دورية أكاديمية
Multilevel Effects of Environmental and Neighborhood Factors on Sober Living House Resident 12-Month Outcomes.
| العنوان: | Multilevel Effects of Environmental and Neighborhood Factors on Sober Living House Resident 12-Month Outcomes. |
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| المؤلفون: | Subbaraman MS; Behavioral Health and Recovery Studies, Public Health Institute, Oakland, California., Mahoney E; Behavioral Health and Recovery Studies, Public Health Institute, Oakland, California., Witbrodt J; Behavioral Health and Recovery Studies, Public Health Institute, Oakland, California.; Alcohol Research Group, Emeryville, California., Karriker-Jaffe KJ; Center on Behavioral Health Epidemiology, Implementation & Evaluation Research, RTI International, Berkeley, California., Mericle AA; Behavioral Health and Recovery Studies, Public Health Institute, Oakland, California.; Alcohol Research Group, Emeryville, California., Polcin DL; Behavioral Health and Recovery Studies, Public Health Institute, Oakland, California. |
| المصدر: | Journal of studies on alcohol and drugs [J Stud Alcohol Drugs] 2023 Nov; Vol. 84 (6), pp. 832-841. Date of Electronic Publication: 2023 Jul 11. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Alcohol Research Documentation, Inc., Rutgers, The State University of New Jersey Country of Publication: United States NLM ID: 101295847 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-4114 (Electronic) Linking ISSN: 19371888 NLM ISO Abbreviation: J Stud Alcohol Drugs Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Piscataway, NJ : Alcohol Research Documentation, Inc., Rutgers, The State University of New Jersey, c2007- |
| مواضيع طبية MeSH: | Substance-Related Disorders*/psychology, Humans ; Halfway Houses ; Self-Help Groups ; Mental Health ; Residence Characteristics ; Ethanol |
| مستخلص: | Objective: Sober living houses (SLHs) are abstinence-based environments designed for individuals in recovery to live with others in recovery. Research shows that SLHs help some individuals maintain recovery and that certain SLH-related factors may be particularly protective. Here we assess how SLH housing and neighborhood characteristics are related to abstinence and psychiatric symptoms over time. Method: Baseline, 6-month, and 12-month data were collected from 557 SLH residents. Multilevel mixed models tested associations between house and neighborhood characteristics and individual-level percent days abstinent (PDA) and the number of psychiatric symptoms (measured with the Psychiatric Diagnostic Screening Questionnaire [PDSQ]) as outcomes. Final models adjusted for sex, age, and race/ethnicity; ratings of house characteristics; and objective measurements of neighborhood-level exposures. Results: Both PDA and PDSQ improved significantly ( p s ≤ .05) over time in both unadjusted and adjusted models. More self-help groups and fewer alcohol outlets within one mile were significantly protective for PDA, whereas walkability was significantly related to worse PDA and PDSQ ( p s ≤ .05). For house-level factors, better ratings of house maintenance were related to significantly fewer psychiatric symptoms, whereas higher scores on SLH's safety measures and personal or residence identity were related to more psychiatric symptoms ( p s ≤ .05). No house-level factor was significantly related to PDA. Conclusions: Neighborhood-level factors such as increased availability of self-help groups and fewer nearby alcohol outlets may increase abstinence among individuals living in SLHs. House-level factors related to better maintenance may also facilitate improved mental health. |
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| معلومات مُعتمدة: | R01 DA042938 United States DA NIDA NIH HHS |
| المشرفين على المادة: | 3K9958V90M (Ethanol) |
| تواريخ الأحداث: | Date Created: 20230714 Date Completed: 20231108 Latest Revision: 20240106 |
| رمز التحديث: | 20240106 |
| مُعرف محوري في PubMed: | PMC10765980 |
| DOI: | 10.15288/jsad.22-00307 |
| PMID: | 37449949 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1938-4114 |
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| DOI: | 10.15288/jsad.22-00307 |