Hazardous drinking and its association with homelessness among veterans in care

T. Ghose, D. A. Fiellin, A. J. Gordon, S. Metraux, M. B. Goetz, O. Blackstock, K. McInnes, M. C. Rodriguez-Barradas, A. C. Justice

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: While scholarship on alcohol use and homelessness has focused on the impact of alcohol abuse and dependence, little is known about the effects of lower levels of misuse such as hazardous use. Veterans receiving care in the Department of Veterans Affairs Health Care System (VA) constitute a population that is vulnerable to alcohol misuse and homelessness. This research examines the effects of hazardous drinking on homelessness in the Veterans Aging Cohort Study, a sample of 2898 older veterans (mean age = 50.2), receiving care in 8 VAs across the country. Methods: Logistic regression models examined the associations between (1) hazardous drinking at baseline and homelessness at 1-year follow-up, (2) transitions into and out of hazardous drinking from baseline to follow-up and homelessness at follow-up, and (3) transitioning to hazardous drinking and transitioning to homelessness from baseline to follow-up during that same time-period. Results: After controlling for other correlates including alcohol dependence, hazardous drinking at baseline increased the risk of homelessness at follow-up (adjusted odds ratio [AOR] = 1.39, 95% confidence interval [CI] = 1.02, 1.88). Transitioning to hazardous drinking more than doubled the risk of homelessness at follow-up (AOR = 2.42, 95% CI = 1.41, 4.15), while more than doubling the risk of transitioning from being housed at baseline to being homeless at follow-up (AOR = 2.49, 95% CI = 1.30, 4.79). Conclusions: Early intervention that seeks to prevent transitioning into hazardous drinking could increase housing stability among veterans. Brief interventions which have been shown to be effective at lower levels of alcohol use should be implemented with veterans in VA care.

Original languageEnglish (US)
Pages (from-to)202-206
Number of pages5
JournalDrug and Alcohol Dependence
Volume132
Issue number1-2
DOIs
StatePublished - Sep 1 2013
Externally publishedYes

Fingerprint

Homeless Persons
Veterans
Drinking
Alcohols
Alcoholism
Odds Ratio
Confidence Intervals
Health care
Logistic Models
Logistics
Veterans Health
Aging of materials
Vulnerable Populations
Cohort Studies
Delivery of Health Care

Keywords

  • Alcohol use
  • Hazardous drinking
  • Homelessness
  • Longitudinal analysis
  • Veteran care
  • Veterans Aging Cohort Study

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Toxicology
  • Pharmacology
  • Pharmacology (medical)

Cite this

Ghose, T., Fiellin, D. A., Gordon, A. J., Metraux, S., Goetz, M. B., Blackstock, O., ... Justice, A. C. (2013). Hazardous drinking and its association with homelessness among veterans in care. Drug and Alcohol Dependence, 132(1-2), 202-206. https://doi.org/10.1016/j.drugalcdep.2013.02.004

Hazardous drinking and its association with homelessness among veterans in care. / Ghose, T.; Fiellin, D. A.; Gordon, A. J.; Metraux, S.; Goetz, M. B.; Blackstock, O.; McInnes, K.; Rodriguez-Barradas, M. C.; Justice, A. C.

In: Drug and Alcohol Dependence, Vol. 132, No. 1-2, 01.09.2013, p. 202-206.

Research output: Contribution to journalArticle

Ghose, T, Fiellin, DA, Gordon, AJ, Metraux, S, Goetz, MB, Blackstock, O, McInnes, K, Rodriguez-Barradas, MC & Justice, AC 2013, 'Hazardous drinking and its association with homelessness among veterans in care', Drug and Alcohol Dependence, vol. 132, no. 1-2, pp. 202-206. https://doi.org/10.1016/j.drugalcdep.2013.02.004
Ghose T, Fiellin DA, Gordon AJ, Metraux S, Goetz MB, Blackstock O et al. Hazardous drinking and its association with homelessness among veterans in care. Drug and Alcohol Dependence. 2013 Sep 1;132(1-2):202-206. https://doi.org/10.1016/j.drugalcdep.2013.02.004
Ghose, T. ; Fiellin, D. A. ; Gordon, A. J. ; Metraux, S. ; Goetz, M. B. ; Blackstock, O. ; McInnes, K. ; Rodriguez-Barradas, M. C. ; Justice, A. C. / Hazardous drinking and its association with homelessness among veterans in care. In: Drug and Alcohol Dependence. 2013 ; Vol. 132, No. 1-2. pp. 202-206.
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abstract = "Background: While scholarship on alcohol use and homelessness has focused on the impact of alcohol abuse and dependence, little is known about the effects of lower levels of misuse such as hazardous use. Veterans receiving care in the Department of Veterans Affairs Health Care System (VA) constitute a population that is vulnerable to alcohol misuse and homelessness. This research examines the effects of hazardous drinking on homelessness in the Veterans Aging Cohort Study, a sample of 2898 older veterans (mean age = 50.2), receiving care in 8 VAs across the country. Methods: Logistic regression models examined the associations between (1) hazardous drinking at baseline and homelessness at 1-year follow-up, (2) transitions into and out of hazardous drinking from baseline to follow-up and homelessness at follow-up, and (3) transitioning to hazardous drinking and transitioning to homelessness from baseline to follow-up during that same time-period. Results: After controlling for other correlates including alcohol dependence, hazardous drinking at baseline increased the risk of homelessness at follow-up (adjusted odds ratio [AOR] = 1.39, 95{\%} confidence interval [CI] = 1.02, 1.88). Transitioning to hazardous drinking more than doubled the risk of homelessness at follow-up (AOR = 2.42, 95{\%} CI = 1.41, 4.15), while more than doubling the risk of transitioning from being housed at baseline to being homeless at follow-up (AOR = 2.49, 95{\%} CI = 1.30, 4.79). Conclusions: Early intervention that seeks to prevent transitioning into hazardous drinking could increase housing stability among veterans. Brief interventions which have been shown to be effective at lower levels of alcohol use should be implemented with veterans in VA care.",
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