{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T12:10:34Z","timestamp":1759493434966,"version":"build-2065373602"},"reference-count":25,"publisher":"BMJ","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2010,3,13]]},"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Young drug misusers and the homeless both have a greater risk of death than their peers. This study sought to estimate the additional impact of homelessness on the risk of death for young drugs misusers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>From all admissions to NHS hospitals in Scotland between 1986 and 2001, those that were: drug misuse related, for people born between 1970 and 1986 and aged over 15\u2005years (n=13\u2009303), were selected. All subsequent admissions and registrations of death were linked to this dataset. Each admission was coded as homeless if the health board of residence was coded as \u2018no fixed abode\u2019. 5-year survival after an admission was modelled using (1) life table and (2) proportional hazard models and then (3) differences in causes of deaths were explored.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Immediately after a drugs-related hospital admission there was no difference in survival between the homeless and those with a \u2018fixed address\u2019. However, over a 3-year period the risk for those who were homeless was 3.5 times greater (CI 95% 1.2 to 12.8). This elevated risk seemed to be particularly focused on the second year after an admission. The causes of death were similar for the two groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Although a homeless hospital admission is associated with a greater risk of death for young drug users, it is also a point in time when a young person is in contact with public services. An attempt to link their discharge with housing services would seem a potentially productive policy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jech.2009.101352","type":"journal-article","created":{"date-parts":[[2010,8,7]],"date-time":"2010-08-07T00:19:34Z","timestamp":1281140374000},"page":"780-785","source":"Crossref","is-referenced-by-count":8,"title":["Differences in 5-year survival after a \u2018homeless\u2019 or \u2018housed\u2019 drugs-related hospital admission: a study of 15\u201330-year olds in Scotland"],"prefix":"10.1136","volume":"65","author":[{"given":"C","family":"Dibben","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Atherton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Doherty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Baldacchino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,8,6]]},"reference":[{"key":"2025100304282672000_65.9.780.1","unstructured":"GROS. Drug-related deaths in Scotland in 2004. General Register Office for Scotland, 2005. http:\/\/www.gro-scotland.gov.uk\/statistics\/publications-and-data\/drug-related-deaths\/04drug-related-deaths.html (accessed 12 Sept 2009)."},{"key":"2025100304282672000_65.9.780.2","doi-asserted-by":"publisher","DOI":"10.3109\/16066359709004345"},{"key":"2025100304282672000_65.9.780.3","unstructured":"Neale J . Drug Outcome Research in Scotland (DORIS): preliminary findings on cocaine and crack use. Glasgow: Centre for Drug Misuse Research, University of Glasgow, 2002."},{"key":"2025100304282672000_65.9.780.4","doi-asserted-by":"publisher","DOI":"10.1081\/ADA-120006735"},{"key":"2025100304282672000_65.9.780.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2005.02.002"},{"key":"2025100304282672000_65.9.780.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2004.10.011"},{"key":"2025100304282672000_65.9.780.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.05.007"},{"key":"2025100304282672000_65.9.780.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhe.2003.09.001"},{"key":"2025100304282672000_65.9.780.9","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1031167"},{"key":"2025100304282672000_65.9.780.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7406.81"},{"key":"2025100304282672000_65.9.780.11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199408043310506"},{"key":"2025100304282672000_65.9.780.12","unstructured":"GROS. Drug-related deaths in Scotland in 2002. General Register Office for Scotland, 2003. http:\/\/www.gro-scotland.gov.uk\/statistics\/publications-and-data\/drug-related-deaths\/02drug-related-deaths\/index.html (accessed 12 Sept 2009)."},{"key":"2025100304282672000_65.9.780.13","unstructured":"GAD. Historic interim life tables 1980\u201382 to 2004\u20132006, 2008. http:\/\/www.gad.gov.uk\/demography%20data\/life%20tables\/historic_interim_life_tables.html (accessed Jun 2009)."},{"key":"2025100304282672000_65.9.780.14","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.5.569"},{"key":"2025100304282672000_65.9.780.15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2006.00624.x"},{"key":"2025100304282672000_65.9.780.16","doi-asserted-by":"publisher","DOI":"10.1002\/casp.723"},{"key":"2025100304282672000_65.9.780.17","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.4.651"},{"key":"2025100304282672000_65.9.780.18","doi-asserted-by":"publisher","DOI":"10.1177\/1049731505282593"},{"key":"2025100304282672000_65.9.780.19","doi-asserted-by":"publisher","DOI":"10.1023\/B:AJCP.0000004750.66957.bf"},{"key":"2025100304282672000_65.9.780.20","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.57.7.992"},{"key":"2025100304282672000_65.9.780.21","unstructured":"McKeganey N Bloor M Robertson M . What happens to drug users in Scotland sixteen months after they contact drug treatment services? (Results from the Drug Outcome Research in Scotland Study). Glasgow: University of Glasgow, 2004."},{"key":"2025100304282672000_65.9.780.22","doi-asserted-by":"publisher","DOI":"10.1080\/09595230500170308"},{"key":"2025100304282672000_65.9.780.23","doi-asserted-by":"publisher","DOI":"10.1177\/0038038582016004010"},{"key":"2025100304282672000_65.9.780.24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2004.00602.x"},{"key":"2025100304282672000_65.9.780.25","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.6.1219"}],"container-title":["Journal of Epidemiology and Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jech.2009.101352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T11:28:34Z","timestamp":1759490914000},"score":1,"resource":{"primary":{"URL":"https:\/\/jech.bmj.com\/lookup\/doi\/10.1136\/jech.2009.101352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,8,6]]},"references-count":25,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2011,8,6]]},"published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1136\/jech.2009.101352"],"URL":"https:\/\/doi.org\/10.1136\/jech.2009.101352","relation":{},"ISSN":["0143-005X","1470-2738"],"issn-type":[{"type":"print","value":"0143-005X"},{"type":"electronic","value":"1470-2738"}],"subject":[],"published":{"date-parts":[[2010,8,6]]}}}