We hypothesized that neighborhood disadvantage might function as a determinant of'exposure opportunity'an intermediate step on a path toward starting to use drugs illicitly.
Testing this hypothesis, we analyzed self-report data gathered in 1992 by means of confidential interviews with 1416 urban-dwelling middle-school participants in a longitudinal field study.
Within this epidemiologic sample, 50 youths said that someone actively had offered them a chance to take cocaine or smoke crack ; tobacco had been offered to 395 youths ; alcohol to 429 youths.
Using multiple logistic regression to hold constant grade, sex, minority status, and peer drug use, we found a moderately potent association between neighborhood disadvantage and exposure to cocaine : youths living in the most disadvantaged neighborhoods (highest tertile) were an estimated 5.6 times more likely to have been offered cocaine, as compared to those in relatively advantaged neighborhoods (P=0.001).
By comparison, there were weaker but statistically significant associations involving tobacco exposure opportunity (odds ratio, OR=1.7, P=0.004) and alcohol exposure opportunity (OR=1.9, P=0.0005).
Future research will clarify the etiologic significance of neighborhood disadvantage in pathways leading toward illicit drug use.
Mots-clés Pascal : Consommation, Cocaïne, Substance toxicomanogène, Influence sociale, Environnement social, Initiation, Epidémiologie, Milieu urbain, Maryland, Etats Unis, Amérique du Nord, Amérique, Préadolescent, Homme, Voisinage
Mots-clés Pascal anglais : Consumption, Cocaine, Drug of abuse, Social influence, Social environment, Initiation, Epidemiology, Urban environment, Maryland, United States, North America, America, Preadolescent, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0136025
Code Inist : 002B18C05A. Création : 21/05/1997.