@article{ref1,
title="Neighborhood context and substance use disorders: A comparative analysis of racial and ethnic groups in the United States",
journal="Drug and alcohol dependence",
year="2012",
author="Chen, Chih-Nan and Alegria, Margarita and Molina, Kristine M.",
volume="125 ",
number="Suppl 1",
pages="S35-S43",
abstract="BACKGROUND: There is evidence that ethnic/racial minorities are conferred differential risk for substance use problems based on where they live. Despite a burgeoning of research focusing on the role of neighborhood characteristics on health, limited findings are available on substance use. Our study uses nationally representative data (N=13,837) to examine: (1) what neighborhood characteristics are associated with risk of substance use disorders?; (2) do the associations between neighborhood characteristics and substance use disorders remain after adjusting for individual-level factors?; and (3) do neighborhood characteristics associated with substance use disorders differ by race/ethnicity after adjusting for individual-level factors? METHODS: Data were drawn from the Collaborative Psychiatric Epidemiology Studies (CPES-Geocode file) with 836 census tracts. Analyses included African Americans, Asians, Caribbean Blacks, Latinos, and non-Latino whites. Separate logistic regression models were fitted for any past-year substance use disorder, alcohol use disorder, and drug use disorder. RESULTS: Living in more affluent and residentially unstable census tracts was associated with decreased risk of past-year substance use disorder, even after adjusting for individual-level factors. However, when we investigated the interaction of race/ethnicity and census latent factors with past-year substance use disorders, we found different associations for the different racial/ethnic groups. We also found different associations between neighborhood affluence, residential instability and any past-year substance use and alcohol disorders by nativity. CONCLUSIONS: Characteristics of the environment might represent differential risk for substance disorders depending on a person's ethnicity/race and nativity status.<p /> <p>Language: en</p>",
language="en",
issn="0376-8716",
doi="10.1016/j.drugalcdep.2012.05.027",
url="http://dx.doi.org/10.1016/j.drugalcdep.2012.05.027"
}