{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:39:34Z","timestamp":1790995174597,"version":"4.1.0"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","award":["1H79 SP082094\u201001"],"award-info":[{"award-number":["1H79 SP082094\u201001"]}],"id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","award":["H79 SP082094"],"award-info":[{"award-number":["H79 SP082094"]}],"id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Substance use, including methamphetamine use, is a contributing factor in HIV acquisition and treatment. Stimulant use is linked to mental health yet there is limited data from youth in community\u2010based settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>One hundred marginally housed or homeless transitional age youth (TAY) were recruited at Larkin Street Youth Services and completed a survey on mental health and substance use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted secondary data analysis using multivariable logistic regression models to identify the correlates of methamphetamine use among TAY.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The participants\u2019 mean age was 22. Of those who reported methamphetamine use in the past 3\u2009months, 64% were Gay, Bisexual, or Pansexual. Factors independently associated with methamphetamine use were; living with HIV (adjusted odds ratio [aOR]\u00a0=\u00a03.18, 95% CI\u00a0=\u00a01.11\u20139.15), depressive symptoms (aOR\u00a0=\u00a06.02, 95% CI\u00a0=\u00a01.46\u201324.78), symptoms of PTSD (aOR\u00a0=\u00a013.38, 95% CI\u00a0=\u00a01.59\u2013112.73), polysubstance use in the past 3 months (aOR\u00a0=\u00a050.02, 95% CI\u00a0=\u00a09.72\u2013257.46) and a history of injection drug use (aOR\u00a0=\u00a08.38, 95% CI\u00a0=\u00a01.87\u201337.53).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results from this study suggest a need to develop, adapt, and rapidly implement comprehensive interventions that address the combined epidemics of substance use, HIV, and mental health among TAY.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance<\/jats:title><jats:p>This article examines factors associated with methamphetamine use among transitional age youth (TAY) experiencing homelessness or housing instability. Several factors were associated with use, including depression, PTSD, HIV status, polysubstance use, and injection drug use. These findings highlight the need for nurses to assess for methamphetamine use among youth as well as associated mental health and physical health problems. Nurses should link TAY who are using methamphetamine to evidence\u2010based treatment programs to address substance use and comorbid conditions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.12856","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T16:25:52Z","timestamp":1670516752000},"page":"711-720","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Prevalence and correlates of methamphetamine use in transitional age youth experiencing homelessness or housing instability in San Francisco, <scp>CA<\/scp>"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1121-6993","authenticated-orcid":false,"given":"Adam","family":"Leonard","sequence":"first","affiliation":[{"name":"Department of Community Health Systems, School of Nursing University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janessa","family":"Broussard","sequence":"additional","affiliation":[{"name":"Department of Community Health Systems, School of Nursing University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Community Health Systems, School of Nursing University of California, San Francisco  San Francisco California USA"},{"name":"Department of Psychiatry and Behavioral Sciences, School of Medicine University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanil","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Community Health Systems, School of Nursing University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn\u2010Milo","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Community Health Systems, School of Nursing University of California, San Francisco  San Francisco California USA"},{"name":"Center on Substance Use and Health San Francisco Department of Public Health  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Dawson\u2010Rose","sequence":"additional","affiliation":[{"name":"Department of Community Health Systems, School of Nursing University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Ahmad F. 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