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物质使用障碍康复中的健康预测因素:住院后照护环境中的经济稳定性。

Predictors of Health in Substance Use Disorder Recovery: Economic Stability in Residential Aftercare Environments.

作者信息

Bell Justin S, Kang Ann, Benner Sage, Bhatia Shaun, Jason Leonard A

机构信息

Center for Community Research, DePaul University, Chicago, USA.

出版信息

J Soc Work Pract Addict. 2024;24(3):297-308. doi: 10.1080/1533256x.2023.2170592. Epub 2023 Jan 22.

DOI:10.1080/1533256x.2023.2170592
PMID:39268410
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11390098/
Abstract

The exit from active substance use presents barriers to achieving and maintaining health, especially as individuals lack the economic resources to afford healthcare access. Treatment settings that strengthen resources may support stability in recovery and influence health. Analyzing a sample of recovery home residents over two years (N = 494), the current study assessed individually held resources (e.g., wages, employment) and the average economic conditions of a resident's house (e.g., house employment rate) to understand their association with self-reported health status. Employment status, but not wages or transportation access, was associated with reported health scores. The average employment rate of a recovery home was also positively correlated with the health of its residents. Results indicate the need to address employment and other economic issues which plague recovering individuals. Community aftercare settings may offer such a pathway through affordable housing, employment opportunities, and supportive relationships.

摘要

戒除活性物质使用对实现和维持健康构成障碍,尤其是当个人缺乏经济资源来负担医疗保健服务时。加强资源的治疗环境可能有助于康复的稳定性并影响健康。本研究对两年内494名康复之家居民的样本进行分析,评估个人拥有的资源(如工资、就业情况)以及居民住所的平均经济状况(如住所就业率),以了解它们与自我报告的健康状况之间的关联。就业状况而非工资或交通便利性与报告的健康得分相关。康复之家的平均就业率也与居民的健康呈正相关。结果表明需要解决困扰康复者的就业和其他经济问题。社区后续照护环境可能通过经济适用房、就业机会和支持性人际关系提供这样一条途径。

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本文引用的文献

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House Level Latent Classes as Predictors of Recovery and Evictions.住房层面的潜在类别对康复和驱逐的预测。
Soc Work Public Health. 2023 Jan 2;38(1):58-71. doi: 10.1080/19371918.2022.2092245. Epub 2022 Jun 21.
2
Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs.基于社区的吸毒女性样本中的社会稳定性与未满足的医疗保健需求
Health Serv Res Manag Epidemiol. 2021 Nov 20;8:23333928211048640. doi: 10.1177/23333928211048640. eCollection 2021 Jan-Dec.
3
Employment status, unemployment duration, and health-related metrics among US adults of prime working age: Behavioral Risk Factor Surveillance System, 2018-2019.美国成年人主要工作年龄段的就业状况、失业持续时间和与健康相关的指标:2018-2019 年行为风险因素监测系统。
Am J Ind Med. 2022 Jan;65(1):59-71. doi: 10.1002/ajim.23308. Epub 2021 Nov 8.
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The role of financial conditions for physical and mental health. Evidence from a longitudinal survey and insurance claims data.财务状况对身心健康的作用。来自纵向调查和保险理赔数据的证据。
Soc Sci Med. 2021 Jul;281:114041. doi: 10.1016/j.socscimed.2021.114041. Epub 2021 May 21.
5
Context Matters: Home-level But Not Individual-Level Recovery Social Capital Predicts Residents' Relapse.背景很重要:家庭层面而非个体层面的恢复社会资本预测居民的复吸。
Am J Community Psychol. 2021 Jun;67(3-4):392-404. doi: 10.1002/ajcp.12481. Epub 2020 Dec 9.
6
The burden of health conditions for middle-aged and older adults in the United States: disability-adjusted life years.美国中老年人的健康状况负担:伤残调整生命年。
BMC Geriatr. 2019 Apr 8;19(1):100. doi: 10.1186/s12877-019-1110-6.
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Effects of Housing First approaches on health and well-being of adults who are homeless or at risk of homelessness: systematic review and meta-analysis of randomised controlled trials.住房优先策略对无家可归或有住房风险的成年人的健康和福祉的影响:随机对照试验的系统评价和荟萃分析。
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Multicomorbidity of chronic diseases and substance use disorders and their association with hospitalization: Results from electronic health records data.慢性疾病和物质使用障碍的多种共病及其与住院治疗的关系:来自电子健康记录数据的结果。
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