Insights: Everyone in Recovery From Addiction Should Be Vaccinated Against COVID-19

The COVID-19 pandemic has affected everyone, but not in the same way. People with substance use disorders (SUDs) have faced higher risks, both physically and socially. Data from the Centers for Disease Control and Prevention shows that SUD is linked to a greater chance of severe illness from COVID-19.

If you are in recovery or living in sober living, staying healthy is part of protecting everything you have worked for. Vaccination can support that. It helps you stay connected, maintain routine, and avoid setbacks that can come from serious illness.

At the same time, hesitation is real. Many people have questions, and some carry past experiences that make medical decisions harder. That deserves to be acknowledged.

Increased COVID-19 Risk Among Individuals with SUD

Research continues to point in the same direction. People with substance use disorders are more likely to experience serious effects from COVID-19.

A large U.S. study found that individuals with SUD were more likely to:

• get infected with COVID-19
• develop severe symptoms
• require hospital care
• experience complications during recovery
• face a higher mortality risk compared to those without SUD

This pattern has also been observed in studies from other regions, including major cities and international populations.

Why the Risk Is Higher

Several factors can contribute to this increased risk:

• higher rates of heart and lung conditions
• weakened immune response linked to substance use
• limited access to consistent healthcare

In sober living homes, daily interaction is part of the experience. That sense of community is important, but it can also increase exposure if precautions are not taken.

Breaking Down Barriers to Vaccination

Even with access to vaccines, many people with SUD feel unsure about getting one.

A survey by the Addiction Policy Forum found that nearly half of individuals with substance use disorders were hesitant.

Common concerns include:

• distrust of institutions or past treatment experiences
• concern about side effects
• confusion about how vaccines were developed

There is also something encouraging in that same research. Many people trust their personal doctor more than outside sources.

That opens the door for better conversations.

Support can come from:

• physicians and nurses
• treatment program staff
• sober living managers
• peers in recovery

When people feel respected and heard, they are more open to learning and deciding for themselves.

COVID-19 Vaccines and People in Recovery

COVID-19 vaccines have been tested across many groups, including those with substance use disorders. Current evidence shows they are safe for people in recovery and those receiving treatment.

This applies to people who:

• are actively using substances
• are in early or long-term recovery

Vaccines do not interfere with medications like methadone or buprenorphine. They also do not worsen substance-related conditions.

Why Vaccination Helps in Sober Living

Recovery depends on consistency. Even a short disruption can throw things off.

Vaccination can help by:

• lowering the chance of serious illness
• reducing time spent isolated from others
• making in-person meetings safer
• supporting regular routines inside sober living homes

Being able to show up, stay connected, and keep structure in place can make a real difference.

Privacy, Access, and Cost

Some people avoid vaccination because they are unsure what information they need to share. That concern is common, especially for those in recovery.

In most cases, you will only be asked about:

• allergies related to vaccine ingredients

You are not required to disclose personal details such as substance use history or living situation.

Access Is Straightforward

Vaccines are widely available and easy to access:

• free for everyone, even without insurance
• offered at pharmacies and community health sites
• available through mobile clinics in many areas
• open to walk-ins in some locations

They are not connected to law enforcement or immigration status, which can help ease concerns for many individuals.

How Sober Living Communities Can Help

Sober living environments can influence how residents think about health decisions. Daily interaction creates opportunities for honest conversations.

Communities can support residents by:

• providing clear and simple information about vaccination
• connecting residents with trusted healthcare providers
• offering help with scheduling appointments
• creating space for open, judgment-free discussions
• encouraging peer support around health choices
• partnering with local services to bring vaccines on-site

When information comes from familiar and trusted people, it feels more relatable and less overwhelming.

The Bottom Line

For people with substance use disorders, COVID-19 vaccination can reduce serious health risks and help protect recovery progress.

If you live in sober living, staying healthy supports your routine, your relationships, and your ability to keep moving forward.

If you are unsure, talk to someone you trust. A simple conversation can clear up concerns and help you make a decision that feels right for you.

Looking for a Supportive Sober Living Home?

Finding the right sober living home can support both your health and your recovery journey.

As you explore your options:

• ask about structure, expectations, and daily routines
• talk to current residents when possible
• look for an environment that feels stable and respectful

Take your time. The right fit should support your goals and help you feel safe as you continue forward.

References

Volkow, Dr. N. (2021, June 11). Encourage People with Substance Use Disorders to Get Vaccinated Against COVID-19. National Institute on Drug Abuse | Archives. https://www.drugabuse.gov/about-nida/noras-blog/2021/06/encourage-people-substance-use-disorders-to-get-vaccinated-against-covid-19