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...

Full description

Bibliographic Details
Main Authors: Amy A. Mericle, Deidre Patterson, Meenakshi S. Subbaraman, Jason Howell, Dave Sheridan, Thomasina Borkman, Jayla Burton, Katherine J. Karriker-Jaffe
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