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Impact of permanent housing on opioid dependence in homeless adults in Allegheny County

Hord, Earl (2019) Impact of permanent housing on opioid dependence in homeless adults in Allegheny County. Master Essay, University of Pittsburgh.

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Introduction: Previous studies have suggested that substance abuse decreases once homeless individuals enter into permanent housing. However, there has not been a consensus on whether this relationship exists.
Objective: The objective of this study is to evaluate if opioid addiction, measured through methadone maintenance treatments, decreases once homeless adults enter into permanent housing.
Methods: Data were collected from the Allegheny Country Department of Human Services data warehouse. Individuals who enrolled in permanent housing between 2015 and 2017 and had ICD-10 billable codes for Methadone Maintenance Treatment (MMT) were included. The change in MMT after enrollment was evaluated using negative binomial regression models.
Results: The mean number MMT are associated with a small decrease in the time period after housing enrollment compared to the time before enrollment (RR = 0.95). For every increase in month prior to enrollment MMT also increases (RR = 1.02), while monthly MMT decreases slightly after enrollment (RR = 0.99).
Conclusion: Permanent housing may mitigate opioid addiction in homeless adults, and sobriety should not be considered a precursor for enrollment. These findings are significant in the field of public health considering that homeless populations are extremely vulnerable, and we offer evidence for an intervention that can reduce opioid dependence in homeless individuals.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFabio, Anthonyafabio@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberTerry, Marthamaterry@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberMaseru, Noblenam137@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: 26 April 2019
Date Type: Submission
Number of Pages: 30
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 04 Oct 2019 22:45
Last Modified: 01 May 2022 05:15


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