Full Citation

Title: Individual and Community Social Determinants of Health and Recovery from Alcohol Use Disorder Three Years following Treatment

Citation Type: Journal Article

Publication Year: 2021

ISBN:

ISSN: 0279-1072

DOI: 10.1080/02791072.2021.1986243

NSFID:

PMCID:

PMID:

Abstract: Prior research on recovery from alcohol use disorder (AUD) has often focused on individual-level factors that promote recovery. Given systemic health inequities, it is also important to study community-level social determinants of health (SDOH) that may promote recovery from AUD. This study extended prior work examining individual profiles of recovery from AUD to assess how individual and community SDOH at the time of treatment entry were associated with recovery from AUD three years after treatment. Data were utilized from the COMBINE study (n = 664), a multisite randomized clinical trial evaluating pharmacological and behavioral treatments for AUD. Public community data sources associated with participants’ study sites were used to measure community SDOH. Multilevel latent profile analyses with individual- and community-level variables as predictors of recovery profiles were estimated. Four profiles were identified based on participants’ alcohol consumption and functioning. Individual SDOH variables, such as fewer years of education and lower income, and community SDOH, including lower rates of health insurance, lower income, and greater income inequality, were each associated with lower functioning profiles. The findings highlight the importance of community SDOH in AUD recovery and the value of including both individual and community SDOH variables in research on long-term recovery.

Url: https://doi.org/10.1080/02791072.2021.1986243

User Submitted?: No

Authors: Swan, Julia E.

Periodical (Full): Journal of Psychoactive Drugs

Issue: 5

Volume: 53

Pages: 394-403

Data Collections: IPUMS USA, IPUMS CPS

Topics: Health, Poverty and Welfare

Countries: