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The Impact of Homelessness and Housi...

Lotz, Kevin V.

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The Impact of Homelessness and Housing Insecurity on Injection Drug Use Among Women.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Impact of Homelessness and Housing Insecurity on Injection Drug Use Among Women./
Author:	Lotz, Kevin V.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2018,
Description:	180 p.
Notes:	Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.
Contained By:	Dissertation Abstracts International79-09A(E).
Subject:	Social work. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10810491
ISBN:	9780355882476

The Impact of Homelessness and Housing Insecurity on Injection Drug Use Among Women.
Lotz, Kevin V.

The Impact of Homelessness and Housing Insecurity on Injection Drug Use Among Women. - Ann Arbor : ProQuest Dissertations & Theses, 2018 - 180 p.

Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.

Thesis (Ph.D.)--New York University, 2018.

Three of the largest, most urgent public health and social crises concurrently plaguing the US are the heroin/opioid crisis; the homelessness crisis; and persistent gender inequity. As the US heroin/opioid crisis proliferates and opioid users increasingly engage in injection drug use (IDU), women who inject opioids such as heroin, largely remain forgotten, despite staggering health and social vulnerabilities. Women also remain the fastest growing homeless population however women who are homeless or experiencing housing insecurity that also inject drugs largely remain invisible and research on this subject remains scant. This dissertation utilized cross-sectional quantitative secondary data from the Women Injection Practices (WIP) Study, which included a survey of 85 women who injected drugs from the Lower East Side Harm Reduction Center's (LESHRC) Syringe Exchange Program (SEP) in New York City from 2013--2014.

ISBN: 9780355882476Subjects--Topical Terms:

644197
Social work.

The Impact of Homelessness and Housing Insecurity on Injection Drug Use Among Women.
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500 $a Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.
500 $a Adviser: Ellen L. Tuchman.
502 $a Thesis (Ph.D.)--New York University, 2018.
520 $a Three of the largest, most urgent public health and social crises concurrently plaguing the US are the heroin/opioid crisis; the homelessness crisis; and persistent gender inequity. As the US heroin/opioid crisis proliferates and opioid users increasingly engage in injection drug use (IDU), women who inject opioids such as heroin, largely remain forgotten, despite staggering health and social vulnerabilities. Women also remain the fastest growing homeless population however women who are homeless or experiencing housing insecurity that also inject drugs largely remain invisible and research on this subject remains scant. This dissertation utilized cross-sectional quantitative secondary data from the Women Injection Practices (WIP) Study, which included a survey of 85 women who injected drugs from the Lower East Side Harm Reduction Center's (LESHRC) Syringe Exchange Program (SEP) in New York City from 2013--2014.
520 $a Utilizing Structural Equation Modeling (SEM), this dissertation tested the association between injection drug use, homelessness and housing insecurity among women who injected drugs and if symptoms of depression mediated women's frequency of IDU and syringe or equipment sharing. Results did not reveal a significant relationship between homelessness or housing insecurity and frequency of IDU. The results did suggest that as homelessness increases, syringe/equipment sharing also increases yet such a relationship was not significant. Women who injected drugs and reported symptoms of depression were more likely to engage in syringe/equipment sharing however the relationship between depression and syringe/equipment sharing was not significant but was approaching significance which suggests that as depression increases, syringe/equipment sharing may also increase. A persistent challenge to addressing the triad of the heroin/opioid crisis, the homelessness crisis and persistent gender inequity is assessing how, when and where to first intervene among problems so large, complex and urgent. Applying the capabilities approach presents potential to serve as an "entry-point" for intervention. Practice, theory, policy and research implications are discussed.
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