An inverse relationship between perceived social support and substance use frequency in socially stigmatized populations

Introduction: Social isolation and alcohol and substance use disorders (ASUD) have been identified as global health risks. Social support is protective against developing ASUD and is associated with beneficial addiction treatment outcomes. Socially stigmatized populations are at higher risk of both...

Full description

Bibliographic Details
Main Authors: Rachel Rapier, Scott McKernan, Christopher S. Stauffer
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Addictive Behaviors Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352853218302268
_version_ 1818826348010930176
author Rachel Rapier
Scott McKernan
Christopher S. Stauffer
author_facet Rachel Rapier
Scott McKernan
Christopher S. Stauffer
author_sort Rachel Rapier
collection DOAJ
description Introduction: Social isolation and alcohol and substance use disorders (ASUD) have been identified as global health risks. Social support is protective against developing ASUD and is associated with beneficial addiction treatment outcomes. Socially stigmatized populations are at higher risk of both social isolation and ASUD, and the link between social support and substance use in these populations has been less researched than in general substance-using populations. We hypothesized that perceived social support, as measured by the Social Provisions Scale (SPS), would have an inverse relationship with frequency of substance use, from subsections of the Addiction Severity Index (ASI) that estimate use over the past 30 days and over an individual's lifetime. Methods: Using a cross-sectional design, we conducted secondary correlational analyses with pre-existing data to test our hypothesis in two separate samples made up of socially marginalized populations entering ASUD treatment programs. Sample 1: substance-using male prison inmates (n = 72, average age = 30.79) and Sample 2: primary methamphetamine-using men who have sex with men (n = 86, average age = 43.41). Results: Significant negative correlations were found between SPS and lifetime use of alcohol, tobacco, and cannabis (rs − 0.27, −0.39, −0.26; p-values 0.04, 0.001, 0.04, respectively) in Sample 1 and 30-day use of methamphetamine (rs − 0.28; p-value 0.008) in Sample 2. Discussion: Differences in results between the samples (lifetime vs 30-day use) may reflect psychosocial and contextual differences impacting perceived social support. Our findings provide support for an important link between perceived social support and frequency of substance use in socially stigmatized populations. Keywords: Social support, Addictive behavior, Substance-related disorders, Sexual and gender minorities, Prisoners, Social psychology
first_indexed 2024-12-19T00:26:14Z
format Article
id doaj.art-add31b60fe014c57a19e0d6bb84a93b7
institution Directory Open Access Journal
issn 2352-8532
language English
last_indexed 2024-12-19T00:26:14Z
publishDate 2019-12-01
publisher Elsevier
record_format Article
series Addictive Behaviors Reports
spelling doaj.art-add31b60fe014c57a19e0d6bb84a93b72022-12-21T20:45:14ZengElsevierAddictive Behaviors Reports2352-85322019-12-0110An inverse relationship between perceived social support and substance use frequency in socially stigmatized populationsRachel Rapier0Scott McKernan1Christopher S. Stauffer2San Francisco VA Medical Center, 4150 Clement St. (116C-1), San Francisco, CA 94121, USAThe New School, 72 5th Ave, New York City, NY 10011, USASan Francisco VA Medical Center, 4150 Clement St. (116C-1), San Francisco, CA 94121, USA; Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, San Francisco, CA 94143, USA; Corresponding author at: San Francisco VA Medical Center, 4150 Clement St. (116C-1), San Francisco, CA 94121, USA.Introduction: Social isolation and alcohol and substance use disorders (ASUD) have been identified as global health risks. Social support is protective against developing ASUD and is associated with beneficial addiction treatment outcomes. Socially stigmatized populations are at higher risk of both social isolation and ASUD, and the link between social support and substance use in these populations has been less researched than in general substance-using populations. We hypothesized that perceived social support, as measured by the Social Provisions Scale (SPS), would have an inverse relationship with frequency of substance use, from subsections of the Addiction Severity Index (ASI) that estimate use over the past 30 days and over an individual's lifetime. Methods: Using a cross-sectional design, we conducted secondary correlational analyses with pre-existing data to test our hypothesis in two separate samples made up of socially marginalized populations entering ASUD treatment programs. Sample 1: substance-using male prison inmates (n = 72, average age = 30.79) and Sample 2: primary methamphetamine-using men who have sex with men (n = 86, average age = 43.41). Results: Significant negative correlations were found between SPS and lifetime use of alcohol, tobacco, and cannabis (rs − 0.27, −0.39, −0.26; p-values 0.04, 0.001, 0.04, respectively) in Sample 1 and 30-day use of methamphetamine (rs − 0.28; p-value 0.008) in Sample 2. Discussion: Differences in results between the samples (lifetime vs 30-day use) may reflect psychosocial and contextual differences impacting perceived social support. Our findings provide support for an important link between perceived social support and frequency of substance use in socially stigmatized populations. Keywords: Social support, Addictive behavior, Substance-related disorders, Sexual and gender minorities, Prisoners, Social psychologyhttp://www.sciencedirect.com/science/article/pii/S2352853218302268
spellingShingle Rachel Rapier
Scott McKernan
Christopher S. Stauffer
An inverse relationship between perceived social support and substance use frequency in socially stigmatized populations
Addictive Behaviors Reports
title An inverse relationship between perceived social support and substance use frequency in socially stigmatized populations
title_full An inverse relationship between perceived social support and substance use frequency in socially stigmatized populations
title_fullStr An inverse relationship between perceived social support and substance use frequency in socially stigmatized populations
title_full_unstemmed An inverse relationship between perceived social support and substance use frequency in socially stigmatized populations
title_short An inverse relationship between perceived social support and substance use frequency in socially stigmatized populations
title_sort inverse relationship between perceived social support and substance use frequency in socially stigmatized populations
url http://www.sciencedirect.com/science/article/pii/S2352853218302268
work_keys_str_mv AT rachelrapier aninverserelationshipbetweenperceivedsocialsupportandsubstanceusefrequencyinsociallystigmatizedpopulations
AT scottmckernan aninverserelationshipbetweenperceivedsocialsupportandsubstanceusefrequencyinsociallystigmatizedpopulations
AT christophersstauffer aninverserelationshipbetweenperceivedsocialsupportandsubstanceusefrequencyinsociallystigmatizedpopulations
AT rachelrapier inverserelationshipbetweenperceivedsocialsupportandsubstanceusefrequencyinsociallystigmatizedpopulations
AT scottmckernan inverserelationshipbetweenperceivedsocialsupportandsubstanceusefrequencyinsociallystigmatizedpopulations
AT christophersstauffer inverserelationshipbetweenperceivedsocialsupportandsubstanceusefrequencyinsociallystigmatizedpopulations