Social and environmental factors and their influence on drug use vulnerability and resiliency in rural populations
Social and environmental factors and their influence on drug use vulnerability and resiliency in rural populations
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DOI：
10.1111/j.1748-0361.2007.00119.x
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发表时间：
2007-09-01
影响因子：
4.9
通讯作者：
Dozier, Michael
中科院分区：
文献类型：
--
作者：
Dew, Brian;Elifson, Kirk;Dozier, Michael
最近的流行病学调查结果表明，美国农村地区的药物使用率已经上升到几乎与郊区和城市地区持平（如果不是超过的话）的程度。虽然以前的研究已经审查了影响使用模式的因素，但很少注意社会和社区背景对这些药物使用趋势的影响。在回顾文献的基础上，本文旨在探讨农村社区的特点，描述社会和社区对吸毒的影响，并探讨未来研究和干预措施的意义。虽然农村地区在过去20年中经历了巨大的经济和社会变化，但仍然存在着独特的社会和社区因素，这些因素有助于调解酒精和非法药物的使用。为了减少农村地区的毒品使用，预防和干预工作必须考虑到社会和环境的影响。运用多层次社会流行病学方法。可以特别有效地建立一个理论框架，最好地解决这些不断上升的毒品趋势。
Findings from recent epidemiological investigations indicate that substance use in rural America has increased to the point where it nearly equals, if not exceeds, the rates found in suburban and urban areas. Although previous research has examined factors that have influenced use patterns, little attention has been devoted to the social and community contextual influences on these drug use trends. Based on a review of the literature, this article's purpose is to discuss distinctive features of rural communities, describe the impact of social and community influences on drug use, and explore implications for future research and interventions. Although rural areas have undergone tremendous economic and social change in the past 20 years, there remain unique social and community factors that serve to mediate alcohol and illicit drug use. In order to reduce drug use in rural areas, prevention and intervention efforts must consider social and environmental influences. Utilization of a multilevel social epidemiological approach. could be particularly effective in developing a theoretical framework that best addresses these rising drug trends.