{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T02:32:04Z","timestamp":1778898724406,"version":"3.51.4"},"reference-count":62,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T00:00:00Z","timestamp":1641772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R21MD012696"],"award-info":[{"award-number":["R21MD012696"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People experiencing homelessness (PEH) are disproportionately diagnosed with active tuberculosis. While promoting latent tuberculosis infection (LTBI) treatment has been a call to action, PEH engaging in substance use often experience challenges in completing LTBI treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this non\u2010randomized single arm study, we tested an innovative, community\u2010based, nurse\u2010led community health worker (RN\u2010CHW) model, on reducing drug use among 50 PEH, residing in homeless shelters or living on the streets in Los Angeles. Follow\u2010up was at 3\u2010 and 6\u2010 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings revealed significant and ongoing decrease in any drug use (odds ratio [OR]\u00a0=\u00a00.30; 95% confidence interval [CI]\u00a0=\u00a00.14\u20140.68);\u00a0<jats:italic>p\u00a0<\/jats:italic>=\u00a0.004), amphetamine use (OR\u00a0=\u00a00.14; 95% CI\u00a0=\u00a00.02\u20130.81;\u00a0<jats:italic>p\u00a0<\/jats:italic>=\u00a0.029), cannabis use (OR\u00a0=\u00a00.26; 95% CI\u00a0=\u00a00.12\u20130.57;\u00a0<jats:italic>p\u00a0<\/jats:italic>=\u00a0.001) and methamphetamine use (OR\u00a0=\u00a00.30; 95% CI\u00a0=\u00a00.10\u20130.90;\u00a0<jats:italic>p\u00a0<\/jats:italic>=\u00a0.031) at 6\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To our knowledge, this pilot study is the first to evaluate the impact a RN\u2010CHW delivered intervention on reduction in drug use among PEH enrolled in a LTBI intervention. LTBI interventions may serve as an entryway into reduction in drug use among this underserved population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.13044","type":"journal-article","created":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T07:50:20Z","timestamp":1641887420000},"page":"778-787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Nurse\u2010led intervention to decrease drug use among LTBI positive homeless adults"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4979-6620","authenticated-orcid":false,"given":"Adeline","family":"Nyamathi","sequence":"first","affiliation":[{"name":"Sue &amp; Bill Gross School of Nursing University of California  Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald","family":"Morisky","sequence":"additional","affiliation":[{"name":"Fielding School of Public Health University of California Los Angeles  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah Akure","family":"Wall","sequence":"additional","affiliation":[{"name":"School of Nursing University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kartik","family":"Yadav","sequence":"additional","affiliation":[{"name":"Sue &amp; Bill Gross School of Nursing University of California  Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangshuk","family":"Shin","sequence":"additional","affiliation":[{"name":"Sue &amp; Bill Gross School of Nursing University of California  Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Hall","sequence":"additional","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior University of California Los Angeles  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia H.","family":"Chang","sequence":"additional","affiliation":[{"name":"Los Angeles County Department of Public Health Tuberculosis Control Program  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"White","sequence":"additional","affiliation":[{"name":"Los Angeles Christian Health Centers  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Arce","sequence":"additional","affiliation":[{"name":"School of Social Ecology University of California  Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Therese","family":"Parsa","sequence":"additional","affiliation":[{"name":"School of Nursing University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benissa E.","family":"Salem","sequence":"additional","affiliation":[{"name":"School of Nursing University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl\u20102016\u2010209579"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2018.07.007"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajme.2018.05.002"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010018\u20105375\u2010z"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.13.0270"},{"key":"e_1_2_9_7_1","unstructured":"California Cannabis Portal. (2021).Laws & Regulations.https:\/\/cannabis.ca.gov\/cannabis\u2010legislation\/"},{"key":"e_1_2_9_8_1","volume-title":"An evidence brief: Supervised consumption sites are necessary public health services","author":"Card K. G.","year":"2020"},{"key":"e_1_2_9_9_1","unstructured":"Carey V. Lumley T. &Ripley B.(2019).gee: Generalized Estimation Equation Solver. R package version 4.13\u201020.https:\/\/CRAN.R\u2010project.org\/package=gee"},{"key":"e_1_2_9_10_1","unstructured":"Centers for Disease Control (CDC). (2018).Latent TB infection in the United States \u2010 Published Estimates.https:\/\/www.cdc.gov\/tb\/statistics\/ltbi.htm"},{"key":"e_1_2_9_11_1","unstructured":"Centers for Disease Control and Prevention. (2020)Reported Tuberculosis in the United States 2019. U.S. Department of Health and Human Services.https:\/\/www.cdc.gov\/tb\/statistics\/reports\/2019\/table38.htm"},{"key":"e_1_2_9_12_1","unstructured":"Centers for Disease Control and Prevention. (2020)TB in People Experiencing Homelessness. U.S. Department of Health and Human Services.https:\/\/www.cdc.gov\/tb\/topic\/populations\/homelessness\/default.htm"},{"key":"e_1_2_9_13_1","volume-title":"Program LACTC","author":"Chang A. H","year":"2016"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/1533256X.2011.570219"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.21633\/jgpha.6.2s18"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.94.3.361"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.04.021"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991\u2010020\u201000281\u20108"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2017.04.170070"},{"key":"e_1_2_9_20_1","doi-asserted-by":"crossref","unstructured":"Eaton W. W. Smith C. Ybarra M. Muntaner C. &Tien A.(2004).Center for epidemiologic studies depression scale: Review and revision (CESD and CESD\u2010R).","DOI":"10.1037\/t29280-000"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.01052"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(19)30132\u20104"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/359105320956693"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101497.2005.0142.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.03.006"},{"key":"e_1_2_9_26_1","unstructured":"Hoben J.(1995). Review of Stewart B. McKinney Homeless Assistance Programs Administered by HUD. In: Development USDoHaU editor. Washington D.C."},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09\u20100394"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(17)30118\u20104"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40249\u2010019\u20100619\u20104"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2017.12.005"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(19)30248\u20108"},{"key":"e_1_2_9_32_1","volume-title":"TCU drug screen v\u2010sg","author":"Knight K","year":"2014"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010017\u20100975\u20105"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14793"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010021\u201001090\u20107"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268818001760"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0227298"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006\u2010341X.2001.00126.x"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010020\u20108407\u20104"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.52.5.597"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(14)70303\u20101"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.43.1.4"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.1989.tb03415.x"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/nnr.0000000000000545"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2018.04.004"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218373"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.6198"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010018416"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524\u2010015\u20100012\u2010y"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0227472"},{"key":"e_1_2_9_51_1","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2020"},{"key":"e_1_2_9_52_1","unstructured":"Rosales M. &Guevara R. E.(2018). Tuberculosis in Los Angeles County: Surveillance report 2016. Los Angeles County Department of Public Health.http:\/\/publichealth.lacounty.gov\/tb\/docs\/SurveillanceReport2016.pdf"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17228342"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945913487608"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6911a3"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892\u2010012\u20100359\u20103"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(91)90150-B"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879\u2010016\u20101549\u20104"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(18)30347\u2010X"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2017.02.008"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650\u2010199206000\u201000002"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofw082"}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.13044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/phn.13044","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.13044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T22:10:18Z","timestamp":1692828618000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.13044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,10]]},"references-count":62,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1111\/phn.13044"],"URL":"https:\/\/doi.org\/10.1111\/phn.13044","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"value":"0737-1209","type":"print"},{"value":"1525-1446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,10]]},"assertion":[{"value":"2021-07-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}