio-demographics, HIV stigma, intimate partner violence, and partner risk behaviors. Multivariate regression was used to examine associations between risk factors and sex trading after controlling for socio-demographic factors. Fifty-six (23.1%) women reported trading sex in the past 90 days...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28489699/incidence-and-associated-risk-factors-of-traumatic-brain-injury-in-a-cohort-of-homeless-and-vulnerably-housed-adults-in-3-canadian-cities
#20
Mohammadali Nikoo, Anne Gadermann, Matthew J To, Michael Krausz, Stephen W Hwang, Anita Palepu
OBJECTIVE: To examine the factors associated with incident traumatic brain injury (TBI) among homeless and vulnerably housed persons over a 3-year follow-up period. SETTING AND PARTICIPANTS: Data were obtained from the Health and Housing in Transition study, which tracked the health and housing status of 1190 homeless or vulnerably housed individuals in 3 Canadian cities for 3 years. DESIGN AND MAIN MEASURES: Main measure was self-reported incident TBI during the follow-up period...
November 8, 2016: Journal of Head Trauma Rehabilitation
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