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dc.contributor.authorDibben, Christopher J Len_UK
dc.contributor.authorAtherton, Iainen_UK
dc.contributor.authorDoherty, Joeen_UK
dc.contributor.authorBaldacchino, Alexen_UK
dc.description.abstractBackground 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.en_UK
dc.publisherBMJ Publishing Groupen_UK
dc.relationDibben 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.
dc.rightsThe 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.en_UK
dc.subjectNursing careen_UK
dc.subjectDrugs Social aspects Scotlanden_UK
dc.subjectDrug addicts Rehabilitation Scotlanden_UK
dc.titleDifferences in 5-year survival after a ‘homeless’ or ‘housed’ drugs-related hospital admission: a study of 15–30-year olds in Scotlanden_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[I Atherton - Differences in 5-year survival after a homeless etc.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleJournal of Epidemiology and Community Healthen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of St Andrewsen_UK
dc.contributor.affiliationHealth Sciences Research - Highland - LEGACYen_UK
dc.contributor.affiliationUniversity of St Andrewsen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorDibben, Christopher J L|en_UK
local.rioxx.authorAtherton, Iain|en_UK
local.rioxx.authorDoherty, Joe|en_UK
local.rioxx.authorBaldacchino, Alex|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameI Atherton - Differences in 5-year survival after a homeless etc.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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