The "high cost of low living": Substance use recovery among older formerly homeless adults.
The "high cost of low living": Substance use recovery among older formerly homeless adults.
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“低生活成本高”：以前无家可归的老年人的药物使用恢复情况。
DOI：
10.1080/08897077.2020.1734713
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发表时间：
2022
期刊：
影响因子：
3.5
通讯作者：
Bond,Lynden
中科院分区：
文献类型：
--
作者：
Padgett,Deborah;Gurdak,Kristen;Bond,Lynden
年龄较大的无家可归的成年人使用药物的人数正在显著增加，我们试图了解这些人如何在其他生活问题中控制问题药物的使用。方法数据收集于nimh资助的一项研究中，该研究对居住在永久性支持性住房中的前无家可归的成年人进行了为期18个月的四次深度访谈。该研究子样本由15名主要是非裔美国人组成，年龄在45岁以上，康复期至少为6个月。跨案例分析使用模板方法，然后是归纳子主题分析。结果从文献中提取三个主题，得到七个子主题如下：主题1：急性生活压力源：(a)“以物质使用为主”；(b)“急性生活事件和药物使用”；(c)“监禁作为转折点。”主题2：康复的归因：(a)“作为个人决定的戒烟”；(b)“我必须保持在它的顶端”；主题3：社会关系：(a)“我有伙伴，没有朋友”；(b)“谨慎行事”。结论尽管存在其他逆境，但参与者仍将物质使用视为其生活中的主要问题。康复被视为个人决定，但维持康复需要积极的社会关系。与恢复有关的政策和做法应解决生活的复杂性。
BackgroundThe population of older homeless substance-using adults is growing considerably, and we sought to understand how such individuals gain control of problematic substance use amidst other life problems.MethodsData were collected in an NIMH-funded study in which four in-depth interviews were conducted over 18 months with formerly homeless adults living in permanent supportive housing. The study subsample was comprised of 15 predominantly African American individuals over age 45 who were in recovery for at least six months. Cross-case analyses used a template approach followed by inductive sub-theme analyses.ResultsThree themes drawn from the literature yielded seven sub-themes as follows. Theme #1: Acute life stressors: (a) “substance use as primary”; (b) “acute life events and substance use”; (c) “incarceration as turning point.” Theme #2: Attributions of recovery: (a) “quitting as personal decision”; (b) “I just got to stay on top of it”; Theme #3: Social relationships: (a) “I have associates, not friends”; (b) “taking a cautious approach.”ConclusionParticipants viewed substance use as the primary problem in their lives despite other adversity. Recovery was viewed as a personal decision, but maintaining recovery involved positive social relationships. Policies and practices related to recovery should address the complexities of lives-as-lived.