The Prevalence of Specific Psychiatric Disorders Among Homeless Individuals in the Inner City of Los Angeles

Koegel, Paul; Burnam, M. Audrey; Farr, Rodger K.

doi:10.1001/archpsyc.1988.01800360033005

Cited by 377 publications

(232 citation statements)

References 25 publications

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“…Reports of the prevalence of depressive disorders (e.g., major affective disorder, major depressive episode, major unipolar depression) among homeless women range from 18% to 37% (Breakey et al, 1989;Koegel et al, 1988;North et al, 1997;Smith et al, 1993). In addition, Nyamathi et al (1997) found that 84% of homeless and drug-addicted women reported emotional disturbance (e.g., depression, lack of emotional well-being).…”

Section: Psychosocial Problems Related To Homelessnessmentioning

confidence: 99%

Psychosocial predictors of current drug use, drug problems, and physical drug dependence in homeless women

Galaif

Nyamathi

Stein

1999

Addictive Behaviors

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Section: Psychosocial Problems Related To Homelessnessmentioning

confidence: 99%

Psychosocial predictors of current drug use, drug problems, and physical drug dependence in homeless women

Galaif

Nyamathi

Stein

1999

Addictive Behaviors

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“…2,3 However, it has been widely reported that many homeless people have serious mental and physical disabilities, and many more have alcohol and drug disorders. [4][5][6][7] Mental illness, alcoholism, drug abuse and poor health have been found to be barriers to employment and earnings in domiciled populations. [8][9][10][11] They are also likely to be important barriers to employment and earnings for homeless populations.…”

Section: Introductionmentioning

confidence: 99%

Income and employment among homeless people: the role of mental health, health and substance abuse

Zuvekas

Hill

2000

J Ment Health Policy Econ

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“…64 Three summary measures of psychiatric problems were created using an algorithm described elsewhere 35 : chronic mental illness, chronic drug dependence, and chronic alcohol dependence.…”

Section: Methodsmentioning

confidence: 99%

Tuberculosis Skin Testing Among Homeless Adults

Gelberg

Panarites²,

Morgenstern

et al. 1997

J Gen Intern Med

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OBJECTIVE:To document the prevalence of tuberculosis (TB) skin test positivity among homeless adults in Los Angeles and determine whether certain characteristics of homelessness were risk factors for TB. DESIGN:Cross-sectional study. SETTING: Shelters, soup lines, and outdoor locations in the Skid Row and Westside areas of Los Angeles.PARTICIPANTS: A representative sample of 260 homeless adults. MEASUREMENTS AND MAIN RESULTS:Tuberculosis tine test reactivity was measured. The overall prevalence of TB skin test positivity was 32%: 40% in the inner-city Skid Row area and 14% in the suburban Westside area. Using multiple logistic regression, TB skin test positivity was found to be associated with living in crowded or potentially crowded shelter conditions, long-term homelessness, geographic area, history of a psychiatric hospitalization, and age. nderstanding the epidemiology of tuberculosis (TB) among the homeless, as well as other high-risk populations, is critical. Despite relatively recent predictions that TB could be eradicated in the United States by the year 2010, 1-3 we have been confronted by a sharp rise in active TB (10% increase between 1985 and 1994) 4 and an increase in multidrug-resistant TB since 1985 when reported cases of TB reached their lowest levels since national reporting began in 1953. [4][5][6][7] This increase in active TB has also led to increased numbers of individuals with newly acquired asymptomatic TB infection resulting from contact with persons with active contagious disease. Such individuals are at increased risk of developing active disease: the 1-year risk of becoming an active case is 3% within 1 year of infection and 0.5% in each subsequent year after 2 years of infection. 8 A multiplicity of factors, including the HIV/AIDS epidemic, increasing poverty and homelessness in America's cities, illicit drug use, budgetary constraints on local health departments, immigration from high-prevalence nations, and high rates of noncompliance among TB patients, have contributed to the resurgence of TB. [9][10][11][12][13][14][15][16][17][18][19][20][21][22] Previous research on homeless adults demonstrated their elevated risk of asymptomatic TB infection, active disease, and multidrug-resistant TB. [23][24][25][26][27][28] Further, reports have cited outbreaks of TB in emergency shelters for the homeless in Boston and Ohio,29,30 as well as in a neighborhood bar frequented by a homeless person with active disease. 31 Why is the risk of TB increased among homeless persons? Among the homeless, men outnumber women approximately four to one and ethnic and racial minority groups, especially African Americans, are overrepresented. [32][33][34] A disproportionate number of individuals with serious mental health problems (including previous psychiatric hospitalization), or a history of substance dependence, have been found among the homeless, and a significant number of homeless persons have dual diagnoses of mental illness and substance dependence. [35][36][37][38] Further, homeless persons have gr...

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The Prevalence of Specific Psychiatric Disorders Among Homeless Individuals in the Inner City of Los Angeles

Cited by 377 publications

References 25 publications

Psychosocial predictors of current drug use, drug problems, and physical drug dependence in homeless women

Psychosocial predictors of current drug use, drug problems, and physical drug dependence in homeless women

Income and employment among homeless people: the role of mental health, health and substance abuse

Tuberculosis Skin Testing Among Homeless Adults

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