PMID- 12747399
OWN - NLM
STAT- MEDLINE
DCOM- 20030619
LR  - 20221207
IS  - 1082-6084 (Print)
IS  - 1082-6084 (Linking)
VI  - 38
IP  - 3-6
DP  - 2003 Feb-May
TI  - Alcohol use and other psychiatric disorders in the formerly homeless and never 
      homeless: prevalence, age of onset, comorbidity, temporal sequencing, and service 
      utilization.
PG  - 601-44
AB  - Interview survey data were collected on a large (n = 4730) general population 
      sample of adults subsequently classified as "never homeless" (NH) or "formerly 
      homeless" (FH), with the latter group consisting of persons who had past 
      experience of at least a one-month period with no regular place to live. The 
      objective was to analyze differences, as a function of this classification, in 
      the prevalence, age of onset, comorbidity, temporal sequencing, and service 
      utilization pertinent to alcohol-use and other psychiatric disorders. Almost half 
      of the FH group were found to have a one-year DSM diagnosis, nearly twice the 
      rate seen in the NH group. Moreover, at 15.1%, the prevalence of alcohol-use 
      disorder (AUD) comorbid with one or more other psychiatric disorders was five 
      times that reported by NH participants. Subsequent analyses addressed differences 
      betweenthe FH (n = 167) and NH (n = 1031) groups within the subset who met 
      criteria for one or more psychiatric diagnoses. Focusing on drinking behavior, we 
      found that among the FH, dual-diagnosis was associated with elevated rates of 
      alcohol-use problem symptoms and with greater alcohol consumption than were 
      evident in the FH with AUD alone. Also, among the FH with comorbid AUD, as well 
      as among those with two or more psychiatric disorders unrelated to alcohol, there 
      was an earlier onset of psychiatric disorders than in the NH. This earlier onset 
      may have placed these individuals at greater risk for later homelessness and AUD, 
      and may also be indicative of a more severe course of illness. Differences 
      between the FH and the NH suggest the importance of devoting special attention to 
      this unique sample.
FAU - Reardon, Maureen Lyons
AU  - Reardon ML
AD  - The Florida State University, Tallahassee, Florida 32306-1270, USA.
FAU - Burns, Andrea B
AU  - Burns AB
FAU - Preist, Robyn
AU  - Preist R
FAU - Sachs-Ericsson, Natalie
AU  - Sachs-Ericsson N
FAU - Lang, Alan R
AU  - Lang AR
LA  - eng
PT  - Journal Article
PL  - England
TA  - Subst Use Misuse
JT  - Substance use & misuse
JID - 9602153
SB  - IM
MH  - Adult
MH  - Age of Onset
MH  - Alcoholism/diagnosis/*epidemiology
MH  - Colorado/epidemiology
MH  - Comorbidity
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Ill-Housed Persons/psychology/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Mental Disorders/diagnosis/epidemiology
MH  - Mental Health Services/*statistics & numerical data
MH  - Prevalence
MH  - Surveys and Questionnaires
MH  - Time Factors
EDAT- 2003/05/16 05:00
MHDA- 2003/06/20 05:00
CRDT- 2003/05/16 05:00
PHST- 2003/05/16 05:00 [pubmed]
PHST- 2003/06/20 05:00 [medline]
PHST- 2003/05/16 05:00 [entrez]
AID - 10.1081/ja-120017387 [doi]
PST - ppublish
SO  - Subst Use Misuse. 2003 Feb-May;38(3-6):601-44. doi: 10.1081/ja-120017387.