Int J Health Geogr (2007) Baumann

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Associations of social and material deprivation with tobacco, alcohol, and psychotropic drug use, and gender: a population-based study,

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Titre Associations of social and material deprivation with tobacco, alcohol, and psychotropic drug use, and gender: a population-based study Auteurs Michèle Baumann(1), Elisabeth Spitz(2) ; Francis Guillemin(3) , Jean-François Ravaud(4) ; Marie Choquet(5,6,7), Bruno Falissard(5,6,7,8) ; Nearkasen Chau(5,6,7) and Lorhandicap group Affiliations (1)INtegrative research unit on Social and Individual DEvelopment (INSIDE),Université du Luxembourg, Faculty LSHASE, Luxembourg; Luxembourg; (2)Department of psychology, University of Metz, Metz, France; (3)EA 4003, Ecole de Santé Publique, University Henri Poincaré – Nancy 1, Faculté de Médecine, Vandoeuvre-lès-Nancy, France; (4)INSERM, U 750, CERMES, IFR25-IFRH, Villejuif, France; (5)INSERM, U669, Paris, France; (6) Univ Paris-Sud, Paris, France; (7) Univ Paris-Descartes, UMR-S0669 Paris, France; (8)AP-HP, Villejuif, France. In international journal of health geographics, Date 2007 DOI 10.1186/1476-072X-6-50 En ligne Sur PMC : http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2211297/ Sur BioMed Central : http://www.ij-healthgeographics.com/content/6/1/50

Résumé

Contexte

The aim was to assess the relationships between social and material deprivation and the use of tobacco, excessive alcohol and psychotropic drugs by both sexes and in various age groups. Greater knowledge concerning these issues may help public health policy-makers design more effective means of preventing substance abuse.

Méthode

The sample comprised 6,216 people aged ≥ 15 years randomly selected from the population in north-eastern France. Subjects completed a post-mailed questionnaire covering socio-demographic characteristics, occupation, employment, income, smoking habit, alcohol abuse and "psychotropic" drug intake (for headache, tiredness, nervousness, anxiety, insomnia). A deprivation score (D) was defined by the cumulative number of: low educational level, manual worker, unemployed, living alone, nationality other than western European, low income, and non-home-ownership. Data were analysed using adjusted odds ratios (ORa) computed with logistic models.

Résultats

Deprivation was common: 37.4% of respondents fell into category D = 1, 21.2% into D = 2, and 10.0% into D ≥ 3. More men than women reported tobacco use (30.2% vs. 21.9%) and alcohol abuse (12.5% vs. 3.3%), whereas psychotropic drug use was more common among women (23.8% vs. 41.0%). Increasing levels of deprivation were associated with a greater likelihood of tobacco use (ORa vs. D = 0: 1.16 in D = 1, 1.49 in D = 2, and 1.93 in D ≥ 3), alcohol abuse (1.19 in D = 1, 1.32 in D = 2, and 1.80 in D ≥ 3) and frequent psychotropic drug intake (1.26 in D = 1, 1.51 in D = 2, and 1.91 in D ≥ 3). These patterns were observed in working/other non-retired men and women (except for alcohol abuse in women). Among retired people, deprivation was associated with tobacco and psychotropic drug use only in men.

Conclusion

Preventive measures should be designed to improve work conditions, reduce deprivation, and help deprived populations to be more aware of risk and to find remedial measures.

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