Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States.
Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States.
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DOI：
10.1186/s12889-023-17048-x
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发表时间：
2023-11-17
影响因子：
4.5
通讯作者：
Karriker-Jaffe, Katherine J.
中科院分区：
文献类型：
--
作者：
Mericle, Amy A.;Patterson, Deidre;Subbaraman, Meenakshi S.;Howell, Jason;Sheridan, Dave;Borkman, Thomasina;Burton, Jayla;Karriker-Jaffe, Katherine J.
康复住房对于那些正在从药物滥用障碍中恢复的人来说是一个重要的资源。不幸的是，我们对其与关键社区健康风险和保护因素的关系知之甚少，这可能限制了它作为更广泛的卫生资源所发挥的作用。本研究利用国家治疗和成瘾康复住宅研究 (NSTARR) 中关于康复住宅的县级数据，使用多层次模型来检查社区新冠病毒脆弱性指数 (CCVI) 评分以及与康复住房相关的新冠病毒检测和疫苗接种地点的可用性。 CCVI 综合得分与康复住房可用性呈正相关。使用 CCVI 主题分项评分进行的分析发现，人口密度和教堂数量与康复住房可用性呈正相关，而流行病学因素和医疗保健系统因素与康复住房可用性呈负相关。在拥有康复住房的县，CCVI 与新冠病毒检测和疫苗接种可用性之间也存在正相关关系。康复住宅往往位于新冠病毒高危地区，反映出有效针对人口密度较高、住房风险因素较多和其他高风险环境的地区，并标志着解决物质使用障碍康复者中更广泛健康问题的关键联系点。
Recovery housing is an important resource for those in recovery from substance use disorders. Unfortunately, we know little about its relationship to key community health risk and protective factors, potentially limiting the role it could play as a broader health resource. Leveraging county-level data on recovery residences from the National Study of Treatment and Addiction Recovery Residences (NSTARR), this study used multilevel modeling to examine Community COVID Vulnerability Index (CCVI) scores as well as availability of COVID testing and vaccination sites in relation to recovery housing. CCVI composite scores were positively associated with recovery housing availability. Analyses using CCVI thematic sub-scores found that population density and number of churches were positively associated with recovery housing availability, while epidemiological factors and healthcare system factors were negatively associated with recovery housing availability. In counties with recovery housing, there also was a positive association between CCVI and both COVID testing and vaccination availability. Recovery residences tend to be located in areas of high COVID vulnerability, reflecting effective targeting in areas with higher population density, more housing risk factors, and other high-risk environments and signaling a key point of contact to address broader health issues among those in recovery from substance use disorders.
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DOI：
10.1016/j.socscimed.2021.113794
发表时间：
2021-04
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Galanis G;Hanieh A
通讯作者：
Hanieh A
影响因子：
25.8
作者：
Cummings, Janet R.;Wen, Hefei;Druss, Benjamin G.
通讯作者：
Druss, Benjamin G.
影响因子：
3.9
作者：
Miles J;Mericle A;Ritter G;Reif S
通讯作者：
Reif S
影响因子：
4.2
作者：
Gilbert PA;Soweid L;Kersten SK;Brown G;Zemore SE;Mulia N;Skinstad AH
通讯作者：
Skinstad AH
影响因子：
8
作者：
MacMillan T;Corrigan MJ;Coffey K;Tronnier CD;Wang D;Krase K
通讯作者：
Krase K