Hai Audrey Hang, Oh Sehun, Lee Christina S, Kelly John F, Vaughn Michael G, Salas-Wright Christopher P
School of Social Work, Tulane University, New Orleans, LA, United States.
College of Social Work, The Ohio State University, Columbus, OH, United States.
Addict Behav. 2022 May;128:107232. doi: 10.1016/j.addbeh.2021.107232. Epub 2021 Dec 28.
Mutual-help groups (MHGs) are an integral component of the substance use disorder (SUD) treatment system in the U.S., and growing evidence suggests that they are effective and cost-effective for SUD-related problems. However, not much is known about the MHG participation patterns in the U.S.
Using the 2002-2018 National Survey on Drug Use and Health data, we estimated the annual participation rates and examined the psycho-social-behavioral correlates of MHG participation using logistic regression.
There was no significant linear trend of MHG participation in the total US adult population between 2002 and 2018 (AOR = 0.999, 95% CI = 0.991-1.007). Among adults with past-year SUD, 4.8-7.4% of men and 4.4-6.7% of women participated in MHGs. MHG participants were more likely to be middle-aged (vs. young adults), lower education (less than high school, high school, some college vs. college or higher), lower income (annual household income <$20,000, $20,000-39,999 vs. $75,000 + ), be unemployed or not in the labor force (vs. employed), and were less likely to be Black/African American (vs. White American) and have lower English proficiency (speak English not well/not at all vs. very well/well),.
MHG participation rates have remained relatively stable over the past two decades. MHGs were utilized more by individuals with lower socioeconomic status indicators and more criminal/legal involvement, possibly due to MHGs' free accessibility. However, research is needed to understand why young adults, Black, and individuals with lower English proficiency are somewhat less likely to attend MHGs.
互助小组（MHGs）是美国物质使用障碍（SUD）治疗体系的一个重要组成部分，越来越多的证据表明，它们对于与SUD相关的问题既有效又具有成本效益。然而，对于美国互助小组的参与模式，人们了解得并不多。
利用2002 - 2018年全国药物使用和健康调查数据，我们估算了年度参与率，并使用逻辑回归分析了互助小组参与情况的心理社会行为相关因素。
2002年至2018年期间，美国成年总人口中互助小组的参与率没有显著的线性趋势（调整后比值比[AOR]=0.999，95%置信区间[CI]=0.991 - 1.007）。在过去一年有物质使用障碍的成年人中，4.8% - 7.4%的男性和4.4% - 6.7%的女性参与了互助小组。互助小组的参与者更有可能是中年人（相对于年轻人）、受教育程度较低（高中以下、高中、部分大学学历相对于大学及以上学历）、收入较低（家庭年收入<$20,000、$20,000 - 39,999相对于$75,000及以上）、失业或不在劳动力队伍中（相对于就业），并且不太可能是黑人/非裔美国人（相对于美国白人），英语水平较低（英语说得不好/根本不会说相对于说得非常好/好）。
在过去二十年中，互助小组的参与率一直保持相对稳定。社会经济地位指标较低且有更多犯罪/法律问题的个人更多地利用了互助小组，这可能是因为互助小组免费可及。然而，需要开展研究以了解为什么年轻人、黑人以及英语水平较低的人参加互助小组的可能性相对较小。
