Measuring Social Isolation, Loneliness, and Intersectional Stigma among Older Adults with Opioid Use Disorder

项目摘要/摘要 患有物质使用障碍的老年人由于共存而有相关不良后果的高风险 慢性病和功能障碍。这也是一个经历了严重损失的人口 他们的社交网络，因此也面临着社会孤立和孤独的风险。此外，老年人 患有物质使用障碍的人也经历了与药物使用、药物使用治疗、 和年龄歧视。最近，人们对缺乏社会责任之间的关系越来越感兴趣 连通性和污名与健康结果。然而，这一领域的研究很少集中在老年人身上。 患有药物使用障碍的成年人。为了解决这一问题，本研究的目的是使用国家 主要研究人员(韩博士和稻垣博士)在测量社交孤立、孤独和 在接受阿片类药物治疗计划和治疗的老年人中纵向交叉污名 检查这可能如何影响健康结果。这项研究的目标1是描述社会发展的轨迹 纵向上的孤立和孤独。150名患有阿片类药物使用障碍的老年人(55岁) 圣地亚哥县阿片类药物治疗方案中的治疗将被招募来完成有效的措施 在三个时间点(基线、6个月和12个月后)的社会孤立和孤独。目标2将 研究社交孤立和孤独的轨迹是否可以预测12个月的阿片类药物使用障碍治疗 结果、非阿片类精神活性物质的使用和急性医疗保健利用。最后，目标3，通过 对部分登记参与者(n=40)的定性访谈将探讨患者的观点如何 社会孤立和孤独影响药物的使用、康复和治疗，并引发对 通过阿片类药物治疗方案解决社会联系的战略。作为一个探索性的目标，这 这项研究将通过经过验证的量表来衡量这一人群的经验耻辱。在定性过程中 采访，关于与阿片类药物使用障碍、年龄歧视和其他潜在相关的耻辱有关的观点 还将对各种因素进行评估。这项研究的结果最终将为未来的干预措施提供参考 患有阿片类药物使用障碍的老年人的隔离和脱节。这将增加公共卫生 对改善成瘾治疗和健康结果的有效性的影响。

Project Summary/Abstract Older adults with substance use disorders are at high risk for associated adverse outcomes due to co-existing chronic diseases and functional impairments. This is also a population that has experienced a profound loss of their social networks and is therefore also at risk for social isolation and loneliness. Additionally, older adults with substance use disorder also experience a high level of stigma related to drug use, drug use treatment, and ageism. Recently, there has been increasing interest in the relationship between lack of social connectedness and stigma with health outcomes. Yet, very little research in this area has focused on older adults with substance use disorders. To address this, the objective of this research is to use the national expertise of the Principal Investigators (Drs. Han and Inagaki) to measure social isolation, loneliness, and intersectional stigma longitudinally among older adults who receive care in opioid treatment programs and examine how this may influence health outcomes. Aim 1 of this study is to characterize trajectories of social isolation and loneliness longitudinally. 150 older adults (age ³55) living with opioid use disorder who receive treatment in San Diego County’s opioid treatment programs will be recruited to complete validated measures of social isolation and loneliness at three-time points (baseline, 6 months, and 12 months later). Aim 2 will examine whether trajectories of social isolation and loneliness predict 12-month opioid use disorder treatment outcomes, non-opioid psychoactive substance use, and acute healthcare utilization. Finally, Aim 3, through qualitative interviews with a subset of enrolled participants (n=40), will explore patient perspectives on how social isolation and loneliness influence substance use, recovery, and treatment and elicit perspectives on strategies to address social connectedness through opioid treatment programs. As an exploratory aim, this study will measure the experienced stigma of this population through validated scales. During qualitative interviews, perspectives regarding stigma related to opioid use disorder, ageism, and other potentially related factors will also be assessed. Results from this research will ultimately inform future interventions to address isolation and disconnection among older adults with opioid use disorder. This will have additional public health implications for the efficacy of improving addiction treatment and health outcomes.