Comparisons of polydrug use at national and inner city levels in England: associations with demographic and socioeconomic factors
Comparisons of polydrug use at national and inner city levels in England: associations with demographic and socioeconomic factors
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DOI：
10.1016/j.annepidem.2013.07.012
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发表时间：
2013-10-01
影响因子：
5.6
通讯作者：
Hotopf, Matthew
中科院分区：
文献类型：
--
作者：
Carter, Jennifer L.;Strang, John;Hotopf, Matthew
目的：本研究比较了全国和内城样本的多种药物使用情况，以：(1)检查不同患病率背后的使用模式；(2)确定内城多种药物使用如何需要以国家研究未建议的方式为目标。方法：对2008-2010年伦敦东南部社区卫生研究（n = 1698）和2007年英格兰具有全国代表性的成人精神疾病发病率调查（n = 7403）进行比较，对去年非法药物使用、有害酒精使用和吸烟指标进行潜在分类分析。然后，多项逻辑回归检验了人口统计学和社会经济因素的潜在阶级解决方案。结果：两个样本都揭示了三种明显相似的多种药物使用者：使用多种物质的“高毒品”组；吸食大麻、酒精和香烟的“中度毒品”群体；而“低毒品”组报告酒精和香烟使用最少。然而，东南伦敦社区卫生报告说，少数民族使用多种药物的风险较低，但受教育程度较高的参与者则没有。结论：尽管内城多种药物使用率较高，但样本间多种药物使用者的潜在类别相似。一些人口和社会经济因素在样本之间存在差异，这表明城市内部服务需要使用地方和国家数据进行政策规划。(c) 2013爱思唯尔公司版权所有。
Purpose: This study compares polydrug use in national and inner city samples to (1) examine patterns of use underlying different prevalence rates and (2) identify how inner city polydrug use needs targeting in ways not suggested by national research.Methods: Latent class analyses on indicators of illicit drug use in the last year, hazardous alcohol use, and cigarette smoking were compared between the inner city 2008-2010 South East London Community Health study (n = 1698) and the nationally representative 2007 Adult Psychiatric Morbidity Survey in England (n = 7403). Multinomial logistic regressions then examined latent class solutions with demographic and socioeconomic factors.Results: Both samples revealed three notably similar classes of polydrug users: a "high-drug" group using multiple substances; a "moderate-drug" group using cannabis, alcohol, and cigarettes; and a "low-drug" group reporting minimal alcohol and cigarette use. However, South East London Community Health reported lower risks of polydrug use for ethnic minorities but not for more educated participants.Conclusions: Despite higher polydrug use prevalence in the inner city, latent classes of polydrug users were similar between samples. Some demographic and socioeconomic factors differed between the samples, suggesting the need for inner city services to use both local and national data for policy planning. (c) 2013 Elsevier Inc. All rights reserved.