Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, School of Public Health, 5130 Gateway Blvd East, El Paso, TX, 79905, USA.
Department of Epidemiology, Human Genetics and Environmental Services, The University of Texas Health Science Center at Houston, School of Public Health, El Paso, USA.
Prev Sci. 2024 Oct;25(7):1029-1039. doi: 10.1007/s11121-024-01719-1. Epub 2024 Aug 22.
Substance use-related problems continue to be a national public health crisis despite years of prevention efforts. Community anti-drug coalitions are well positioned to address substance use at local levels. Coalitions often rely on their members to connect to resources they need to address community issues and plan for sustainability over time. Such capacity building occurs through voluntary cooperation among members, making it essential to understand the role network connections play. This study sought to determine whether structural characteristics of coalitions' resource sharing networks impact members' perceptions of community improvement and coalition sustainability. Surveys at two timepoints collected data from 68 coalitions in Pennsylvania and Missouri on members' connections or ties to share information, personnel, money, or other types of collaboration. Analyses examined how coalition-level measurements of sectoral diversity, density, and resource sharing centralization, respectively, were associated with members' perceptions of community improvement, sustainability planning, and coalition sustainability. Sectoral diversity and centralization were unrelated to study outcomes. Density was also unrelated with perceived community improvement and sustainability planning. However, two facets of cooperative density were positively associated with perceived coalition sustainability: the density of ties to share information and the density of multiple types of collaborative ties. This study suggests that both information and other collaborative ties foster perceived coalition sustainability, although not community improvement.
尽管多年来一直在努力预防,但与物质使用相关的问题仍然是全国性的公共卫生危机。社区禁毒联盟在解决当地的物质使用问题上处于有利地位。联盟通常依靠其成员来联系他们解决社区问题所需的资源,并规划长期的可持续性。这种能力建设是通过成员之间的自愿合作来实现的,因此了解网络联系所扮演的角色至关重要。本研究旨在确定联盟资源共享网络的结构特征是否会影响成员对社区改善和联盟可持续性的看法。在两个时间点,宾夕法尼亚州和密苏里州的 68 个联盟的成员通过调查收集了关于成员与信息、人员、资金或其他类型合作的联系或关系的数据。分析分别考察了联盟层面的部门多样性、密度和资源共享集中化的测量值如何与成员对社区改善、可持续性规划和联盟可持续性的看法相关。部门多样性和集中化与研究结果无关。密度也与感知的社区改善和可持续性规划无关。然而,合作密度的两个方面与感知的联盟可持续性呈正相关:分享信息的联系密度和多种合作联系的密度。这项研究表明,信息和其他合作联系都有助于感知的联盟可持续性,尽管对社区改善没有帮助。