Area-Level Deprivation and Adverse Consequences in People With Substance Use Disorders: Findings From the Psychiatric and Addictive Dual Disorder in Italy (PADDI) Study

Autor: Paola Borrelli, Giuseppe Carrà, Ioana Popa, Cristina Montomoli, Francesco Bartoli, Massimo Clerici, Cristina Crocamo, Tommaso Tabacchi
Přispěvatelé: Carra', G, Crocamo, C, Borrelli, P, Tabacchi, T, Bartoli, F, Popa, I, Montomoli, C, Clerici, M
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
Male
medicine.medical_specialty
Health (social science)
Adolescent
Substance-Related Disorders
media_common.quotation_subject
Medicine (miscellaneous)
Poison control
Substance use disorder
Suicide prevention
hepatiti
Occupational safety and health
socioeconomic status
03 medical and health sciences
Young Adult
0302 clinical medicine
Risk Factors
Poverty Areas
Injury prevention
medicine
Humans
030212 general & internal medicine
Psychiatry
Socioeconomic status
media_common
Aged
business.industry
Addiction
Public Health
Environmental and Occupational Health
Human factors and ergonomics
Middle Aged
medicine.disease
Hepatitis B
Hepatitis C
030227 psychiatry
Substance abuse
Psychiatry and Mental health
Cross-Sectional Studies
Logistic Models
Italy
Socioeconomic Factors
Female
Crime
prison
Drug Overdose
overdose
business
Popis: Background: Environmental factors may operate with individual ones to influence the risk of substance use. Research has focused on severe adverse consequences influenced by contextual variables. However, the literature on community level factors influencing substance use behaviors is relatively limited across Europe so far. Objective: We capitalized on data from a National survey, exploring individual and contextual characteristics, to study adverse consequences among people with substance use disorders. Methods: The impact of area-level deprivation on nonfatal overdose, hepatitis C or B infections, and major involvement with the criminal justice system, was explored. Logistic regression models with cluster-robust errors, modeling subject-level and area-level effects, were used. Results: Living in deprived and intermediate areas, as compared with affluent ones, was associated with greater likelihood of both nonfatal overdose and jail sentences longer than 6 months, though not of active viral hepatitis. Conclusions: Area-level deprivation may play an important role in determining adverse consequences in people with substance use disorders, also after controlling for individual-level characteristics. More research is needed to understand the aspects of social and physical environments that matter for drug outcomes before effective policy and research interventions can be developed.
Databáze: OpenAIRE
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