康复之家的潜在轮廓分析:一个单一的定量维度捕获了大部分但不是全部康复过程的重要细节。

IF 2.8 3区 医学 Q2 SUBSTANCE ABUSE
Leonard A Jason, Mike Stoolmiller, John Light
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引用次数: 2

摘要

背景:本研究探讨潜在阶层是否充分代表了居民层面的社会资本恢复指标,以及潜在阶层成员是否预测了随后从康复之家的退出。方法:我们的样本包括42家康复之家的约600名居民。在两年的时间里,每4个月收集一次关于恢复资本的8个要素的数据。结果:我们发现5个潜在类别最适合代表8个恢复资本要素。代表79%的样本,8个恢复指标均值的5个潜在类别概况中有3个大致平行,仅在水平上不同,但其余2个潜在类别概况(代表21%的样本)与前3个不平行,这表明感知恢复的单一定量维度可能捕获大部分但不是全部恢复过程的重要细节。接下来,使用来自家庭的纵向数据,居民驱逐和自愿退出的远端结果被发现与潜在的阶级成员有关。居民水平预先存在的预测因子(例如,就业状况、受教育程度、性别、拉丁族裔)和住房水平预先存在的预测因子(例如,财务健康状况、服务的典型人口的贫困程度、新居民的接受率)显著地歧视了各阶层。在结合预先存在的预测因子和远端结果的模型中,潜在阶级成员仍然是控制预先存在的预测因子的最强预测因子。结论:这些分类有助于澄清康复潜在得分的不同方面,并指出具有不同种族和性别特征的类别以及在康复之家的结果。例如,在第3级中发现的高度自信表明,拉丁美洲人在这些康复社区中可能面临更高的困难风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Latent profile analysis in recovery homes: A single quantitative dimension captures most but not all of the important details of the recovery process.

Background: Our study explored whether latent classes adequately represented the social capital recovery indicators at the resident level and whether latent class membership predicted subsequent exits from the recovery homes. Method: Our sample included about 600 residents in 42 recovery homes. Over a 2-year period of time, every 4 months, data were collected on eight elements of recovery capital. Results: We found 5 latent classes were optimal for representing 8 elements of recovery capital. Representing 79% of the sample, 3 of the 5 latent class profiles of the means of the 8 recovery indicators were roughly parallel and differed only in level, but the remaining 2 latent class profiles, representing 21% of the sample, were not parallel to the first 3, suggesting that a single quantitative dimension of perceived recovery may capture most but not all of the important details of the recovery process. Next, using longitudinal data from homes, the distal outcomes of resident eviction and voluntary exit were found to be related to latent class membership. Resident level pre-existing predictors (e.g., employment status, educational attainment, gender, Latinx ethnicity) and house level pre-existing predictors (e.g., financial health, poverty level of typical population served, new resident acceptance rate) significantly discriminated the classes. In a model that combined both pre-existing predictors and distal outcomes, latent class membership was still the strongest predictor of evictions controlling for the pre-existing predictors. Conclusions: These classes help to clarify the different aspects of the recovery latent score, and point to classes that have different ethnic and gender characteristics as well as outcomes in the recovery homes. For example, the high levels of self-confidence found in class 3 suggest that Latinx might be at higher risk for having some difficulties within these recovery communities.

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来源期刊
Substance abuse
Substance abuse SUBSTANCE ABUSE-
CiteScore
5.90
自引率
2.90%
发文量
88
审稿时长
>12 weeks
期刊介绍: Now in its 4th decade of publication, Substance Abuse journal is a peer-reviewed journal that serves as the official publication of Association for Medical Education and Research in Substance Abuse (AMERSA) in association with The International Society of Addiction Medicine (ISAM) and the International Coalition for Addiction Studies in Education (INCASE). Substance Abuse journal offers wide-ranging coverage for healthcare professionals, addiction specialists and others engaged in research, education, clinical care, and service delivery and evaluation. It features articles on a variety of topics, including: Interdisciplinary addiction research, education, and treatment Clinical trial, epidemiology, health services, and translation addiction research Implementation science related to addiction Innovations and subsequent outcomes in addiction education Addiction policy and opinion International addiction topics Clinical care regarding addictions.
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