Gajos Jamie M, Oliver Jason A, Hébert Emily T, Walters Scott T, Businelle Michael S
University of Alabama at Birmingham, Department of Family and Community Medicine, Birmingham, AL, USA.
University of Oklahoma Health Sciences Center, TSET Health Promotion Research Center, Stephenson Cancer Center, OK, USA.
Mental Health Sci. 2024 Mar;2(1):85-90. doi: 10.1002/mhs2.47. Epub 2023 Dec 15.
The prevalence of alcohol use disorders is higher amongst adults experiencing homelessness (AEH) compared with domiciled adults. Greater exposure to heavy drinkers increases personal risk for heavy alcohol use. AEH spend substantial periods of time at shelters and report greater pressure to use alcohol when near shelter locations, as well as greater negative affect when near a shelter. It is unclear if the relationship between affect and 1) interacting with people and 2) being near someone AEH drank alcohol with before differs when AEH are at a shelter versus not. AEH reporting alcohol misuse ( = 72, = 47, 85% Male, 68% Non-White) completed five daily smartphone-based ecological momentary assessments (EMAs) over 28 days. Generalized multilevel modeling revealed that when AEH were interacting with someone they drank with before, they had significantly lower positive affect when at a shelter ( = -0.17, = 0.05), versus when not ( = 0.00, = 0.99). AEH are likely to interact with previous drinking partners while at shelters. It may be important to deliver real-time treatment messages targeting affect in these moments, as well as deliver alcohol reduction/abstinence messages.
与有住所的成年人相比,无家可归的成年人(AEH)中酒精使用障碍的患病率更高。更多地接触酗酒者会增加个人大量饮酒的风险。AEH在收容所度过大量时间,并且报告称在收容所附近时饮酒的压力更大,以及在靠近收容所时负面影响更大。目前尚不清楚当AEH在收容所与否时,情感与1)与人互动以及2)与AEH之前一起饮酒的人在一起之间的关系是否存在差异。报告有酒精滥用问题的AEH(n = 72,年龄 = 47岁,85%为男性,68%为非白人)在28天内完成了五次基于智能手机的每日生态瞬时评估(EMA)。广义多层次模型显示,当AEH与之前一起饮酒的人互动时,他们在收容所时的积极情感显著更低(β = -0.17,p = 0.05),而不在收容所时(β = 0.00,p = 0.99)。AEH在收容所时可能会与之前的饮酒伙伴互动。在这些时刻传递针对情感的实时治疗信息以及传递减少饮酒/戒酒信息可能很重要。