The Prevalence of Cocaine Use in Homeless Populations: A Systematic Review

Pérez, Gabriela Rodríguez; Ustyol, Ala; Mills, Katherine; Raitt, Josh M.; North, Carol S.

doi:10.1007/s40501-022-00271-5

Cited by 3 publications

(1 citation statement)

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“…Stimulant use is highly prevalent among individuals who are homeless; a recent systematic review found that roughly 30% endorsed past year cocaine use. 228 Among homeless and unstably housed women in San Francisco, 47% reported use of cocaine or methamphetamine in the past 6 months, and 14% of those who did not use stimulants at baseline initiated stimulant use within 6 months. 229 Physical and sexual victimization are common among people who experience homelessness and use methamphetamine.…”

Section: Patients Experiencing Homelessness or Unstable Housingmentioning

confidence: 99%

The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder

2024

J Addict Med

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Section: Patients Experiencing Homelessness or Unstable Housingmentioning

confidence: 99%

The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder

2024

J Addict Med

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Addressing health needs in people with mental illness experiencing homelessness

Kerman,

Stergiopoulos

2024

Nat. Mental Health

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Prevalence of stimulant use and the role of opioid agonist treatment among people who inject drugs in France: Results from the COSINUS cohort study

Roux,

Faye,

Sagaon‐Teyssier

et al. 2024

Drug and Alcohol Review

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IntroductionThe co‐use of stimulants and opioids, including opioid agonist treatment (OAT), is very prevalent worldwide. A large body of data exists on the association between stimulant use and its health complications, and on OAT effectiveness among people with opioid use disorder. However, few data exist on stimulant‐opioid co‐use among people receiving OAT. Using data from the COSINUS cohort study, we investigated the association between the type of OAT and problematic stimulant use among persons who inject drugs (PWID).MethodsCOSINUS is a 12‐month French cohort study of 665 PWID. Data were collected in face‐to‐face interviews at enrolment, at 6 and 12 months. We defined problematic stimulant use as daily use of and/or injecting stimulants. We used Bayesian model averaging (BMA) to identify factors associated with problematic stimulant use.ResultsAt baseline, 76% (n = 505) of the participants reported problematic stimulant use. The optimal model from the BMA estimation showed that, after adjusting on social precarity and daily injection, participants on prescribed morphine sulfate as an OAT (compared with methadone) and those who use daily unprescribed buprenorphine were less likely to report problematic stimulant use.Discussion and ConclusionsOur work highlights the high prevalence of problematic stimulant use among PWID in France but also the potential association between the type of OAT taken and stimulant use, by suggesting a protective effect of morphine sulfate on stimulant use. Since it has a higher intrinsic activity than other opioids, PWID on this OAT may be less interested in stimulants. Our findings warrant further investigation in clinical studies.

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The Prevalence of Cocaine Use in Homeless Populations: A Systematic Review

Cited by 3 publications

References 0 publications

The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder

The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder

Addressing health needs in people with mental illness experiencing homelessness

Prevalence of stimulant use and the role of opioid agonist treatment among people who inject drugs in France: Results from the COSINUS cohort study

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