Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/3128

Appears in Collections:School of Health Sciences Journal Articles
Peer Review Status: Refereed
Title: Differences in 5-year survival after a ‘homeless’ or ‘housed’ drugs-related hospital admission: a study of 15–30-year olds in Scotland
Authors: Dibben, Christopher J L
Atherton, Iain
Doherty, Joe
Baldacchino, Alex
Contact Email: iain.atherton@stir.ac.uk
Issue Date: 2011
Publisher: BMJ Publishing Group
Citation: Dibben CJL, Atherton I, Doherty J & Baldacchino A (2011) Differences in 5-year survival after a ‘homeless’ or ‘housed’ drugs-related hospital admission: a study of 15–30-year olds in Scotland, Journal of Epidemiology and Community Health, 65 (9), pp. 780-785.
Abstract: Background Young drug misusers and the homeless both have a greater risk of death than their peers. This study sought to estimate the additional impact of homelessness on the risk of death for young drugs misusers. Methods From all admissions to NHS hospitals in Scotland between 1986 and 2001, those that were: drug misuse related, for people born between 1970 and 1986 and aged over 15 years (n=13 303), were selected. All subsequent admissions and registrations of death were linked to this dataset. Each admission was coded as homeless if the health board of residence was coded as ‘no fixed abode’. 5-year survival after an admission was modelled using (1) life table and (2) proportional hazard models and then (3) differences in causes of deaths were explored. Results Immediately after a drugs-related hospital admission there was no difference in survival between the homeless and those with a ‘fixed address’. However, over a 3-year period the risk for those who were homeless was 3.5 times greater (CI 95% 1.2 to 12.8). This elevated risk seemed to be particularly focused on the second year after an admission. The causes of death were similar for the two groups. Conclusion Although a homeless hospital admission is associated with a greater risk of death for young drug users, it is also a point in time when a young person is in contact with public services. An attempt to link their discharge with housing services would seem a potentially productive policy.
Type: Journal Article
URI: http://hdl.handle.net/1893/3128
DOI Link: http://dx.doi.org/10.1136/jech.2009.101352
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of St Andrews
HS Research - Highland
University of St Andrews
University of Dundee

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