1 University of Southern California, Los Angeles, California, USA.
Qual Health Res. 2018 Nov;28(13):2011-2019. doi: 10.1177/1049732318785355. Epub 2018 Jul 4.
In this study, we used ethnographic methods and a risk environment framework to consider how contextual factors produce or reduce risk for substance use with a sample of 27 adults who recently moved into permanent supportive housing (PSH). Most apparent was how the social and physical environments interacted, because most participants focused on how having an apartment had dramatically changed their lives and how they interact with others. Specific themes that emerged that also involved economic and policy environments included the following: isolation versus social engagement; becoming one's own caseworker; and engaging in identity work. This study underscores the scarcity yet importance of research that examines the multiple types of environment in which PSH is situated, and suggests that a better understanding of how these environments interact to produce or reduce risk is needed to develop optimal interventions and support services.
在这项研究中，我们使用民族志方法和风险环境框架，考虑了在最近搬进永久性支持性住房 (PSH) 的 27 名成年人样本中，情境因素如何产生或减少物质使用的风险。最明显的是社会和物理环境是如何相互作用的，因为大多数参与者都关注拥有一套公寓如何极大地改变了他们的生活，以及他们如何与他人互动。还涉及经济和政策环境的具体主题包括以下内容：隔离与社会参与；成为自己的个案工作者；以及从事身份工作。这项研究强调了研究 PSH 所处的多种环境类型的稀缺性和重要性，并表明需要更好地了解这些环境如何相互作用以产生或减少风险，以便制定最佳干预措施和支持服务。
