TY - JOUR PY - 2012// TI - Impact of Migration on Explanatory Models of Illness and Addiction Severity in Patients With Drug Dependence in a Paris Suburb JO - Substance use and misuse A1 - Taïeb, Olivier A1 - Chevret, Sylvie A1 - Moro, Marie Rose A1 - Weiss, Mitchell G. A1 - Biadi-Imhof, Anne A1 - Reyre, Aymeric A1 - Baubet, Thierry SP - 347 EP - 355 VL - 47 IS - 4 N2 - Objectives of this study were to assess explanatory models (considering illness experience and meaning), addiction severity among patients with drug dependence, and the role of migration. Adapted Explanatory Model Interview Catalogue interviews were conducted with 70 outpatients in a Paris suburb. Among them, 42 were either first- or second-generation immigrants, most from North Africa. Explanatory models were analyzed qualitatively and quantitatively according to migration status, assessing potential confounders with multivariate linear models. Explanatory models were heterogeneous. Compared with nonmigrants, migrants reported fewer somatic and violence-related symptoms. They attributed the causes of their addiction more frequently to social and magico-religious factors and less to psychological factors. Conversely, no difference in addiction severity was found between migrants and nonmigrants. Considering local patterns of illness experience and meaning of drug dependence is a critical component of culturally sensitive clinical care.
Language: en
LA - en SN - 1082-6084 UR - http://dx.doi.org/10.3109/10826084.2011.639841 ID - ref1 ER -