Alcohol Research Group at the Public Health Institute, USA.
Alcohol Research Group at the Public Health Institute, USA.
Drug Alcohol Depend. 2022 Jan 1;230:109188. doi: 10.1016/j.drugalcdep.2021.109188. Epub 2021 Nov 26.
Home is essential to recovery, and recovery housing can play an important role for individuals seeking a supportive environment. The National Study of Treatment and Addiction Recovery Residences (NSTARR) Project constitutes the largest and most diverse study of recovery housing to date. We describe the development of a national sampling frame to study recovery housing, as well as findings on availability and distribution of recovery housing across the U.S.
Data from publicly available sources and lists maintained by entities tracking recovery housing were compiled. Residences for which locating information was available were geocoded and linked with U.S. Census data and drug and alcohol mortality data. We used hot spot analysis and multilevel models to describe the geographic distribution of recovery residences and assess whether residences are located in areas of high need.
The NSTARR database contains information on 10,358 residences operated by 3628 providers in all 50 states. Residences were more likely (p < 0.05) to be in urban areas and in counties with higher substance use mortality; they were less likely to be in economically disadvantaged areas. Recovery housing density also was greater in urban areas and areas with a greater proportion of non-White residents, but lower in economically disadvantaged areas.
Despite a wealth of research on some types of recovery housing, critical gaps in the field's understanding about the nature of recovery housing remain. The NSTARR Project represents an important first step to expand research on recovery housing across the country.
家庭对于康复至关重要，康复住所可以为寻求支持环境的个人发挥重要作用。国家治疗和成瘾康复住所研究（NSTARR）项目构成了迄今为止对康复住所进行的最大和最多样化的研究。我们描述了开发国家抽样框架来研究康复住所的情况，以及在美国各地康复住所的可用性和分布情况的调查结果。
从公开来源和跟踪康复住所的实体维护的列表中收集数据。对可获得定位信息的住所进行地理编码，并与美国人口普查数据和药物及酒精死亡率数据相关联。我们使用热点分析和多层次模型来描述康复住所的地理分布，并评估住所是否位于高需求地区。
NSTARR 数据库包含了来自 50 个州的 3628 家供应商经营的 10358 家住所的信息。与农村地区相比，住所更有可能（p<0.05）位于城市地区和物质使用死亡率较高的县；它们不太可能位于经济贫困地区。在城市地区和非白人居民比例较高的地区，康复住所的密度也较高，但在经济贫困地区则较低。
尽管对某些类型的康复住所进行了大量研究，但该领域对康复住所性质的理解仍存在一些关键空白。NSTARR 项目代表了在全国范围内扩展康复住所研究的重要第一步。
