Evidence map›Paper›PMID 30889058›Full record

ArticleJournal of addiction medicine

Immigration Status and Substance Use Disorder-related Mortality in Sweden: A National Longitudinal Registry Study.

Lena Lundgren, Mojgan Padyab, Nancy M Lucero, Marcus Blom-Nilsson, Siv Nyström, Tabitha Carver-Roberts, Mikael Sandlund

Open access · hybridAbstract read
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Lena LundgrenButler Institute of Families, Graduate School of Social Work, University of Denver, Denver, CO (LL, NML,TCR); Department of Social Work, Umeå University, Umeå, Sweden (LL, MBN, MP); Centre for Demography and Ageing Research (CEDAR), Umeå University, Umeå, Sweden (MP); National Board of Health and Welfare, Stockholm, Sweden (SN); Department of Psychiatry, School of Medicine, Umea University, Umeå, Sweden (MS).
Mojgan Padyab
Nancy M Lucero
Marcus Blom-Nilsson
Siv Nyström
Tabitha Carver-Roberts
Mikael Sandlund
Creative Commons · USUmeå University · SENational Board of Health and Welfare · SEUniversity of Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFirst-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.

methodsA 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).

resultsAge, 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.

Indexed as

AdolescentAdultEmigration and ImmigrationFemaleHumansMaleMiddle AgedMultivariate AnalysisProportional Hazards ModelsRegistriesRisk FactorsSubstance-Related DisordersSwedenYoung Adult

Identifiers

PMID30889058
PMCPMC6844649
OpenAlexW2939402482

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.