Abstract
Objective: To investigate the relationship between social isolation and substance abuse among adult hospitalizations to better target prevention and intervention.
Methods: The 2018 National Inpatient Sample dataset was used to identify adult hospitalizations with social isolation and substance abuse in the United States, omitting long-term and rehabilitation facilities. The study analyzed sociodemographic features and health care resource utilization, with primary end points focusing on the prevalence of substance use disorder (SUD) with social isolation and sex/race-based disparities and secondary end points including mental health and costs. Comparisons were analyzed using SPSS Statistics with weighted data and complex survey modules.
Results: The study included 2,050 patients (median age: 48 years, male: 55.6%) with an International Classification of Diseases, Tenth Revision, Clinical Modification social isolation diagnostic code, of which 16.6% had SUD, with higher prevalence in those of younger age, male sex, and black race. Smoking (49.3% vs 36.1%), alcohol disorder (14.4% vs 4.9%), cannabis disorder (14.6% vs 1.4%), stimulant-related disorder (16.3% vs 2.6%), and opioid-related disorder (16.6% vs 3.1%) were the most prevalent SUDs among socially isolated patients. The length of stay was similar among socially isolated patients by substance use; however, hospitalization cost was higher ($6,144 vs $4,745) among patients with SUD.
Conclusion: The link between social isolation and substance use highlights the significance of addressing social isolation as a public health issue. Interventions to nurture social ties and reduce social isolation may have significant potential in preventing and managing SUDs.
Prim Care Companion CNS Disord 2024;26(5):23m03679
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References (20)
- NSDUH. Key Substance Use and Mental Health Indicators in the United States: Results from the 2019 National Survey on Drug Use and Health. 2020. https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR1PDFW090120.pdf10
- Trucco EM. A review of psychosocial factors linked to adolescent substance use. Pharmacol Biochem Behav. 2020;196:172969. PubMed CrossRef
- Hosseinbor M, Yassini Ardekani SM, Bakhshani S, et al. Emotional and social loneliness in individuals with and without substance dependence disorder. Int J High Risk Behav Addict. 2014;3(3):e22688. PubMed CrossRef
- Allen KA, Gray DL, Baumeister RF, et al. The need to belong: a deep dive into the origins, implications, and future of a foundational construct. Educ Psychol Rev. 2022;34(2):1133–1156. PubMed CrossRef
- Allen KA, Kern ML, Rozek CS, et al. Belonging: a review of conceptual issues, an integrative framework, and directions for future research. Aust J Psychol. 2021;73(1):87–102. PubMed CrossRef
- Baumeister RF, Leary MR. The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychol Bull. 1995;117(3):497–529. PubMed CrossRef
- Riva P, Montali L, Wirth JH, et al. Chronic social exclusion and evidence for the resignation stage: an empirical investigation. J Social Personal Relat. 2017;34(4):541–564. CrossRef
- Dewall CN, Deckman T, Pond RS, et al. Belongingness as a core personality trait: how social exclusion influences social functioning and personality expression. J Pers. 2011;79(6):1281–1314. PubMed CrossRef
- Eisenberger NI. Broken hearts and broken bones: a neural perspective on the similarities between social and physical pain. Curr Dir Psychol Sci. 2012;21(1):42–47. CrossRef
- Panksepp J. Affective Neuroscience: The Foundations of Human and Animal Emotions. 1998. https://academic.oup.com/book/5353411
- Hales A, Williams K, Eckhardt C. A participant walks into a bar. Social Psychol. 2015;46. CrossRef
- Publishing with HCUP Data. Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality; 2022. Accessed May 16, 2022. https://hcup-us.ahrq.gov/db/publishing.jsp
- Clinical Classifications Software Refined (CCSR). Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality; 2021. Accessed February 20, 2022. https://hcup-us.ahrq.gov/toolssoftware/ccsr/ccs_refined.jsp
- Wesselmann ED, Parris L. Exploring the links between social exclusion and substance use, misuse, and addiction. Front Psychol. 2021;12:674743. PubMed CrossRef
- Bacon AK, Engerman B. Excluded, then inebriated: a preliminary investigation into the role of ostracism on alcohol consumption. Addict Behav Rep. 2018;8:25–32. PubMed CrossRef
- McClendon J, Chang K, Boudreaux MJ, et al. Black-White racial health disparities in inflammation and physical health: cumulative stress, social isolation, and health behaviors. Psychoneuroendocrinology. 2021;131:105251. PubMed CrossRef
- Averill RF, McGuire TE, Manning BE, et al. A study of the relationship between severity of illness and hospital cost in New Jersey hospitals. Health Serv Res. 1992;27(5):587–606; discussion 607–612. PubMed
- Dobkin PL, De CM, Paraherakis A, et al. The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers. Addiction. 2002;97(3):347–356. PubMed CrossRef
- Birkeland B, Weimand B, Ruud T, et al. Perceived family cohesion, social support, and quality of life in patients undergoing treatment for substance use disorders compared with patients with mental and physical disorders. Addict Sci Clin Pract. 2021;16(1):44. PubMed CrossRef
- Cacioppo JT, Ernst JM, Burleson MH, et al. Lonely traits and concomitant physiological processes: the MacArthur social neuroscience studies. Int J Psychophysiol. 2000;35(2–3):143–154. PubMed CrossRef
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