Socioeconomic Disparities and Self-reported Substance Abuse-related Problems

Background It is not well understood whether the self-reported experience of substance abuse-related problems differs by socioeconomic status. Methods We conducted a secondary analysis using the 2013 National Survey on Drug Use and Health (NSDUH) on participants who reported ever using illicit drugs or used illicit drugs in the past year. Findings Among those reporting ever using illicit drugs (n = 4701), 71% were Non-Hispanic White, 37% had a family income ≥ $75000, and 3% reported having substance abuse-related problems in the past year. After adjustment for age, race, marital status, and education, individuals in the lowest income group were more likely to report having problems related to their substance abuse compared to individuals in the highest income group [odds ratio (OR) = 1.36, 95% confidence interval (CI): 1.08-1.72] among those who reported ever using illicit drugs. There was no evidence of interaction with race or gender. Conclusion Our findings suggest that poverty may be associated with self-identification of substance abuse-related problems among those who report ever using illicit drugs. Appropriate intervention should be targeted toward the low-income group to address identified substance abuse-related problems.

[1]  B. Lambdin,et al.  Exploring Lifetime Accumulation of Criminal Justice Involvement and Associated Health and Social Outcomes in a Community-Based Sample of Women who Use Drugs , 2018, Journal of Urban Health.

[2]  James G. Murphy,et al.  The behavioral economics of young adult substance abuse. , 2016, Preventive medicine.

[3]  J. Jackson,et al.  Substance Abuse Among Blacks Across the Diaspora , 2016, Substance use & misuse.

[4]  A. Caspi,et al.  Persistent Cannabis Dependence and Alcohol Dependence Represent Risks for Midlife Economic and Social Problems , 2016, Clinical psychological science : a journal of the Association for Psychological Science.

[5]  G. Smith,et al.  Department Of Justice National Drug Intelligence Center , 2014 .

[6]  David R. Williams.  Miles to Go before We Sleep , 2012, Journal of health and social behavior.

[7]  M. Alegría,et al.  Racial-ethnic disparities in substance abuse treatment: the role of criminal history and socioeconomic status. , 2011, Psychiatric services.

[8]  Dieter Henkel,et al.  Unemployment and substance use: a review of the literature (1990-2010). , 2011, Current drug abuse reviews.

[9]  P. B. Hall,et al.  Prescription drug abuse & addiction: past, present and future: the paradigm for an epidemic. , 2010, The West Virginia medical journal.

[10]  Michael R Kramer,et al.  Is segregation bad for your health? , 2009, Epidemiologic reviews.

[11]  D. Fergusson,et al.  Cannabis use and later life outcomes. , 2008, Addiction.

[12]  C. Weisner,et al.  Medical and psychiatric conditions of alcohol and drug treatment patients in an HMO: comparison with matched controls. , 2003, Archives of internal medicine.

[13]  T. Gregoire,et al.  The Relationship of Social Support and Economic Self-Sufficiency to Substance Abuse Outcomes in a Long-Term Recovery Program for Women , 2001, Journal of drug education.

[14]  T. J. Peters,et al.  Quality of life measures in alcohol dependent subjects and changes with abstinence and continued heavy drinking , 1998, Addiction biology.

[15]  D. Satre,et al.  Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System. , 2017, Journal of addiction medicine.

[16]  L. Nelson-Zlupko,et al.  Women in recovery. Their perceptions of treatment effectiveness. , 1996, Journal of substance abuse treatment.

[17]  L. Nelson-Zlupko,et al.  Gender differences in drug addiction and treatment: implications for social work intervention with substance-abusing women. , 1995, Social work.