Cash benefits are associated with lower risk behavior among the homeless and marginally housed in San Francisco

Elise D. Riley, Andrew R. Moss, Richard A. Clark, Sandra L. Monk, David Bangsberg

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

To address the widespread debate about the role of public assistance to the urban poor, the authors determined characteristics of individuals receiving cash assistance and explored the link between cash subsidies and risk behavior. From 1999 to 2000, a representative sample of homeless and marginally housed (HMH) adults living in San Francisco was recruited and interviewed about subsidies, shelter, jail, and drug use. Among 1,156 adults, 87% were ever homeless, 22% currently injected drugs, and 14% were HIV positive. Sixty percent of participants reported that most of their income came from subsidies [mostly subsidized (MS)]. The MS had lower odds of receiving any income from selling drugs or trading sex. Adjusting for HIV infection, the MS had higher odds of sleeping in a hotel [odds ratio (OR) = 2.39] or shelter (OR = 1.61) compared to the street. The MS had lower odds of injection drug use (OR = 0.69) and recent incarceration (OR = 0.77). Among San Francisco's homeless, being MS was positively associated with having shelter and negatively associated with injection drug use and incarceration. These data suggest that government subsidies are associated with positive health behaviors among the urban poor.

Original languageEnglish (US)
Pages (from-to)142-150
Number of pages9
JournalJournal of Urban Health
Volume82
Issue number1
DOIs
StatePublished - 2005
Externally publishedYes

Fingerprint

cash benefit
San Francisco
Risk-Taking
risk behavior
subsidy
drug use
Odds Ratio
assistance
Pharmaceutical Preparations
drug
government subsidies
income
health behavior
selling
Government Financing
Public Assistance
Injections
Health Behavior
HIV Infections
HIV

Keywords

  • Homeless
  • Public assistance
  • Urban poor

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Cash benefits are associated with lower risk behavior among the homeless and marginally housed in San Francisco. / Riley, Elise D.; Moss, Andrew R.; Clark, Richard A.; Monk, Sandra L.; Bangsberg, David.

In: Journal of Urban Health, Vol. 82, No. 1, 2005, p. 142-150.

Research output: Contribution to journalArticle

Riley, Elise D. ; Moss, Andrew R. ; Clark, Richard A. ; Monk, Sandra L. ; Bangsberg, David. / Cash benefits are associated with lower risk behavior among the homeless and marginally housed in San Francisco. In: Journal of Urban Health. 2005 ; Vol. 82, No. 1. pp. 142-150.
@article{4b0b8767580449cb894da9ebff78a2a2,
title = "Cash benefits are associated with lower risk behavior among the homeless and marginally housed in San Francisco",
abstract = "To address the widespread debate about the role of public assistance to the urban poor, the authors determined characteristics of individuals receiving cash assistance and explored the link between cash subsidies and risk behavior. From 1999 to 2000, a representative sample of homeless and marginally housed (HMH) adults living in San Francisco was recruited and interviewed about subsidies, shelter, jail, and drug use. Among 1,156 adults, 87{\%} were ever homeless, 22{\%} currently injected drugs, and 14{\%} were HIV positive. Sixty percent of participants reported that most of their income came from subsidies [mostly subsidized (MS)]. The MS had lower odds of receiving any income from selling drugs or trading sex. Adjusting for HIV infection, the MS had higher odds of sleeping in a hotel [odds ratio (OR) = 2.39] or shelter (OR = 1.61) compared to the street. The MS had lower odds of injection drug use (OR = 0.69) and recent incarceration (OR = 0.77). Among San Francisco's homeless, being MS was positively associated with having shelter and negatively associated with injection drug use and incarceration. These data suggest that government subsidies are associated with positive health behaviors among the urban poor.",
keywords = "Homeless, Public assistance, Urban poor",
author = "Riley, {Elise D.} and Moss, {Andrew R.} and Clark, {Richard A.} and Monk, {Sandra L.} and David Bangsberg",
year = "2005",
doi = "10.1093/jurban/jti015",
language = "English (US)",
volume = "82",
pages = "142--150",
journal = "Journal of Urban Health",
issn = "1099-3460",
publisher = "Springer Science and Business Media Deutschland GmbH",
number = "1",

}

TY - JOUR

T1 - Cash benefits are associated with lower risk behavior among the homeless and marginally housed in San Francisco

AU - Riley, Elise D.

AU - Moss, Andrew R.

AU - Clark, Richard A.

AU - Monk, Sandra L.

AU - Bangsberg, David

PY - 2005

Y1 - 2005

N2 - To address the widespread debate about the role of public assistance to the urban poor, the authors determined characteristics of individuals receiving cash assistance and explored the link between cash subsidies and risk behavior. From 1999 to 2000, a representative sample of homeless and marginally housed (HMH) adults living in San Francisco was recruited and interviewed about subsidies, shelter, jail, and drug use. Among 1,156 adults, 87% were ever homeless, 22% currently injected drugs, and 14% were HIV positive. Sixty percent of participants reported that most of their income came from subsidies [mostly subsidized (MS)]. The MS had lower odds of receiving any income from selling drugs or trading sex. Adjusting for HIV infection, the MS had higher odds of sleeping in a hotel [odds ratio (OR) = 2.39] or shelter (OR = 1.61) compared to the street. The MS had lower odds of injection drug use (OR = 0.69) and recent incarceration (OR = 0.77). Among San Francisco's homeless, being MS was positively associated with having shelter and negatively associated with injection drug use and incarceration. These data suggest that government subsidies are associated with positive health behaviors among the urban poor.

AB - To address the widespread debate about the role of public assistance to the urban poor, the authors determined characteristics of individuals receiving cash assistance and explored the link between cash subsidies and risk behavior. From 1999 to 2000, a representative sample of homeless and marginally housed (HMH) adults living in San Francisco was recruited and interviewed about subsidies, shelter, jail, and drug use. Among 1,156 adults, 87% were ever homeless, 22% currently injected drugs, and 14% were HIV positive. Sixty percent of participants reported that most of their income came from subsidies [mostly subsidized (MS)]. The MS had lower odds of receiving any income from selling drugs or trading sex. Adjusting for HIV infection, the MS had higher odds of sleeping in a hotel [odds ratio (OR) = 2.39] or shelter (OR = 1.61) compared to the street. The MS had lower odds of injection drug use (OR = 0.69) and recent incarceration (OR = 0.77). Among San Francisco's homeless, being MS was positively associated with having shelter and negatively associated with injection drug use and incarceration. These data suggest that government subsidies are associated with positive health behaviors among the urban poor.

KW - Homeless

KW - Public assistance

KW - Urban poor

UR - http://www.scopus.com/inward/record.url?scp=23944504381&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=23944504381&partnerID=8YFLogxK

U2 - 10.1093/jurban/jti015

DO - 10.1093/jurban/jti015

M3 - Article

VL - 82

SP - 142

EP - 150

JO - Journal of Urban Health

JF - Journal of Urban Health

SN - 1099-3460

IS - 1

ER -