ArticleDrug and alcohol dependence2021
Drinking cultures and socioeconomic risk factors for alcohol and drug use disorders among first- and second-generation immigrants: A longitudinal analysis of Swedish population data.
Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Substance use outcomes in first- and second- generation of immigrants: Systematic review and meta-analysis.Addictive behaviors reports · 2026Review
- Substance use disorders among refugee and non-refugee immigrants in Sweden.European journal of public health · 2026Article
- Parental income and drug use disorder among second-generation individuals in Sweden: effect modification by immigrant background and region of origin.BMC public health · 2026Article
- Factors associated with alcohol use disorder among young adults from ethnic minorities: a cross-sectional study.BMC psychology · 2026Article
- Substance use among second-generation immigrants in France: heritage language as a protective factor.International journal of public health · 2026Article
- Heterogeneous effects of increased availability of alcohol on hospitalization due to external causes: quasi-experimental evidence from the introduction of Saturday opening at Swedish alcohol retail stores.American journal of epidemiology · 2025Article
- Temporal trends of psychiatric disorders incidence by sex, education and immigration status among young and middle-aged adults in Sweden, 2004-2019.BMC psychiatry · 2025Article
- Hazardous drinking by age at migration and duration of residence among migrants in Sweden.Drug and alcohol review · 2025Article
- Examining cultural background and the protective effect of marriage on alcohol use disorder in Sweden.The International journal of social psychiatry · 2025Article
- Cannabis Use from Early Adolescence to the Mid-Twenties in Children of Immigrant and Nonimmigrant Parents: Findings from a Prospective Longitudinal Cohort Study.International journal of mental health and addiction · 2025Article
- Cross-generational transmission of genetic risk for alcohol and drug use disorders: the impact of substance availability on the specificity of genetic risk.Psychological medicine · 2023Article
- Differences in hospitalizations associated with severe COVID-19 disease among foreign- and Swedish-born.European journal of public health · 2023Article
- Triangulation of evidence on immigration and rates of alcohol use disorder in Sweden: Evidence of acculturation effects.Alcohol, clinical & experimental research · 2023Article
- Article
- Identification of the Risk Genes Associated With Vulnerability to Addiction: Major Findings From Transgenic Animals.Frontiers in neuroscience · 2021Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundFew longitudinal studies investigate predictors of substance use incidence among immigrants. The current study describes substance use disorders in immigrants to Sweden, focusing on drinking culture in the country of origin and socioeconomic status (SES), and how these intersect with generational status to influence risk.
methodsUsing pseudonymized Swedish population registry data, we track onset of alcohol use disorder and drug use disorder in a longitudinal study of 815,778 first-generation immigrants and 674,757 second-generation immigrants from 64 countries over a 6-year period. Cox regression analysis estimated risks of alcohol and drug use disorders in second-generation immigrants compared to first-generation, and moderation analyses assessed interactions of generational status with country-of-origin per capita alcohol consumption and SES.
resultsImmigrants and second-generation immigrants originating from countries with high levels of alcohol consumption had higher risks for alcohol and drug use disorders. Immigrants with high SES had lower risks for alcohol and drug use disorders. The interaction between generational status and country-of-origin alcohol consumption was significant for drug use disorder (not for alcohol use disorder), with drug use disorder risk for second-generation immigrants being highest for those from countries with the lowest level of country-of-origin per capita alcohol consumption. The interaction between generational status and SES was significant for alcohol use disorder, with low-SES second-generation immigrants showing markedly higher risk than first-generation immigrants with comparable SES.
conclusionsAmong immigrants in Sweden, second-generation immigrants are at increased risk of developing alcohol and drug use disorders, particularly if they have lower SES. Policy and community attention to these high-risk subgroups in immigrant communities is warranted.
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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.