Rapier Rachel, McKernan Scott, Stauffer Christopher S
San Francisco VA Medical Center, 4150 Clement St. (116C-1), San Francisco, CA 94121, USA.
The New School, 72 5th Ave, New York City, NY 10011, USA.
Addict Behav Rep. 2019 May 20;10:100188. doi: 10.1016/j.abrep.2019.100188. eCollection 2019 Dec.
Social isolation and alcohol and substance use disorders (ASUD) have been identified as global health risks. Social support is protective against developing ASUD and is associated with beneficial addiction treatment outcomes. Socially stigmatized populations are at higher risk of both social isolation and ASUD, and the link between social support and substance use in these populations has been less researched than in general substance-using populations. We hypothesized that perceived social support, as measured by the Social Provisions Scale (SPS), would have an inverse relationship with frequency of substance use, from subsections of the Addiction Severity Index (ASI) that estimate use over the past 30 days and over an individual's lifetime.
Using a cross-sectional design, we conducted secondary correlational analyses with pre-existing data to test our hypothesis in two separate samples made up of socially marginalized populations entering ASUD treatment programs. Sample 1: substance-using male prison inmates ( = 72, average age = 30.79) and Sample 2: primary methamphetamine-using men who have sex with men ( = 86, average age = 43.41).
Significant negative correlations were found between SPS and lifetime use of alcohol, tobacco, and cannabis ( - 0.27, -0.39, -0.26; -values 0.04, 0.001, 0.04, respectively) in Sample 1 and 30-day use of methamphetamine ( - 0.28; -value 0.008) in Sample 2.
Differences in results between the samples (lifetime vs 30-day use) may reflect psychosocial and contextual differences impacting perceived social support. Our findings provide support for an important link between perceived social support and frequency of substance use in socially stigmatized populations.
社会隔离以及酒精和物质使用障碍（ASUD）已被确定为全球健康风险。社会支持对预防ASUD具有保护作用，且与有益的成瘾治疗结果相关。受到社会污名化的人群面临更高的社会隔离和ASUD风险，与一般物质使用人群相比，这些人群中社会支持与物质使用之间的联系研究较少。我们假设，通过社会支持量表（SPS）衡量的感知社会支持与物质使用频率呈负相关，该物质使用频率来自成瘾严重程度指数（ASI）的子部分，用于估计过去30天以及个人一生中的使用情况。
采用横断面设计，我们对已有的数据进行二次相关分析，以在由进入ASUD治疗项目的社会边缘化人群组成的两个独立样本中检验我们的假设。样本1：使用物质的男性囚犯（n = 72，平均年龄 = 30.79岁），样本2：主要使用甲基苯丙胺的男男性行为者（n = 86，平均年龄 = 43.41岁）。
在样本1中，SPS与酒精、烟草和大麻的终生使用之间存在显著负相关（r分别为 -0.27、-0.39、-0.26；p值分别为0.04、0.001、0.04），在样本2中，SPS与甲基苯丙胺的30天使用之间存在显著负相关（r = -0.28；p值 = 0.008）。
样本之间结果的差异（终生使用与30天使用）可能反映了影响感知社会支持的心理社会和背景差异。我们的研究结果为感知社会支持与受到社会污名化人群的物质使用频率之间的重要联系提供了支持。
