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https://www.readbyqxmd.com/read/28426546/methamphetamine-use-and-dependence-in-vulnerable-female-populations
#1
Phunnapa Kittirattanapaiboon, Soontaree Srikosai, Apisak Wittayanookulluk
PURPOSE OF REVIEW: The study reviews recent publications on methamphetamine use and dependence women in term of their epidemic, physical health impact, psychosocial impacts, and also in the identified vulnerable issues. RECENT FINDINGS: Studies of vulnerable populations of women are wide ranging and include sex workers, sexual minorities, homeless, psychiatric patients, suburban women, and pregnant women, in which amphetamine type stimulants (ATSs) are the most commonly reported illicit drug used among them...
April 19, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28426359/reductions-in-hard-drug-use-among-homeless-youth-receiving-a-strength-based-outreach-intervention-comparing-the-long-term-effects-of-shelter-linkage-versus-drop-in-center-linkage
#2
Xiamei Guo, Natasha Slesnick
OBJECTIVES: The current study sought to test hard drug use outcomes for youth receiving a strengths-based outreach and advocacy intervention that linked youth to either a shelter or a drop-in center. METHODS: Homeless youth (14-24 years old) were engaged by research assistants (RAs) at soup kitchens, parks, libraries, and other locations that homeless youth were known to frequent. Youth were randomly assigned to receive six months of advocacy that focused on linking youth to a drop-in center (n = 40) or to a crisis shelter (n = 39)...
June 7, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28424565/invasive-pneumococcal-disease-still-lots-to-learn-and-a-need-for-standardized-data-collection-instruments
#3
T J Marrie, G J Tyrrell, Sumit R Majumdar, Dean T Eurich
Background. Large studies of invasive pneumococcal disease (IPD) are frequently lacking detailed clinical information. Methods. A population-based 15-year study of IPD in Northern Alberta. Results. 2435 patients with a mean age of 54.2 years formed the study group. Males outnumbered females and Aboriginal and homeless persons were overrepresented. High rates of smoking, excessive alcohol use, and illicit drug use were seen. Almost all (87%) had a major comorbidity and 15% had functional limitations prior to admission...
2017: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/28424145/-we-didn-t-have-to-dance-around-it-opt-out-hiv-testing-among-homeless-and-marginalised-patients
#4
Stacy Leidel, Gavin Leslie, Duncan Boldy, Andrew Davies, Sonya Girdler
This study explored opt-out HIV testing in an Australian general practice. The aims were to: (1) determine the effect of the opt-out approach on the number of HIV tests performed; and (2) explore the acceptability of opt-out HIV testing from the healthcare providers' perspective. A prospective mixed-methods study of opt-out HIV testing over a 2-year period (March 2014-March 2016) was conducted. Implementation was based on a theoretical framework that was developed specifically for this study. The setting was Homeless Healthcare, a health service in Perth, Western Australia...
April 20, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28423858/needles-in-a-haystack-screening-and-healthcare-system-evidence-for-homelessness
#5
Jamison D Fargo, Ann Elizabeth Montgomery, Thomas Byrne, Emily Brignone, Meagan Cusack, Adi V Gundlapalli
Effectiveness of screening for homelessness in a large healthcare system was evaluated in terms of successfully referring and connecting patients with appropriate prevention or intervention services. Screening and healthcare services data from nearly 6 million U.S. military veterans were analyzed. Veterans either screened positive for current or risk of housing instability, or negative for both. Current living situation was used to validate results of screening. Administrative evidence for homelessness-related services was significantly higher among positive-screen veterans who accepted a referral for services compared to those who declined...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28421685/the-reach-and-limitation-of-the-ada-and-its-integration-mandate-implications-for-the-successful-reentry-of-individuals-with-mental-disabilities-in-a-correctional-population
#6
Henry A Dlugacz, Luna Droubi
This article argues that the ADA and its integration mandate, informed by international standards, should extend to incarcerated individuals with mental disabilities who reenter society, as they are at highly elevated risk for unnecessary segregation in institutions such as homeless shelters or hospitals or through reincarceration. An understanding of the precise services needed to prevent these strongly related but distinct variants of institutionalization requires a robust and continuing research agenda. In discussing the breadth of the ADA, we explore its history, interpretations of its application in a variety of contexts with respect to vulnerable populations and integration, and enforcement...
March 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28420244/occupation-based-practices-and-homelessness-a-scoping-review
#7
Laurence Roy, Catherine Vallée, Bonnie H Kirsh, Carrie Anne Marshall, Rebecca Marval, Alissa Low
BACKGROUND: Persons experiencing or at risk of homelessness have occupational needs that are seldom addressed in the Canadian system of care. The lack of documented evidence on occupational therapy practices in this field hinders the development of the profession. PURPOSE: This article identifies current and potential practices that aim to enable or support the occupations of persons experiencing or at risk of homelessness. METHOD: A scoping review was conducted, including evidence from both occupational therapy and non-occupational therapy sources...
January 1, 2017: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/28418835/costs-and-effectiveness-of-treating-homeless-persons-with-cocaine-addiction-with-alternative-contingency-management-strategies
#8
Stephen T Mennemeyer, Joseph E Schumacher, Jesse B Milby, Dennis Wallace
BACKGROUND: Between 1990 and 2006 in Birmingham, Alabama USA, 4 separate randomized controlled studies, called "Homeless 1" through "Homeless 4", treated cocaine substance abuse among chronically homeless adults, largely black men, many with non-psychotic mental health problems. The 4 studies had 9 treatment arms that used various counseling methods plus, in some arms, the provision of housing and work therapy usually with a contingent requirement of urine-test verified abstinence from substances...
March 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28414579/housing-first-for-adults-with-problematic-substance-use
#9
Rebecca A Cherner, Tim Aubry, John Sylvestre, Rob Boyd, Donna Pettey
OBJECTIVES: This study explores the two-year housing and non-housing outcomes for adults who are homeless with problematic substance use that received scattered-site housing and intensive case management services from a Housing First program in Ottawa, Canada, in comparison with a group of adults who are homeless with problematic substance use that had access to standard care in the community. METHODS: Housing First clients (n = 89) and members of a comparison group (n = 89) completed structured interviews at baseline and were followed for two years...
April 17, 2017: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/28413439/family-reintegration-of-homeless-in-maputo-and-matola-a-descriptive-study
#10
Lídia Gouveia, Honório Massanganhe, Flávio Mandlate, Dirceu Mabunda, Wilza Fumo, Ana Olga Mocumbi, Jair de Jesus Mari
BACKGROUND: Homelessness is a global and local social problem with underestimated prevalence. It has been shown to increase the risk of mental illness, raising concerns from mental health providers about the need for effective interventions targeting this population. OBJECTIVES: The aim of this paper is to describe the mental health status of the homeless people in two urban setting in a low-income country, through using standardised clinical and socio-demographic assessments as well assessing potential predictors of family integration versus non-family integration among a group of homeless individuals receiving psychiatric and psychosocial treatment...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28413168/prevalence-of-hiv-hbv-and-hcv-and-related-risk-factors-amongst-male-homeless-people-in-lorestan-province-the-west-of-iran
#11
Amin Doosti-Irani, Hamid Mokhaeri, Ali Chegini Sharafi, Mohammad Reza Aghasadeghi, Morteza Hajimiragha, Mohammad Saki, Mohammad Hassan Kayedi, Ehsan Mostafavi
BACKGROUND: Homeless people are at a higher risk of blood-born infectious diseases. The aim of this study was to estimate the prevalence of HIV, HBV, HCV and related risk factors among male homeless people. STUDY DESIGN: A cross-sectional study. METHODS: This study was conducted in Khorramabad City, western Iran from January to June 2015. A pre-designed validated questionnaire was used to collect the data on behavioral and other potential risk factors...
March 11, 2017: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/28412229/characteristics-and-factors-associated-with-pain-in-older-homeless-individuals-results-from-the-hope-home-study
#12
John C Landefeld, Christine Miaskowski, Lina Tieu, Claudia Ponath, Christopher T Lee, David Guzman, Margot Kushel
Individuals experiencing homelessness in the United States are aging; little is known about chronic pain in this population. In a cross-sectional, population-based study, we interviewed 350 homeless individuals aged 50 and older to describe pain experienced by older persons experiencing homelessness and to assess factors associated with chronic moderate to severe pain, defined as pain lasting ≥3 months, with a past week average severity score of 5-10 (scale 0-10). The median age of participants was 58 years...
April 12, 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/28412132/pre-existing-psychiatric-disorder-in-the-burn-patient-is-associated-with-worse-outcomes
#13
Alexandra Hudson, Sarah Al Youha, Osama A Samargandi, Justin Paletz
OBJECTIVE: To compare patient and burn characteristics between patients who had a pre-existing psychiatric diagnosis and patients who did not in a Burn Unit at an academic hospital. BACKGROUND: Psychosocial issues are common in patients recovering from a burn; however, little is known regarding hospital course and discharge outcomes in patients with a pre-existing psychiatric diagnosis presenting with a burn. Baseline medical comorbidities of burn patients have been shown to be a significant risk for in-hospital mortality...
April 12, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28411424/drug-use-among-transgender-people-in-ontario-canada-disparities-and-associations-with-social-exclusion
#14
Ayden I Scheim, Greta R Bauer, Mostafa Shokoohi
INTRODUCTION: We identified the prevalence and correlates of past-year illicit drug use among transgender people in Ontario, Canada, and disparities with the age-standardized non-transgender population. METHODS: Data on transgender persons aged 16+ (n=406) were obtained from Trans PULSE, a respondent-driven sampling (RDS) survey (2009-2010). Overall and sex-specific estimates of past-year drug use (cocaine and amphetamines, based on data availability) in the reference population were obtained from Ontario residents aged 16+ (n=39, 980) in the Canadian Community Health Survey (2009-2010), and standardized to the overall and gender-specific transgender age distributions...
March 31, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28410614/factors-associated-with-high-utilization-in-a-safety-net-setting
#15
Julia Bell, Sara Turbow, Maura George, Mohammed K Ali
BACKGROUND: Patients with frequent hospital readmissions, or high-utilizer patients (HUPs), are a major driver of rising healthcare costs in the United States. This group has a significant burden of medical illness, but less is known about whether or how social determinants of health may drive their increased healthcare use and poor health outcomes. Our study aimed to define the population of HUPs at a large, safety-net hospital system, to understand how these patients differ from patients who are not HUPs, and to analyze how their demographic, medical, and social factors contribute to their healthcare use and mortality rates...
April 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28409267/syringe-sharing-among-a-prospective-cohort-of-street-involved-youth-implications-for-needle-distribution-programs
#16
Nikki Bozinoff, Evan Wood, Huiru Dong, Lindsey Richardson, Thomas Kerr, Kora DeBeck
The sharing of previously used syringes is associated with the transmission of Hepatitis C and HIV. This longitudinal study examines syringe borrowing and syringe lending within a prospective cohort of street-involved youth in Vancouver, Canada. From September 2005 to May 2014, data were collected from the At-Risk Youth Study, a cohort of street-involved youth age 14-26 at enrollment, and analyzed using generalized estimating equations. Among 505 participants, 142 (28.1%) reported syringe borrowing and 132 (26...
April 13, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28407106/rapid-decline-in-hiv-incidence-among-persons-who-inject-drugs-during-a-fast-track-combination-prevention-program-after-an-hiv-outbreak-in-athens
#17
Vana Sypsa, Mina Psichogiou, Dimitrios Paraskevis, Georgios Nikolopoulos, Chrissa Tsiara, Dimitra Paraskeva, Katerina Micha, Meni Malliori, Anastasia Pharris, Lucas Wiessing, Martin Donoghoe, Samuel Friedman, Don Des Jarlais, Georgios Daikos, Angelos Hatzakis
Background.: A "seek-test-treat" intervention (ARISTOTLE) was implemented in response to an outbreak of human immunodeficiency virus (HIV) infection among persons who inject drugs (PWID) in Athens. We assess trends in HIV incidence, prevalence, risk behaviors and access to prevention/treatment. Methods.: Methods included behavioral data collection, provision of injection equipment, HIV testing, linkage to opioid substitution treatment (OST) programs and HIV care during 5 rounds of respondent-driven sampling (2012-2013)...
April 12, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28406598/factors-associated-with-sex-work-involvement-among-transgender-women-in-jamaica-a-cross-sectional-study
#18
Carmen H Logie, Ying Wang, Ashley Lacombe-Duncan, Nicolette Jones, Uzma Ahmed, Kandasi Levermore, Ava Neil, Tyrone Ellis, Nicolette Bryan, Annecka Marshall, Peter A Newman
INTRODUCTION: Transgender women are disproportionately impacted by HIV. Transgender women involved in sex work may experience exacerbated violence, social exclusion, and HIV vulnerabilities, in comparison with non-sex work-involved transgender women. Scant research has investigated sex work among transgender women in the Caribbean, including Jamaica, where transgender women report pervasive violence. The study objective was to examine factors associated with sex work involvement among transgender women in Jamaica...
April 6, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28406363/insurance-receipt-and-readiness-for-opportunities-under-the-affordable-care-act-a-national-survey-of-treatment-providers-for-substance-use-disorders
#19
Lydia Aletraris, Mary Bond Edmond, Paul M Roman
This study measures the readiness of substance use disorder (SUD) treatment to use opportunities under the Affordable Care Act by examining Medicaid and private insurance acceptance between 2011 and 2013, as well as center characteristics associated with acceptance. Data for this study were from a random sample of SUD treatment centers in the United States. Interviews were conducted on site and face to face, with administrative and clinical directors. We employed logistic regression analyses to examine Medicaid acceptance and private insurance acceptance...
April 13, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28404527/-when-you-are-homeless-you-are-not-thinking-about-your-medication-but-your-food-shelter-or-heat-for-the-night-behavioural-determinants-of-homeless-patients-adherence-to-prescribed-medicines
#20
V Paudyal, K MacLure, C Buchanan, L Wilson, J Macleod, D Stewart
OBJECTIVES: This study aimed to explore behavioural determinants of homeless patients' adherence to prescribed medicines using Theoretical Domains Framework (TDF). STUDY DESIGN: A qualitative study using semi-structured, face-to-face interviews. METHODS: Participants were recruited from a homelessness primary healthcare centre in Aberdeen, United Kingdom (UK). Face-to-face interviews were audio-recorded and transcribed verbatim. Thematic analysis of the interview data was conducted using the Framework Approach based on the Theoretical Domains Framework...
March 31, 2017: Public Health
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