Golan Olivia, Kresovich Alex, Drymon Christina, Ducharme Lori, Flanagan Balawajder Elizabeth, Borowiecki Mateusz, Lamuda Phoebe, Taylor Bruce, Pollack Harold, Schneider John
Health Care Evaluation Department, NORC at the University of Chicago, Chicago, IL, USA.
Public Health Department, NORC at the University of Chicago, Chicago, IL, USA.
Addiction. 2025 Feb;120(2):253-265. doi: 10.1111/add.16692. Epub 2024 Oct 20.
To understand how the US public defines recovery from opioid misuse and the recovery-related resources it views as most helpful, and to compare differences by opioid misuse history and demographic characteristics.
Observational study of data from the nationally representative AmeriSpeak® Panel survey administered in October/November 2021.
United States.
6515 adults (≥ 18 years).
Respondents ranked 10 definitions of recovery (religious in nature; spiritual in nature; physical/mental in nature; contributing to society; enhanced quality of life; seeking professional help; having a sense of purpose; moderate/controlled substance use; no drug use; abstaining from all substance use) and 9 resources that might contribute to recovery (primary care physician; intensive inpatient program; residential rehabilitation program; self-help group; therapist/psychologist/social worker; prescribed medication; talking to family/friends; spiritual/natural healer; faith-based organization). We explored differences in rankings by opioid misuse history (personal vs. family/friend vs. no history) and demographic characteristics (race, sex, age) using multivariable ordinal logistic regression.
Seeking professional help was the most endorsed recovery definition overall [mean (M) = 6.97, standard error (SE) = 0.03]. Those with personal opioid misuse history ranked enhanced quality of life (B = 0.16, P = 0.049) and having a sense of purpose (B = 0.16, P = 0.029) significantly higher, and ranked abstaining from substance use (B = -0.20, P = 0.009) significantly lower as recovery definitions than those without a history of opioid misuse. Compared with White respondents, Black (B = 0.60, P < 0.001) and Hispanic (B = 0.55, P < 0.001) respondents defined recovery as more religious in nature. Residential rehabilitation program was identified as the most helpful resource for recovery (M = 7.16, SE = 0.02), while prescribed medication received a relatively low ranking overall (M = 4.05, SE = 0.03). Those with family/friend opioid misuse history ranked prescribed medication as less helpful than others (B = -0.14, P = 0.003).
The general US public's views around recovery from opioid misuse appear to focus on abstinence and formal treatment receipt, while people with a history of opioid misuse place less emphasis on abstinence and greater emphasis on other aspects of well-being.
了解美国公众如何定义从阿片类药物滥用中恢复，以及他们认为最有帮助的与恢复相关的资源，并比较阿片类药物滥用史和人口统计学特征的差异。
对2021年10月/11月进行的具有全国代表性的美国民意调查（AmeriSpeak® Panel survey）数据的观察性研究。
美国。
6515名成年人（≥18岁）。
受访者对10种恢复定义（本质上是宗教性的；本质上是精神性的；本质上是身体/精神性的；对社会有贡献；生活质量提高；寻求专业帮助；有目标感；适度/控制药物使用；不使用毒品；戒除所有物质使用）和9种可能有助于恢复的资源（初级保健医生；强化住院项目；住院康复项目；自助小组；治疗师/心理学家/社会工作者；处方药；与家人/朋友交谈；精神/自然治疗师；基于信仰的组织）进行排名。我们使用多变量有序逻辑回归探讨了阿片类药物滥用史（个人、家人/朋友或无滥用史）和人口统计学特征（种族、性别、年龄）在排名上的差异。
总体而言，寻求专业帮助是最受认可的恢复定义[均值（M）=6.97，标准误差（SE）=0.03]。有个人阿片类药物滥用史的人将生活质量提高（B = 0.16，P = 0.049）和有目标感（B = 0.16，P = 0.029）的恢复定义排名显著更高，而将戒除物质使用（B = -0.20，P = 0.009）的恢复定义排名显著低于无阿片类药物滥用史的人。与白人受访者相比，黑人（B = 0.60，P < 0.001）和西班牙裔（B = 0.55，P < 0.001）受访者将恢复定义为本质上更具宗教性。住院康复项目被认为是恢复最有帮助的资源（M = 7.16，SE = 0.02），而处方药总体排名相对较低（M = 4.05，SE = 0.03）。有家人/朋友阿片类药物滥用史的人认为处方药的帮助比其他人小（B = -0.14，P = 0.003）。
美国公众对从阿片类药物滥用中恢复的看法似乎集中在戒除和接受正规治疗上，而有阿片类药物滥用史的人对戒除的重视程度较低，对幸福的其他方面更为重视。
