OBJECTIVE: This study aims to identify predictors of the lifetime prevalence of methamphetamine use in the population of Czech disadvantaged neighbourhoods. METHODS: Using data from a face-to-face representative survey, two types of analysis were performed. A bivariate analysis (unadjusted odds ratios estimated with logistic regression) was conducted to determine the relationship with a dependent variable (lifetime prevalence of methamphetamine use). Subsequently, three multivariate binomial logistic regression models (socio-demographic and socioeconomic status, incarceration and victimization, mobility and space) were conducted to control for the influence of other variables. RESULTS: In a series of multinomial logit models, we have found the following predictors to be significantly associated with lifetime prevalence of methamphetamine use: age, gender, Roma ethnicity, net monthly household income, unstable housing, lifetime experience with incarceration, lifetime experience with discrimination, urban-rural divide, and index of rural peripheralization. CONCLUSIONS: The results suggest that methamphetamine users are multidimensionally disadvantaged and therefore constitute a vulnerable group with specific needs. This should be considered when designing services and policies targeting methamphetamine use in disadvantaged neighbourhoods.

Department of Addictology 1st Faculty of Medicine Charles University Prague Czech Republic

Department of Addictology General University Hospital Prague Prague Czech Republic

Department of Social Work Faculty of Social Studies University of Ostrava Ostrava Czech Republic

Zobrazit více v PubMed

Zábranský T. Methamphetamine in the Czech Republic. J. Drug Issues. 2007;37(1):155-80. DOI

Miovský M. Changing patterns of drug use in the Czech Republic during the post-communist era: a qualitative study. J Drug Issues. 2007;37(1):73-102. DOI

Mravčík V, Chomynová P, Grohmannová K, Janíková B, Černíková T, Rous Z, et al. Annual report on drug situation in the Czech Republic in 2019. Prague: Office of the Government of the Czech Republic; 2020. (In Czech.)

Mravčík V, Chomynová P, Janíková B, Grohmannová K, Orlíková, B. Methamphetamine use and consequences in context of drug situation in the Czech Republic. Profese Online. 2021;14(1):42-56. (In Czech.) DOI

Kupka P, Šmíd T, Walach V. 'I'd say it's around me': Introducing field analysis into bouncer ethnography - the case of a Czech city. Eur J Criminol. 2018;15(3):364-82. DOI

Chomynová P, Kozák J, Mravčík V. Substance use in Roma population in contact with social workers in the Czech Republic: a cross-sectional questionnaire survey. J Ethn Subst Abuse. 2021;20(2):275-94. PubMed DOI

Konečná M, Konečný J. Context and mechanisms of drug addiction in children and adolescents in an environment of social exclusion. Qualitative research. Brno: Brno City Municipality; 2018. (In Czech.)

Vacek J, Šťastná L, Miovský M, Adámková T, Šejvl J, Holcnerová P. Use of volatile substances by children from ethnic minorities: results of a pilot study. Adiktologie. 2010;10(4):214-25. (In Czech.)

Nepustil P, Pančocha K, Frišaufová M, Kalivodová R, Bártová A. Drug use in groups with difficult access to drug services. Situation in the Czech Republic: analysis of information. Prague: Office of the Government of the Czech Republic; 2012. (In Czech.)

Važan P, Khan MR, Poduška O, Št'astná L, Miovský M. Chronic toluene misuse among Roma youth in Eastern Slovakia. Subst Use Misuse. 2011;46 Suppl 1:57-61. PubMed DOI

Čada K, BüchlerováD, Korecká Z, Samec T. Analysis of socially excluded localities in the Czech Republic. Prague: GAC; 2015. (In Czech.)

Hurrle J, Sýkora L, Trlifajová L, Kučera P. Socially excluded localities revisited. Geografie. 2016;121(4):544-65. DOI

Kupka P, Petruželka B, Walach V. Illicit drug use and exposure in disadvantaged neighborhoods in Czechia: policy representations and evidence. J Ethn Subst Abuse. 2022;21(2):662-86. PubMed DOI

Karriker-Jaffe KJ. Areas of disadvantage: a systematic review of effects of area-level socioeconomic status on substance use outcomes. Drug Alcohol Rev. 2011;30(1):84-95. PubMed DOI

Bernard J, Šimon M. Inner peripheries in the Czech Republic: the multidimensional nature of social exclusion in rural areas. Czech Sociol Rev. 2017;53(1):3-28. (In Czech.) DOI

Šimon M. Multi-scalar geographies of polarisation and peripheralisation: a case study of Czechia. Bull Geogr Socioecon Ser. 2017;(37):125-37. DOI

Menard SW. Applied logistic regression analysis. Thousand Oaks: Sage; 1995.

Storr CL, Arria AM, Workman RL, Anthony JC. Neighborhood environment and opportunity to try methamphetamine (ice) and marijuana: evidence from Guam in the Western Pacific region of Micronesia. Subst Use Misuse. 2004;39(2):253-76. PubMed DOI

Shmidt VR, Jaworsky BN. Historicizing Roma in Central Europe: between critical whiteness and epistemic injustice. Abingdon: Routledge; 2021. DOI

Rodriguez N, Katz C, Webb VJ, Schaefer DR. Examining the impact of individual, community, and market factors on methamphetamine use: a tale of two cities. J Drug Issues. 2005;35(4):665-93. DOI

Černá E, Kubala P, Ripka Š. The financial instability of housing first families in the city of Brno - the risk of the recurrence of homelessness. Crit Hous Anal. 2019;6(2):24-32. DOI

German D, Latkin CA. Social stability and health: exploring multidimensional social disadvantage. J Urban Health. 2012;89(1):19-35. PubMed DOI

Milloy MJ, Kerr T, Buxton J, Montaner J, Wood E. Methamphetamine use and rates of incarceration among street-involved youth in a Canadian setting: cross-sectional analysis. Subst Abuse Treat Prev Policy. 2009 Aug 12;4:17. doi: 10.1186/1747-597X-4-17. PubMed DOI

Crawford ND, Borrell LN, Galea S, Ford C, Latkin C, Fuller CM. The influence of neighborhood characteristics on the relationship between discrimination and increased drug-using social ties among illicit drug users. J Community Health. 2013;38(2):328-37. PubMed DOI

Carliner H, Delker E, Fink DS, Keyes KM, Hasin DS. Racial discrimination, socioeconomic position, and illicit drug use among US Blacks. Soc Psychiatry Psychiatr Epidemiol. 2016;51(4):551-60. PubMed DOI

Dombrowski K, Crawford D, Khan B, Tyler K. Current rural drug use in the US Midwest. J Drug Abuse. 2016;2(3):22. doi: 10.21767/2471-853X.100031. DOI

Richardson J, Fendrich M, Johnson TP. Neighborhood effects on drug reporting. Addiction. 2003;98(12):1705-11.41. Peter Weatherburn, Ford Hickson, David S. Reid, Ulrich Marcus, Axel J. Schmidt. European Men-Who-Have-Sex-With-Men Internet Survey (EMIS-2017): Design and Methods. Sexuality Research and Social Policy, published online first 18 December 2019 (doi: 10.1007/s13178-019-00413-0). PubMed DOI