The substance use system: social and neighborhood environments associated with substance use and misuse.

Substance use theory and practice have traditionally focused on individuals who misuse substances or who are at risk for substance misuse, but this emphasis is shifting. The present study views both substance use and misuse systematically, assessing the relationships between the physical and social environments and substance use and misuse in dynamic interplay. This substance use system was examined through a survey of approximately 10,000 persons, aged 22-44, from primarily inner-city neighborhoods in the United States. Individual indicators such as race, sex, age, socioeconomic status, education, and religious service attendance relate to both the physical and interpersonal environments, even when each is controlled for the others. Qualities of both environments are strongly associated with substance dependency, even after individual indicators are controlled. These findings suggest the difficulty of bringing about change in drug and alcohol use without fundamental change in the environments where use takes place.

[1]  D. Gorman,et al.  Community-based approaches for the prevention of alcohol, tobacco, and other drug use. , 1996, Annual review of public health.

[2]  R. Parker.  Poverty, Subculture of Violence, and Type of Homicide , 1989 .

[3]  D. Massey.  American Apartheid: Segregation and the Making of the Underclass , 1993 .

[4]  L. Saxe,et al.  Zero Effects in Substance Abuse Programs , 1998, Evaluation review.

[5]  Anthony S. Bryk,et al.  Hierarchical Linear Models: Applications and Data Analysis Methods , 1992 .

[6]  K. Bauman,et al.  Peer influence on adolescent drug use. , 1994, The American psychologist.

[7]  C. Kadushin,et al.  Mental health and the interpersonal environment: a reexamination of some effects of social structure on mental health. , 1983, American sociological review.

[8]  R. Sampson,et al.  Community Structure and Crime: Testing Social-Disorganization Theory , 1989, American Journal of Sociology.

[9]  T. Wills,et al.  Large-Scale Environmental Risk Factors for Substance Use , 1996 .

[10]  C. Bell,et al.  Community Studies: An Introduction to the Sociology of the Local Community , 1973 .

[11]  D. Lettieri,et al.  Theories on drug abuse : selected contemporary perspectives , 1980 .

[12]  L. Szalay,et al.  Social influences: effects of the social environment on the use of alcohol and other drugs. , 1996, Substance use & misuse.

[13]  D. Kandel,et al.  The natural history of drug use from adolescence to the mid-thirties in a general population sample. , 1995, American journal of public health.

[14]  D. Kandel.  The social demography of drug use. , 1991, The Milbank quarterly.

[15]  C. Turner,et al.  Monitoring trends in drug use: strategies for the 21st century. , 1997, Substance use & misuse.

[16]  J. Walton,et al.  URBAN SOCIOLOGY: the contribution and limits of political economy , 1993 .

[17]  Charles Kadushin,et al.  Social Networks and Urban Neighborhoods in New York City , 1992 .

[18]  John K. Cochran,et al.  Moral Messages: The Relative Influence of Denomination on the Religiosity-Alcohol Relationship , 1987 .

[19]  W. A. Spickard,et al.  Fighting back against America's public health enemy number one. , 1994, Bulletin of the New York Academy of Medicine.

[20]  David Rindskopf,et al.  Think globally, act locally: Assessing the impact of community-based substance abuse prevention☆ , 1997 .

[21]  C. Fischer.  To Dwell Among Friends , 1982 .

[22]  H. Russell Bernard,et al.  A social network approach to corroborating the number of AIDS/HIV+ victims in the US ° , 1995 .

[23]  S. D. Berkowitz,et al.  Social Structures: A Network Approach , 1989 .

[24]  S. D. Berkowitz,et al.  Social Structures: A Network Approach , 1989 .

[25]  R. Kessler,et al.  Prevalence and correlates of drug use and dependence in the United States. Results from the National Comorbidity Survey. , 1995, Archives of general psychiatry.

[26]  Brian R. Flay,et al.  Reviewing Theories of Adolescent Substance Use: Organizing Pieces in the Puzzle , 1995 .