Hospitalization among street-involved youth who use illicit drugs in Vancouver, Canada: a longitudinal analysis.

Abstract

BACKGROUND:

Street-involved youth who use illicit drugs are at high risk for health-related harms; however, the profile of youth at greatest risk of hospitalization has not been well described. We sought to characterize hospitalization among street-involved youth who use illicit drugs and identify the most frequent medical reasons for hospitalization among this population.

METHODS:

From January 2005 to May 2016, data were collected from the At-Risk Youth Study (ARYS), a prospective cohort study of street-involved youth in Vancouver, Canada. Multivariable generalized estimating equation (GEE) was used to identify factors associated with hospitalization.

RESULTS:

Among 1216 participants, 373 (30.7%) individuals reported hospitalization in the previous 6 months at some point during the study period. The top three reported medical reasons for hospital admission were the following: mental illness (37.77%), physical trauma (12.77%), and drug-related issues (12.59%). Factors significantly associated with hospitalization were the following: past diagnosis of a mental illness (adjusted odds ratio [AOR] = 1.85; 95% confidence interval [95% CI] 1.47-2.33), frequent cocaine use (AOR = 2.15; 95% CI 1.37-3.37), non-fatal overdose (AOR = 1.76; 95% CI 1.37-2.25), and homelessness (AOR = 1.40; 95% CI 1.16-1.68) (all p < 0.05).

CONCLUSIONS:

Findings suggest that mental illness is a key driver of hospitalization among our sample. Comprehensive approaches to mental health and substance use in addition to stable housing offer promising opportunities to decrease hospitalization among this vulnerable population.

• Authors: Derek C Chang, Launette Rieb, Ekaterina Nosova, Yang Liu, Thomas Kerr, Kora DeBeck
• Journal: Harm reduction journal (Harm Reduct J) Vol. 15 Issue 1 Pg. 14 (03 20 2018) ISSN: 1477-7517 [Electronic] England
• PMID: 29558943 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)

Chemical References

• Illicit Drugs

Topics

• Adult
• Canada (epidemiology)
• Cohort Studies
• Comorbidity
• Female
• Ill-Housed Persons (statistics & numerical data)
• Hospitalization (statistics & numerical data)
• Humans
• Illicit Drugs
• Longitudinal Studies
• Male
• Mental Disorders (epidemiology)
• Prospective Studies
• Risk Factors
• Substance-Related Disorders (epidemiology)
• Wounds and Injuries (epidemiology)
• Young Adult