A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.
Adult
Canada
/ epidemiology
Community-Based Participatory Research
Cross-Sectional Studies
Female
Ill-Housed Persons
/ statistics & numerical data
Housing
/ statistics & numerical data
Humans
Male
Middle Aged
Prospective Studies
Risk Factors
Self Report
/ statistics & numerical data
Social Marginalization
Socioeconomic Factors
Substance-Related Disorders
/ epidemiology
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
05
01
2021
accepted:
15
06
2021
entrez:
1
7
2021
pubmed:
2
7
2021
medline:
18
11
2021
Statut:
epublish
Résumé
Housing affects an individual's physical and mental health, particularly among people who use substances. Understanding the association between individual characteristics and housing status can inform housing policy and help optimize the care of people who use drugs. The objective of this study was to explore the factors associated with unstable housing among people who use drugs in Ottawa. This is a cross-sectional analysis of data from 782 participants in the Participatory Research in Ottawa: Understanding Drugs (PROUD) Study. PROUD is a prospective cohort study of people who use drugs in Ottawa. Between March and December 2013, participants were recruited through peer-based recruitment on the streets and in social services settings and completed a peer-administered questionnaire that explored socio-demographic information, drug use patterns, community integration, experiences with police and incarceration, and access to health care and harm reduction services. Eligibility criteria included age of 16 years or older, self-reported illicit drug use within the past 12 months and having lived in Ottawa for at least 3 months. Housing status was determined by self-report. "Stable housing" was defined as residence in a house or apartment and "unstable housing" was defined as all other residence types. Exploratory multivariable logistic regression analyses of the association between characteristics of people who use drugs and their housing status were conducted. Factors that were associated with unstable housing included: recent incarceration; not having a regular doctor; not having received support from a peer worker; low monthly income; income source other than public disability support payments; and younger age. Gender, language, ethnicity, education level, opioid use and injection drug use were not independently associated with housing status. People who use drugs face significant barriers to stable housing. These results highlight key areas to address in order to improve housing stability among this community.
Identifiants
pubmed: 34197552
doi: 10.1371/journal.pone.0253923
pii: PONE-D-21-00357
pmc: PMC8248707
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0253923Subventions
Organisme : CIHR
Pays : Canada
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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