Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States
Abstract 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...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2023-11-01
|
Series: | BMC Public Health |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12889-023-17048-x |
_version_ | 1797555953486266368 |
---|---|
author | Amy A. Mericle Deidre Patterson Meenakshi S. Subbaraman Jason Howell Dave Sheridan Thomasina Borkman Jayla Burton Katherine J. Karriker-Jaffe |
author_facet | Amy A. Mericle Deidre Patterson Meenakshi S. Subbaraman Jason Howell Dave Sheridan Thomasina Borkman Jayla Burton Katherine J. Karriker-Jaffe |
author_sort | Amy A. Mericle |
collection | DOAJ |
description | Abstract 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. |
first_indexed | 2024-03-10T16:54:57Z |
format | Article |
id | doaj.art-6b5528ccadbc4014b43df21f4bde6bdb |
institution | Directory Open Access Journal |
issn | 1471-2458 |
language | English |
last_indexed | 2024-03-10T16:54:57Z |
publishDate | 2023-11-01 |
publisher | BMC |
record_format | Article |
series | BMC Public Health |
spelling | doaj.art-6b5528ccadbc4014b43df21f4bde6bdb2023-11-20T11:09:37ZengBMCBMC Public Health1471-24582023-11-0123111010.1186/s12889-023-17048-xMapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United StatesAmy A. Mericle0Deidre Patterson1Meenakshi S. Subbaraman2Jason Howell3Dave Sheridan4Thomasina Borkman5Jayla Burton6Katherine J. Karriker-Jaffe7Alcohol Research Group at the Public Health InstituteAlcohol Research Group at the Public Health InstituteBehavioral Health and Recovery Studies at the Public Health InstituteRecovery PeopleNational Alliance for Recovery ResidencesGeorge Mason UniversityAlcohol Research Group at the Public Health InstituteCommunity Health & Implementation Research Program at RTI InternationalAbstract 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.https://doi.org/10.1186/s12889-023-17048-xRecovery housingRecovery residencesCOVIDCOVID vulnerabilitySocial determinants of health |
spellingShingle | Amy A. Mericle Deidre Patterson Meenakshi S. Subbaraman Jason Howell Dave Sheridan Thomasina Borkman Jayla Burton Katherine J. Karriker-Jaffe Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States BMC Public Health Recovery housing Recovery residences COVID COVID vulnerability Social determinants of health |
title | Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States |
title_full | Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States |
title_fullStr | Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States |
title_full_unstemmed | Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States |
title_short | Mapping COVID vulnerability in relation to drug and alcohol recovery residence availability across the United States |
title_sort | mapping covid vulnerability in relation to drug and alcohol recovery residence availability across the united states |
topic | Recovery housing Recovery residences COVID COVID vulnerability Social determinants of health |
url | https://doi.org/10.1186/s12889-023-17048-x |
work_keys_str_mv | AT amyamericle mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates AT deidrepatterson mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates AT meenakshissubbaraman mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates AT jasonhowell mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates AT davesheridan mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates AT thomasinaborkman mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates AT jaylaburton mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates AT katherinejkarrikerjaffe mappingcovidvulnerabilityinrelationtodrugandalcoholrecoveryresidenceavailabilityacrosstheunitedstates |