umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Immigration Status and Substance Use Disorder-related Mortality in Sweden: A National Longitudinal Registry Study
Umeå University, Faculty of Social Sciences, Department of Social Work. Butler Institute of Families, Graduate School of Social Work, University of Denver, Denver, CO.
Umeå University, Faculty of Social Sciences, Department of Social Work. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).ORCID iD: 0000-0001-8296-5313
Butler Institute of Families, Graduate School of Social Work, University of Denver, Denver, CO.
Umeå University, Faculty of Social Sciences, Department of Social Work.
Show others and affiliations
2019 (English)In: Journal of addiction medicine, ISSN 1932-0620, E-ISSN 1935-3227, Vol. 13, no 6, p. 483-492Article in journal (Refereed) Published
Abstract [en]

Objectives: First-generation immigrants, in many countries, are healthier than their native counterparts. This study examined the association between first- and second-generation immigrant status and alcohol- or drugs other than alcohol-related (primarily opioids) mortality for those with risky substance use.

Methods: A Swedish longitudinal, 2003 to 2017, registry study combined Addiction Severity Index (ASI) assessment data with mortality data (n = 15 601). Due to missing data, the analysis sample for this study was 15 012. Multivariate models tested the relationship between immigration status and drugs other than alcohol or alcohol-related mortality, controlling for demographics and the 7 ASI composite scores (CS).

Results: Age, a higher ASI CS for alcohol, a lower ASI CS family and social relationship, a lower ASI CS for drug use and a higher ASI CS for health significantly predicted mortality because of alcohol-related causes. Higher ASI CS for drugs other than alcohol, employment, and health, age, male sex, and immigration status predicted drugs other than alcohol, related mortality. Individuals born in Nordic countries, excluding Sweden, were 1.76 times more likely to die of drugs other than alcohol compared with their Swedish counterparts. Individuals born outside a Nordic country (most common countries: Iran, Somalia, Iraq, Chile) were 61% less likely to die of drugs other than alcohol compared with their Swedish counterparts. Those with parents born outside Nordic countries were 54% less likely to die of drugs other than alcohol.

Discussion: Research is needed on why people with risky substance use from Nordic countries (not Sweden) residing in Sweden, have higher mortality rates because of drugs other than alcohol (primarily opioids drugs other than alcohol compared with the other population groups in our study). Findings indicate that ASI CSs are strong predictors of future health problems including mortality due to alcohol and other drug-related causes.

Place, publisher, year, edition, pages
Wolters Kluwer, 2019. Vol. 13, no 6, p. 483-492
Keywords [en]
alcohol-related mortality, Addiction Severity Index, drugs other than alcohol-related mortality, immigration status, opioid-related mortality
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-157873DOI: 10.1097/ADM.0000000000000524ISI: 000511844300012PubMedID: 30889058Scopus ID: 2-s2.0-85074552763OAI: oai:DiVA.org:umu-157873DiVA, id: diva2:1302394
Projects
STANCEAvailable from: 2019-04-04 Created: 2019-04-04 Last updated: 2020-03-26Bibliographically approved

Open Access in DiVA

fulltext(212 kB)25 downloads
File information
File name FULLTEXT02.pdfFile size 212 kBChecksum SHA-512
ed8cc4fb210f1fe7f43f548f9e4c2190ba2a8ae8e7f2f77a9cec637824ed54c2ba60842cf7c74535a2e9a87cfc5828ef7c5012d6c2b25782ac9339a0a4805725
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records BETA

Lundgren, LenaPadyab, MojganBlom-Nilsson, MarcusSandlund, Mikael

Search in DiVA

By author/editor
Lundgren, LenaPadyab, MojganBlom-Nilsson, MarcusSandlund, Mikael
By organisation
Department of Social WorkCentre for Demographic and Ageing Research (CEDAR)Psychiatry
In the same journal
Journal of addiction medicine
Social Work

Search outside of DiVA

GoogleGoogle Scholar
Total: 96 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 355 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf