Effects of psychosocial and situational variables on substance abuse among homeless adults.
Finding direct and indirect influences of salient psychosocial and situational variables on problem substance use among homeless people is important in designing evidence-based, effective, and relevant interventions for this special population. A stress-coping paradigm in conjunction with situational items specialized for homeless people was used to explore predictive relationships in a sample of homeless adults (N = 664) among (a) psychosocial variables of self-esteem, social support, positive and negative coping, and emotional distress, (b) situational variables of homelessness history and quality of recent housing, and (c) outcomes of alcohol use, injection drug use (IDU), and non-IDU. Lower self-esteem predicted greater emotional distress, lower positive coping, greater negative coping, and more alcohol use. Social support predicted less emotional distress and more positive coping. Chronic homelessness predicted more emotional distress, less positive coping, greater alcohol use, and IDU. Poor housing was associated with more alcohol use and IDU. Substance abuse interventions among the homeless should have a dual focus that includes attention to psychological issues and negative coping patterns while also addressing situational, environmental factors, including encouraging provision of permanent supportive housing.
Stein
Judith A
JA
Department of Psychology, University of California, Los Angeles, CA 90095-1563, USA. jastein@ucla.edu
Dixon
Elizabeth L
EL
Nyamathi
Adeline M
AM
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology / Q000706:statistics & numerical data*; D006798:Housing / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D012649:Self Concept; D012917:Social Adjustment; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology
Psychol Addict Behav. 2003 Mar;17(1):32-41
12665079
Am J Mens Health. 2009 Mar;3(1):25-35
19430589
Res Nurs Health. 2005 Jun;28(3):220-9
15884031
Am J Orthopsychiatry. 1993 Jul;63(3):385-99
8372905
Health Psychol. 2000 Nov;19(6):524-34
11129355
J Health Psychol. 2007 Sep;12(5):791-804
17855463
J Health Care Poor Underserved. 2005 Nov;16(4 Suppl A):83-90
16327098
Res Nurs Health. 1998 Dec;21(6):525-32
9839797
Med Care. 1992 Jun;30(6):473-83
1593914
Psychol Bull. 1993 Jul;114(1):185-99
8346326
AIDS Care. 2000 Jun;12(3):343-56
10928212
Med Care. 1988 Jul;26(7):724-35
3393032
Med Care. 2006 Mar;44(3):225-33
16501393
Nurs Res. 2000 Nov-Dec;49(6):318-26
11093696
Drug Alcohol Depend. 2004 Jul 15;75(1):89-95
15225892
Nurs Res. 2001 May-Jun;50(3):165-71
11393638
Int J Behav Med. 1997;4(1):92-100
16250744
Drug Alcohol Depend. 2005 Oct 1;80(1):35-43
16157229
Addict Behav. 1999 Nov-Dec;24(6):801-14
10628514
AIDS Behav. 2007 Nov;11(6 Suppl):1-6
17710525
Psychol Addict Behav. 2004 Sep;18(3):250-6
15482080
J Behav Med. 2000 Apr;23(2):123-47
10833676
J Adv Nurs. 1989 Apr;14(4):281-90
2661620
AIDS Behav. 2007 Nov;11(6 Suppl):78-84
17447132
Nurs Outlook. 1981 May;29(5):295-301
6908691
Soc Sci Med. 1991;32(6):705-14
2035047
Am J Community Psychol. 1997 Jun;25(3):371-94
9332967
Qual Health Res. 2000 Jan;10(1):26-38
10724750