IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE
Tarfa Verinumbe MD, MPH , Andrea N. Ponce MPH , Grace Y. Lee BSc , Unique Kumtap MPH , Catherine R. Lesko PhD , Malik Burnett MD, MPH , Carl Latkin PhD , Oluwaseun Falade-Nwulia MD, MPH
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引用次数: 0

摘要

背景在美国,与毒品有关的死亡是一项重大的公共卫生挑战。虽然社会资本已成为了解吸毒过量预测因素的宏观社会结构,但大多数研究都是在个人和邻里层面对这一结构进行研究。本生态研究旨在调查美国 50 个州和哥伦比亚特区的县级社会资本与吸毒过量死亡率之间的关系。方法县级社会资本由社会资本指数(SCI)衡量,该指数来自美国国会的社会资本项目。SCI 包含与家庭结构稳定性、对机构的信心和信任、社区凝聚力、社会网络结构和志愿服务相关的指标。2017 年至 2019 年的县级药物过量死亡率数据来自国家生命统计系统限制使用数据文件。结果在2992个县的样本中,各县的SCI从低于平均SCI的-4.32个标准差到高于平均SCI的2.97个标准差不等。结论在这项研究中,社会资本高的县的吸毒过量死亡率明显低于社会资本低的县。政策制定者可以考虑采取干预措施,促进社会资本对吸毒过量死亡率影响的中介因素,以此应对这一公共卫生挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The association between social capital and drug overdose mortality in the United States

Background

Drug-related death is a significant public health challenge in the United States (U.S.). While social capital has emerged as a macro-social construct of interest in understanding the predictors of drug overdose, most research has examined this construct at the individual and neighborhood-level. This ecological study aims to investigate the association between county-level social capital and drug overdose mortality across 50 U.S. states and the District of Columbia.

Methods

County-level social capital, as measured by a social capital index (SCI), was obtained from the U.S. Congress’ Social Capital Project. The SCI incorporates indicators related to family structure stability, confidence and trust in institutions, community cohesion, social network structure and volunteerism. County drug overdose mortality data from 2017 to 2019 were obtained from the National Vital Statistics System restricted-use data files. The association between county-level social capital and drug overdose mortality was assessed by multi-level negative-binomial regression models.

Results

In a sample of 2,992 counties, SCI ranged from -4.32 standard deviation below to 2.97 standard deviation above the average SCI across counties. After adjusting for covariates, a one standard deviation increase in SCI was associated with a 24 % decrease in drug overdose death rate (adjusted IRR: 0.76; 95 % CI: 0.71, 0.81).

Conclusion

In this study, counties with high social capital had significantly lower rates of drug overdose deaths than counties with low social capital. Policymakers may consider interventions aimed at promoting factors that mediate the effects of social capital on drug overdose mortality, as a way to tackle this public health challenge.
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来源期刊
CiteScore
7.80
自引率
11.40%
发文量
307
审稿时长
62 days
期刊介绍: The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.
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