Abstract
Substance use is common among homeless and precariously housed youth, yet few longitudinal studies track their usage over time. This paper analyzes data from a study of 187 youth and reports on their substance usage in the preceding month, year, and over their lifetime. The results are compared within the sample by sex and against a sample of similarly located housed youth. Findings suggest that female homeless and precariously housed youth report lower substance use, but that with interventions substance use decreases for both sexes. Compared to housed youth, those who are homeless and precariously housed begin substance use at a significantly younger age.
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Ahamad, K., DeBeck, K., Feng, C., Sakakibara, T., Kerr, T., & Wood, E. (2014). Gender influences on initiation of injecting drug use. The American Journal of Drug and Alcohol Abuse, 40(2), 151–156.
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The alcohol use disorders identification test: Guidelines for use in primary care (2nd ed.). Geneva: World Health Organization.
Bossarte, R., & Swahn, M. (2011). The associations between early alcohol use and suicide attempts among adolescents with a history of major depression. Addictive Behaviours, 36(5), 532–535.
Buccieri, K. (2013). Back to the future for Canada’s national anti-drug strategy: Homeless youth and the need for harm reduction. In S. Gaetz, B. O’Grady, K. Buccieri, J. Karabanow, & A. Marsolais (Eds.), Youth homelessness in Canada: Implications for policy and practice (pp. 199–215). Toronto: The Canadian Homelessness Research Network.
Chen, P., & Jacobson, K. C. (2012). Developmental trajectories of substance use from early adolescence to young adulthood: gender and racial/ethnic differences. Journal of Adolescent Health, 50(2), 154–163.
Christiani, A., Geffen, D., Nyamathi, A., Mutere, M., & Sweat, J. (2008). Attitudes of homeless and drug-using youth regarding barriers and facilitators in delivery of quality and culturally sensitive health care. Journal of Child and Adolescent Psychiatric Nursing, 21(3), 154–163.
Crawford, D. M., Whitbeck, L. B., & Hoyt, D. R. (2011). Propensity for violence among homeless and runaway adolescents: an event history analysis. Crime and Delinquency, 57, 950–968.
Csiernik, R. (2016). Substance use and abuse: Everything matters. Toronto: Canadian Scholars’ Press Inc.
Danielsson, A. K., Wennberg, P., Tengström, A., & Romelsjö, A. (2010). Adolescent alcohol use trajectories: predictors and subsequent problems. Addictive Behaviours, 35(9), 848–852.
Dennis, M. L., Feeney, T., & Titus, J. (2013). GAIN-SS: Global appraisal of individual needs-short screener (GAIN-SS) administration and scoring manual version 3. Retrieved from http://gaincc.org/_data/files/Posting_Publications/GAIN-SS_Manual 3.0. pdf.
Edidin, J. P., Ganim, Z., Hunter, S. J., & Karnik, N. S. (2012). The mental and physical health of homeless youth: a literature review. Child Psychiatry & Human Development, 43(3), 354–375.
Fielding, K., & Forchuk, C. (2013). Exploring the factors associated with youth homelessness and arrests. Journal of Child and Adolescent Psychiatric Nursing, 26(4), 225–233.
Forchuk, C., Jensen, E., Csiernik, R., Ward-Griffin, C., Ray, S., Montgomery, P., & Wan, L. (2009). Exploring differences between community-based women and men with a history of mental illness. Issues in Mental Health Nursing, 30(8), 495–502.
Forchuk, C., Csiernik, R., & Jensen, E. (2011). Homelessness, housing and the experiences of mental health consumer-survivors: Finding truths-creating change. Toronto: Canadian Scholars.
Forchuk, C., Richardson, J., Laverty, K., Bryant, M., Rudnick, A., Csiernik, R., & Kelly, C. (2013). Service preferences of homeless youth with mental illness: Housing first, treatment first, or both together. In S. Gaetz, B. O’Grady, K. Buccieri, J. Karabanow, & A. Marsolais (Eds.), Youth homelessness in Canada: Implications for policy and practice (p. 95). Toronto: The Canadian Homelessness Research Network.
Gossop, M., Darke, S., Griffiths, P., Hando, J., Powis, B., Hall, W., & Strang, J. (1995). The severity of dependence scale (SDS): psychmoteric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction, 90(5), 607–614.
Hadland, S. E., Kerr, T., Li, K., Montaner, J. S., & Wood, E. (2009). Access to drug and alcohol treatment among a cohort of street-involved youth. Drugs and Alcohol Dependence, 101(1), 1–7.
Health Canada. (2011). Canadian alcohol and drug use monitoring survey. Retrieved from http://www.hc-sc.gc.ca/hc-ps/drugs-drogues/stat/_2010/summary-sommaire-eng.php.
Humeniuk, R. E., Ali, R. A., Babor, T. F., Farrell, M., Formigoni, M. L., Jittiwutikarn, J., Marsden, J., Monteiro, M., Nhiwhatiwa, S., Pal, H., Poznyak, V., & Simon, S. (2008). Validation of the alcohol smoking and substance involvement screening test (ASSIST). Addiction, 103(6), 1039–1047.
Karabanow, J., Hopkins, S., Kisely, S., Parker, J., Hughes, J., Gahagan, J., & Campbell, L. A. (2007). Can you be healthy on the street? exploring the health experiences of Halifax street youth. Canadian Journal of Urban Research, 16(1), 12–32.
Kelly, A., Evans‐Whipp, T., Smith, R., Chan, G., Toumbourou, J., Patton, G., Hemphill, S., Hall, W., & Catalano, R. (2015). A longitudinal study of the association of adolescent polydrug use, alcohol use and high school non‐completion. Addiction, 110(4), 627–635.
Kirst, M., Frederick, T., & Erickson, P. G. (2011). Concurrent mental health and substance use problems among street-involved youth. International Journal of Mental Health and Addiction, 9(5), 543–553.
Knight, J. R., Sherritt, L., Shrier, L. A., Harris, S. K., & Chang, G. (2002). Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Archives of Pediatric and Adolescent Medicine, 156(6), 607–614.
Krüsi, A., Fast, D., Small, W., Wood, E., & Kerr, T. (2010). Social and structural barriers to housing among street-involved youth who use illicit drugs. Health and Social Care Community, 18(3), 282–288.
Leatherdale, S., & Burkhalter, R. (2012). The substance use profile of Canadian youth: exploring the prevalence of alcohol, drug and tobacco use by gender and grade. Addictive Behaviors, 37(3), 318–322.
Leonard, L. (2003). Gender differences in HIV risk related behaviours among injection drug users. In R. Csiernik & W. S. Rowe (Eds.), Responding to the oppression of addiction (pp. 249–272). Toronto: Canadian Scholars Press.
Lisdahl, K. (2013). Dare to delay? the impacts of adolescent alcohol and marijuana use onset on cognition, brain structure, and function. Frontiers in Psychiatry, 4(53), 1–19.
McDonell, M. G., Comtois, K. A., Vos, W. D., Morgan, A. H., & Ries, R. K. (2009). Global appraisal of individual needs short screener (GSS): psychometric properties and performance as a screening measure in adolescents. American Journal of Drug and Alcohol Abuse, 35(3), 157–160.
Mental Health Commission of Canada. (2008). MHCC research demonstration projects in mental health and homelessness. Retrieved from www.mentalhealthcommission.ca.
Odjers, C., Caspi, A., Nagin, D., Piquero, A., Slutske, W., Milne, B., Dickson, N., Poulton, R., & Moffitt, T. (2008). Is it important to prevent early exposure to drugs and alcohol among adolescents? Psychological Science, 19(10), 1037–1044.
Paglia-Boak, A., Adlaf, E. M., & Mann, R. E. (2011). Drug use among Ontario students 1977–2011: OSDUHS highlights. Toronto: Centre for Addiction and Mental Health.
Public Health Agency of Canada. (2006). Street youth in Canada: Findings from enhanced surveillance of Canadian street youth, 1999–2003. Ottawa: Public Health Agency of Canada.
Rhule-Louie, D. M., Bowen, S., Baer, J. S., & Peterson, P. L. (2008). Substance use and health and safety among homeless youth. Journal of Child and Family Studies, 17(3), 306–319.
Roy, É., Boivin, J. F., & Leclerc, P. (2011). Initiation to drug injection among street youth: a gender-based analysis. Drug and Alcohol Dependence, 114(1), 49–54.
Tevendale, H. D., Comulada, W. S., & Lightfoot, M. A. (2011). Finding shelter: two-year housing trajectories among homeless youth. Journal of Adolescent Health, 49(6), 615–620.
Wenzel, S. L., Tucker, J. S., Golinelli, D., Green, H. D., Jr., & Zhou, A. (2010). Personal network correlates of alcohol, cigarette, and marijuana use among homeless youth. Drug and Alcohol Dependence, 112(1), 140–149.
Werch, C., Owen, D., Carlson, J., DiClemente, C., Edgemon, P., & Moore, M. (2003). One-year follow-up results from the STARS for families alcohol prevention program. Health Education Research Theory & Practice, 18(1), 74–87.
Young, M. (2011). Cross Canada report on alcohol and drug use. Ottawa: Canadian Centre on Substance Abuse.
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Rick Csiernik, Cheryl Forchuk, KristyBuccieri, Jan Richardson, Abraham Rudnick, Laura Warner and Amanda Wright declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1995, as revised in 2000 (5). Informed consent was obtained from all participants included in this study.
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Csiernik, R., Forchuk, C., Buccieri, K. et al. Substance Use of Homeless and Precariously Housed Youth in a Canadian Context. Int J Ment Health Addiction 15, 1–15 (2017). https://doi.org/10.1007/s11469-016-9656-4
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DOI: https://doi.org/10.1007/s11469-016-9656-4