ArticleDrug and alcohol dependence2025
The role of community disorder in the association between drug availability and drug use: A moderated mediation analysis.
Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Predicting Substance Use in Young Adults: The Role of Childhood Adversity.Medicina (Kaunas, Lithuania) · 2026Article
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4 authors.
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Abstract
introductionDrug availability plays a crucial role in shaping drug use behavior. This study examines how reported drug presence, operationalized as living on a drug hot spot street, influences self-reported drug use through perceived drug availability and whether community disorder moderates this relationship.
methodsThis cross-sectional study analyzed survey data from 3738 respondents residing on 449 street segments in Baltimore, Maryland (August 2013 - June 2014), categorized as crime hot spots or non-hot spots. Logistic regression models with robust standard errors estimated the direct association between reported drug presence and self-reported drug use, as well as the indirect association mediated through perceived drug availability. Additionally, a moderated mediation analysis tested whether community disorder conditioned the indirect pathway.
resultsThe relationship between reported drug presence and self-reported drug use was primarily indirect, operating through perceived availability. When perceived availability was included, the odds ratio for reported drug presence decreased from 1.19 [95 % CI: 1.00, 1.40] to 1.09 [95 % CI: 0.92, 1.29], while perceived availability was strongly associated with self-reported drug use (odds ratio = 1.45 [95 % CI: 1.23, 1.72]). However, this indirect pathway was statistically significant only in areas with lower levels of community disorder but insignificant in high-disorder settings.
conclusionsPerceptions of drug availability significantly influence drug use behavior. While reducing perceived availability may be particularly effective in lower-disorder areas, addressing drug use in vulnerable, high-disorder settings requires a comprehensive, cross-sector approach that improves environmental conditions and addresses broader socioeconomic factors contributing to disorder and drug use.
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