Stroke Risk in Unstably Housed Women: The Role of Cocaine and Alcohol Co-Use
Cocaethylene and opioids were strongly associated with stroke among women who experience homelessness and unstable housing. This suggests 2 possible opportunities for prevention in an environment where opioid use is already closely monitored. First, women reporting cocaine and alcohol co-use should be counseled about the especially harmful effects of this substance combination on their cerebrovascular health. Second, the utility of cocaethylene to assess stroke risk in high-risk populations may be currently underestimated.
Authors
- Samantha E. Dilworth (ORCID: https://orcid.org/0000-0002-5451-5486)
- Torsten B. Neilands (ORCID: https://orcid.org/0000-0001-7936-9123)
- Felicia C. Chow (ORCID: https://orcid.org/0000-0001-9440-9349)
- Elise D. Riley (ORCID: https://orcid.org/0000-0001-5867-1155)
- Jun Jie Yuan (ORCID: https://orcid.org/0000-0002-8265-0239)
- Alan H.B. Wu (ORCID: https://orcid.org/0000-0002-5610-2036)
- S Josephson
- Akanksha Vaidya
Institutions
- San Francisco General Hospital (US)
- University of California, San Francisco (US)
Publication Details
- Journal
- Stroke
- Published
- 2025-03-20
- DOI
- https://doi.org/10.1161/strokeaha.124.049440
- Primary Topic
- Homelessness and Social Issues
- Type
- article
- Field-Weighted Citation Impact
- 0.00