Affiliation:
1. The University of Texas Health Science Center at Houston
Abstract
Abstract
Background
Recovery from opioid use disorder (OUD) includes improvements in health-related quality of life (HRQOL) and is supported by recovery capital (RC). Little is known about RC and HRQoL among recovery residents taking medication for OUD (MOUD).
Methods
Cross-sectional analyses of data collected from 355 residents in 14 recovery homes were conducted. We described HRQOL (EQ-5D-5L health dimensions- mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and RC (the Assessment of Recovery Capital scores) and examined their associations using T-, Chi-squared, and Fisher's exact tests.
Results
Most participants were 35 + years (50.7%), male (58.9%), non-Hispanic White (68.4%), heterosexual (82.8%), and unemployed (66.0%). The majority reported anxiety/depression (78.4%) and pain/discomfort (55.7%) problems. Most participants had high social (65.4%), personal (69.0%), and total (65.6%) RC. Age, sex, marital status, sexual orientation, and comorbid diagnoses were associated with HRQOL. Low personal RC was associated with mobility problems (aOR = 0.43, CI = 0.24–0.76). Low personal (aOR = 0.13, CI = 0.04–0.41) and total (aOR = 0.20, CI = 0.07–0.60) RC were associated with problems conducting self-care. Low personal (aOR = 0.25, CI = 0.11–0.57) and total (aOR = 0.43, CI = 0.22–0.83) RC were associated with problems conducting usual activities. Low personal (aOR = 0.37, CI = 0.20–0.68) and total (aOR = 0.55, CI = 0.34–0.90) RC were associated with pain/discomfort problems. Low personal (aOR = 0.33, CI = 0.15–0.73) and total (aOR = 0.20, CI = 0.10–0.41) RC were associated with anxiety/depression problems. Social RC was not associated with HRQOL.
Conclusions
Personal and total RC predict HRQOL. Our findings underscore the importance of ensuring residents are not only linked to MOUD but their RC should be routinely assessed and enhanced to support their recovery and improve HRQOL.
Publisher
Research Square Platform LLC
Reference64 articles.
1. Health-related quality of life in outpatients with substance use disorder: Evolution over time and associated factors;Simirea M;Health Qual Life Outcomes [Internet],2022
2. Substance Abuse and Mental Health Services Administration (SAMHSA). Key substance use and mental health Indicators in the United States: Results from the 2021 National Survey on Drug Use and Health (NSDUH) 2022 [Available from: https://www.samhsa.gov/data/report/2021-nsduh-annual-national-report.
3. Centers for Disease Control and Prevention (CDC). Drug overdose deaths 2022 [cited 2023 February 10]. Available from: https://www.cdc.gov/drugoverdose/deaths/index.html.
4. Disability-Adjusted Life-Years for drug overdose crisis and COVID-19 are comparable during the two years of pandemic in the United States;Chen Q;Value Health [Internet]
5. Quality of life as an outcome of opioid use disorder treatment: A systematic review;Bray JW;J Subst Abuse Treat [Internet],2017