Prevalence and correlates of 12-step and second-wave mutual-help attendance in a nationally representative US sample.
Prevalence and correlates of 12-step and second-wave mutual-help attendance in a nationally representative US sample.
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美国全国代表性样本中 12 步和第二波互助参与的普遍性和相关性。
DOI：
10.1111/acer.15268
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Kelly,JohnF
中科院分区：
文献类型：
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作者：
Bergman,BrandonG;Greene,MClaire;Zemore,SarahE;Kelly,JohnF
互助组织（MHO）是有效的基于社区的，为酒精和其他药物使用障碍（即，物质使用障碍; SUD）。更好地了解第二波MHO，如智能恢复，可以帮助建立在现有的研究，主要集中在12步MHO，如匿名酗酒者，告知科学，实践和政策recommendations.MethodsWe进行了二次分析的国家恢复研究，美国成年人谁解决了物质使用问题的代表性样本（N= 1984）。使用调查加权估计，我们检查了任何一生、每周一生和过去90天的MHO出勤率的描述性统计;我们通过连续检查第一次参加会议的日历年的分布，比较了12步和第二波MHO出勤率随时间的变化。我们还使用了两个逻辑回归模型来检查人口统计学，物质使用，临床和恢复相关的每周终生出勤率分别为12-step（n= 692）和第二波MHO（n= 32）。对于每周出勤率，31.9%参加了12步MHO，1.7%参加了第二波MHO。三分之二（64%）的初始第二波出勤率发生在2006年至2017年之间，而在此期间，初始12步出勤率为22%。每周12步MHO出勤率的重要相关因素包括SUD治疗和逮捕史。每周第二波MHO出席的显着相关性包括黑色身份（与白色）和SUD medication.ConclusionsAttendance的历史在第二波MHO远不如12步MHO常见，但似乎是在上升。在将这些发现整合到最佳实践中之前，应在更大的第二波MHO样本中复制观察到的第二波MHO出勤率相关性。加强临床和刑事司法环境与第二波和12步小组的联系可能有助于扩大MHO的基础。
BackgroundMutual‐help organizations (MHOs) are effective community‐based, recovery support options for individuals with alcohol and other drug use disorders (i.e., substance use disorder; SUD). Greater understanding of second‐wave MHOs, such as SMART Recovery, can help build on existing research that has focused primarily on 12‐step MHOs, such as Alcoholics Anonymous, to inform scientific, practice, and policy recommendations.MethodsWe conducted a secondary analysis of the National Recovery Study, a representative sample of US adults who resolved a substance use problem (N= 1984). Using survey‐weighted estimates, we examined descriptive statistics for any lifetime, weekly lifetime, and past 90‐day MHO attendance; we compared rates of 12‐step and second‐wave MHO attendance over time by descriptively examining distributions for calendar year of the first meeting attended. We also used two logistic regression models to examine demographic, substance use, clinical, and recovery‐related correlates of weekly lifetime attendance separately for 12‐step (n= 692) and second‐wave MHOs (n= 32).ResultsFor any attendance, 41.4% attended a 12‐step MHO and 2.9% a second‐wave MHO; for weekly attendance, 31.9% attended a 12‐step MHO, and 1.7% a second‐wave MHO. Two‐thirds (64%) of initial second‐wave attendance occurred between 2006 and 2017 compared to 22% of initial 12‐step attendance during this time frame. Significant correlates of weekly 12‐step MHO attendance included histories of SUD treatment and arrest. Significant correlates of weekly second‐wave MHO attendance included Black identity (vs. White) and history of SUD medication.ConclusionsAttendance at second‐wave MHOs is far less common than 12‐step MHOs, but appears to be on the rise. Observed correlates of second‐wave MHO attendance should be replicated in larger second‐wave MHO samples before integrating these findings into best practices. Enhanced linkages from clinical and criminal justice settings to both second‐wave and 12‐step groups may help to “broaden the base” of MHOs.