The social context of homeless women's alcohol and drug use
Drug and Alcohol DependencePublished 19 July 2009Open access
Suzanne L. Wenzel, Harold D. Green, Joan S. Tucker, Daniela Golinelli, David P. Kennedy, Gery W. Ryan
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TL;DR
Findings suggest the importance of structural solutions in addressing homeless women's alcohol and drugs use, including greater access to treatment and recovery support for alcohol and drug problems as well as depression, and enhancing employment and educational opportunities for homeless women.
Abstract
Findings suggest the importance of structural solutions in addressing homeless women's alcohol and drug use, including greater access to treatment and recovery support for alcohol and drug problems as well as depression, and enhancing employment and educational opportunities for homeless women.
Keywords
MedicineHealth Professions
The ecology of human development : experiments by nature and design
12,553 Citations1979Urie Bronfenbrenner
Journal of Family IssuesThe Revised Conflict Tactics Scales (CTS2)
6,899 Citations1996Murray A. Straus, Sherry Hamby +2 more
Social Science & MedicineThe MOS social support survey
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Annual Review of Public HealthAN ECOLOGICAL APPROACH TO CREATING ACTIVE LIVING COMMUNITIES
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Psychological BulletinThe relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health.
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Recommendations and directions for future research include the importance of conceptualizing social support as a multidimensional construct, examination of potential mechanisms across levels of analyses, and attention to the physiological process of interest.
American PsychologistEstablishing and maintaining healthy environments: Toward a social ecology of health promotion.
1,524 Citations1992Daniel Stokols
Journal of Substance AbusePeer influences on college drinking: A review of the research
1,314 Citations2001Brian Borsari, Kate B. Carey
This review critically examines the literature on each form of peer influence and provides suggestions for future research.
Administrative Science QuarterlyThe Social Networks of High and Low Self-Monitors: Implications for Workplace Performance
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PEDIATRICSEarly Diagnosis of Cystic Fibrosis Through Neonatal Screening Prevents Severe Malnutrition and Improves Long-Term Growth
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It is concluded that early diagnosis of CF through neonatal screening combined with aggressive nutritional therapy can result in positive results, and selection bias has been eliminated as a potential explanation.
Journal of the Royal Statistical Society Series C (Applied Statistics)Analysis of Complex Surveys.
759 Citations1991Gilbert Rutherford, Chris Skinner +2 more
Part 1 Aggregated analysis - standard errors and significance tests: introduction, C.J.Skinner domain means, regression and multivariate analysis, C-Skinner chi-squared tests for contigency tables, J.K.Rao and D.M.Thomas measures of association for contingency tables, E.D.Holt and P.Wild.
Violence and VictimsThe Validation of the Psychological Maltreatment of Women Inventory.
470 Citations1999Richard M. Tolman
To evaluate the validity of the Psychological Maltreatment of Women Inventory (PMWI), 100 women were interviewed and a more complex picture emerged when the battered women were divided into service seeking and nonservice seeking battered women (CB).
American Journal of Public HealthComing Home From Jail: The Social and Health Consequences of Community Reentry for Women, Male Adolescents, and Their Families and Communities
439 Citations2005Nicholas Freudenberg, Jessie Daniels +3 more
This study of the experiences in the year after release of 491 adolescent males and 476 adult women returning home from New York City jails shows that both populations have low employment rates and incomes and high rearrest rates.
JAMAThe Characteristics and Needs of Sheltered Homeless and Low-Income Housed Mothers
427 Citations1996Ellen L. Bassuk
Sheltered homeless mothers had fewer economic resources and social supports and higher cumulative rates of violent abuse and assault over their lifespans than their housed counterparts, however, both groups faced extreme adversity that compromised family well-being.
AssessmentReliability of Drug Users' Self-Reported HIV Risk Behaviors and Validity of Self-Reported Recent Drug Use
357 Citations1994Seana Dowling‐Guyer, Mark E. Johnson +13 more
Findings indicate that this self-report questionnaire, when administered by trained interviewers, reliably measures HIV risk behaviors in a drug-using population and provides a valid assessment of recent drug use.
American Journal of PsychiatryPrevalence of Mental Health and Substance Use Disorders Among Homeless and Low-Income Housed Mothers
333 Citations1998Ellen L. Bassuk, John C. Buckner +2 more
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Psychological BulletinWomen, sex, and HIV: Social and contextual factors, meta-analysis of published interventions, and implications for practice and research.
311 Citations2002TK Logan, Jennifer Cole +1 more
Results suggest that the HIV-prevention interventions reviewed for this article had little impact on sexual risk behavior, that social and contextual factors are often minimally addressed, and that there was a large gap between research and the practice of HIV- prevention intervention.
Social NetworksImpact of methods for reducing respondent burden on personal network structural measures
273 Citations2007Christopher McCarty, Peter D. Killworth +1 more
Methods for reducing respondent burden in evaluating alter–alter ties on a set of network structural measures are examined, finding that network structure is captured with samples of less than 20 alters; other measures are less consistent.
Medical CareDevelopment of Screeners for Depressive Disorders and Substance Disorder History
237 Citations1993Kathryn Rost, M. Audrey Burnam +1 more
A subset of questions from the Diagnostic Interview Schedule, which predicted simultaneously obtained DIS diagnoses, are identified, indicating that these brief screeners may be useful in a variety of epidemiologic studies to provide estimates of common psychiatric disorders when complete diagnostic interviews are not feasible.
Social NetworksEliciting representative samples of personal networks
234 Citations1997Christopher McCarty, H. Russell Bernard +3 more
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211 Citations1995Carl A. Latkin, Wallace Mandell +5 more
The results of this study suggest that social network analysis may be a useful tool for understanding the social context of HIV/AIDS risk behaviors.
PEDIATRICSDating Violence and the Sexual Health of Black Adolescent Females
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American Journal of Public HealthWho’s Using and Who’s Doing Time: Incarceration, the War on Drugs, and Public Health
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American Journal of Preventive MedicineNeighborhood Socioeconomic Status, Personal Network Attributes, and Use of Heroin and Cocaine
173 Citations2007Chyvette T. Williams, Carl Latkin
The contexts of neighborhoods and networks represent key determinants in understanding the social epidemiology of drug abuse, and network attributes have strong influences on drug use, and neighborhood poverty may increase odds of use.
Journal of General Internal MedicineSheltered versus nonsheltered homeless women
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There is a critical need for aggressive outreach programs that provide mental health services and substance abuse treatment for homeless women on the streets and comprehensive services that also include medical care, family planning, violence prevention, and behavioral risk reduction may be particularly valuable.
American Journal of OrthopsychiatrySocial relationships among persons who have experienced serious mental illness, substance abuse, and homelessness: Implications for recovery.
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Within- and across-case analyses of longitudinal data from qualitative interviews with 41 dually diagnosed individuals entering residential programs to exit homelessness and receive needed services revealed that stronger social relationships did not coincide exactly with positive outcomes.
Journal of Psychoactive DrugsGender Relations in Addiction and Recovery
129 Citations1995Hortensia Amaro, Carol Hardy-Fanta
Four areas in which relationships with male partners ran counter to women's needs for connection are discussed in this article: initiation into drug use and supply of drugs, disappointment in men for failure to be providers, experience of violence, and opposition to treatment.
American Journal of Public HealthDrug use disorders and treatment contact among homeless adults in Alameda County, California.
125 Citations1997Marjorie J. Robertson, Cheryl Zlotnick +1 more
Rates of current drug use disorders for homeless adults were more than eight times higher than general population estimates, however, estimates of drug problems among homeless adults vary as a function of case ascertainment and sampling strategy.
Journal of Consulting and Clinical PsychologyTrauma, Depression, Coping, and Mental Health Service Seeking Among Impoverished Women.
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PubMedAlcohol, drugs, and psychiatric comorbidity among homeless women: an epidemiologic study.
116 Citations1993E M Smith, Carol S. North +1 more
Despite the severity of the stressors these women face, the large numbers escaping psychiatric disorders speak to their resilience and to the likelihood that important factors other than mental illness contribute to their homelessness.
Evaluation ReviewProgram Variation in Treatment Outcomes Among Women in Residential Drug Treatment
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Bivariate analyses showed that programs with higher proportions of pregnant and parenting women provided more services related to women's needs, which support the provision of specialized services and programs for women in order to improve outcomes of drug abuse treatment.
Preventive MedicinePrevalence and co-occurrence of violence, substance use and disorder, and HIV risk behavior: a comparison of sheltered and low-income housed women in Los Angeles County
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PubMedElements of well-being affected by criminalizing the drug user.
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The authors propose reducing respondent burden by randomly sampling a smaller set of alters from those originally elicited, and assess the estimation error they incur when measures of the network structure are computed on a random sample of alters.
PubMedReliability of homeless women's reports: concordance between hair assay and self report of cocaine use.
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Homeless women’s self-reports of cocaine use are fairly accurate, and objective data are particularly critical for assessing cocaine use among subgroups who are fearful of sanctions or use cocaine relatively infrequently or in smaller amounts.
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Normative beliefs are an important construct in understanding the relationship between social norms and alcohol use among college students and may be an important area for future interventions.
Journal of Urban HealthHousing Patterns and Correlates of Homelessness Differ by Gender among Individuals Using San Francisco Free Food Programs
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