دانلود مقاله انگلیسی رایگان:عوارض اجتماعی و اقتصادی سوء مصرف مواد مخدر در یک گروه ملی سوئد - 2020
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  • Socioeconomic sequelae of drug abuse in a Swedish national cohort Socioeconomic sequelae of drug abuse in a Swedish national cohort
    Socioeconomic sequelae of drug abuse in a Swedish national cohort

    سال انتشار:

    2020


    عنوان انگلیسی مقاله:

    Socioeconomic sequelae of drug abuse in a Swedish national cohort


    ترجمه فارسی عنوان مقاله:

    عوارض اجتماعی و اقتصادی سوء مصرف مواد مخدر در یک گروه ملی سوئد


    منبع:

    Sciencedirect - Elsevier - Drug and Alcohol Dependence, 212 (2020) 107990. doi:10.1016/j.drugalcdep.2020.107990


    نویسنده:

    Alexis C. Edwardsa,*, Henrik Ohlssonb, Jan Sundquistb, Kristina Sundquistb,c,1, Kenneth S. Kendlera


    چکیده انگلیسی:

    Background: Drug abuse is frequently associated with negative sequelae such as reduced socioeconomic functioning. The extent to which these associations are attributable to a causal role of the disorder versus confounding factors that increase risk for both drug abuse and negative socioeconomic outcomes is unclear. Methods: Drug abuse cases were identified using Swedish national medical, pharmacy, and criminal registers. Applying Cox proportional hazard models, we tested the association between drug abuse and four outcomes: early retirement, social assistance, unemployment, and income at age 50. We used co-relative models to determine whether familial confounding factors accounted for observed associations. Results: In models adjusted for birth year, education, and early onset externalizing behavior, drug abuse was strongly associated with early retirement (hazard ratios [HR]=5.13–6.28), social assistance (HR=6.74–7.89), and income at age 50 (beta=−0.19 to −0.12); it was more modestly associated with unemployment (HR=1.05–1.20). For social assistance and income (both sexes), and early retirement (women only), a model in which the association was partly attributable to familial factors fit the data well; residual associations support a partially causal role of drug abuse. For unemployment and early retirement among men, there was little evidence of familial confounding. Conclusions: The negative socioeconomic sequelae of drug abuse are likely due in part to familial confounding factors in conjunction with a causal relationship and/or unmeasured non-familial confounders. Relative contributions from distinct mechanisms differed across socioeconomic outcomes, which could have implications for understanding the potential impact of prevention and intervention efforts.
    Keywords: Drug abuse | Socioeconomic outcomes | Co-relative model | Survival model


    سطح: متوسط
    تعداد صفحات فایل pdf انگلیسی: 7
    حجم فایل: 306 کیلوبایت

    قیمت: رایگان


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