| 期刊詳細資料 Journal detailed information |
| 作者(Author) | Molina, K.M., Alegria, M., Chen, C.-N. |
| 篇名(Article title) | Neighborhood context and substance use disorders: A comparative analysis of racial and ethnic groups in the United States |
| 期刊名(Journal name) | Drug and Alcohol Dependence |
| 國際期刊(International Journal) | SCI |
| 中文摘要(Abstrct) | |
| ABSTRCT | Background: There is evidence that ethnic/racial minorities are conferred differential risk for substance use
problems based on where they live. Despite a burgeoning of research focusing on the role of neighborhood
characteristics on health, limited findings are available on substance use. Our study uses nationally representative
data (N = 13,837) to examine: (1) what neighborhood characteristics are associated with risk
of substance use disorders?; (2) do the associations between neighborhood characteristics and substance
use disorders remain after adjusting for individual-level factors?; and (3) do neighborhood characteristics
associated with substance use disorders differ by race/ethnicity after adjusting for individual-level
factors?
Methods: Data were drawn from the Collaborative Psychiatric Epidemiology Studies (CPES-Geocode file)
with 836 census tracts. Analyses included African Americans, Asians, Caribbean Blacks, Latinos, and non-
Latino whites. Separate logistic regression models were fitted for any past-year substance use disorder,
alcohol use disorder, and drug use disorder.
Results: Living in more affluent and residentially unstable census tracts was associated with decreased
risk of past-year substance use disorder, even after adjusting for individual-level factors. However, when
we investigated the interaction of race/ethnicity and census latent factors with past-year substance use
disorders, we found different associations for the different racial/ethnic groups. We also found different
associations between neighborhood affluence, residential instability and any past-year substance use
and alcohol disorders by nativity.
Conclusions: Characteristics of the environment might represent differential risk for substance disorders
depending on a person’s ethnicity/race and nativity status. |
| 中文關鍵字(Keyword) | |
| KEYWORD | |
| 卷期(Volume No) | Vol. 125 |
| 頁數(Page number) | pp. 35~43 |
| 年份(Year) | 2012 |
| 語言(Language) | 英文 English |