A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.

<h4>Introduction</h4>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 d...

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Autores principales:	Ellen C Rowlands Snyder, Lisa M Boucher, Ahmed M Bayoumi, Alana Martin, Zack Marshall, Rob Boyd, Sean LeBlanc, Mark Tyndall, Claire E Kendall
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f028bfa81cc34b6e978c4302b079246a
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spelling	oai:doaj.org-article:f028bfa81cc34b6e978c4302b079246a2021-12-02T20:09:43ZA cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.1932-620310.1371/journal.pone.0253923https://doaj.org/article/f028bfa81cc34b6e978c4302b079246a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253923https://doaj.org/toc/1932-6203<h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Ellen C Rowlands SnyderLisa M BoucherAhmed M BayoumiAlana MartinZack MarshallRob BoydSean LeBlancMark TyndallClaire E KendallPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0253923 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ellen C Rowlands Snyder Lisa M Boucher Ahmed M Bayoumi Alana Martin Zack Marshall Rob Boyd Sean LeBlanc Mark Tyndall Claire E Kendall A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.
description	<h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.
format	article
author	Ellen C Rowlands Snyder Lisa M Boucher Ahmed M Bayoumi Alana Martin Zack Marshall Rob Boyd Sean LeBlanc Mark Tyndall Claire E Kendall
author_facet	Ellen C Rowlands Snyder Lisa M Boucher Ahmed M Bayoumi Alana Martin Zack Marshall Rob Boyd Sean LeBlanc Mark Tyndall Claire E Kendall
author_sort	Ellen C Rowlands Snyder
title	A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.
title_short	A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.
title_full	A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.
title_fullStr	A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.
title_full_unstemmed	A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.
title_sort	cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in ottawa, canada.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f028bfa81cc34b6e978c4302b079246a
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A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada.

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