title: Correlates of prescription drug misuse among heterosexually active homeless men.
abstract: OBJECTIVE
  Prescription drug misuse (PDM) is an emerging epidemic in the United States. This study examines the prevalence and correlates of PDM among homeless men. Homeless men experience higher risk for substance misuse and associated health problems and are particularly vulnerable to PDM and its negative health consequences.
  
  
  METHODS
  Participants were a representative probability sample of 305 heterosexually active homeless men interviewed from meal programs in the Skid Row region of Los Angeles. Interviews assessed demographics, substance use, mental health, and social networks. Logistic regression examined correlates of PDM.
  
  
  RESULTS
  Twenty-six percent of the study population reported PDM in the past year. PDM was more likely among homeless men suffering from posttraumatic stress disorder (PTSD) (odds ratio [OR] = 2.41, 95% confidence interval [CI]: 1.03-5.61) and among those with more substance-using social network members (OR = 1.07, 95% CI: 1.01-1.14). Decreased PDM was associated with good health (OR = 0.34, 95% CI: 0.16-0.75).
  
  
  CONCLUSIONS
  The prevalence of PDM is higher among the homeless men in this study than in the general population. Correlates of PDM included PTSD and poor health, suggesting that homeless men may use PDM to self-medicate. PDM was also associated with increased substance-using social network alters. Physical and mental health and social context are important aspects to consider in prevention efforts to reduce PDM among homeless men.
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, CA 90015, USA. hrhoades@usc.edu
authors.forename: Harmony
authors.initials: H
authors.lastname: Rhoades
authors.forename: Suzanne L
authors.initials: SL
authors.lastname: Wenzel
mesh_terms: D003863:Depression / Q000453:epidemiology; D017831:Diagnosis, Dual (Psychiatry) / Q000706:statistics & numerical data; D006304:Health Status; D020010:Heterosexuality / Q000523:psychology*; D006703:Ill-Housed Persons / Q000523:psychology*; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D063487:Prescription Drug Misuse / Q000706:statistics & numerical data*; D012307:Risk Factors; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology