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Intravenous drug abuse in young men

Risk factors assessed in a longitudinal perspective

Karolinska Institute, Department of Social Medicine, Kronan Health Centre, S-172 83 Sundbyberg, Sweden, Dr Marlene Stenbacka Dept. of Social Medicine Kronan Health Centre S-17283 Sundbyberg

Peter Allebeck

Peter Allebeck, Department of Community Medicine, Huddinge University Hospital, S-141 86 Huddinge, Sweden

Lena Brandt

Lena Brandt, Department of Community Medicine, Huddinge University Hospital, S-141 86 Huddinge, Sweden

Anders Romelsjö

Anders Romelsjö, Karolinska Institute, Department of Social Medicine, Kronan Health Centre, S-172 83 Sundbyberg, Sweden.

Intravenous drug abuse in young men: Risk factors assessed in a longitudinal perspective. Stenbacka, M. (Department of Social Medicine, Kronan Health Centre, S-172 83 Sundbyberg, Sweden).

The role of family background as well as behavioural and psychological factors as risk factors for intravenous drug abuse was analysed in a longitudinal study of 8168 Swedish men conscripted for military service in 1969-70. Information about risk factors was obtained from a survey of all Swedish conscripts. Records on intravenous drug abuse, during a followup ending in 1986, were obtained from a survey of intravenous drug abusers among persons brought to the Central police arrest in Stockholm. Strong predictors of intravenous drug abuse were contact with the police or juvenile authorities (RR = 22.3 95% CI 15.1-33.0), high alcohol consumption (RR = 9.2 95% CI 6.7-12.7) and psychiatric diagnosis at conscription (RR = 6.0 95% CI 4.5-8.1) and low social class (RR = 3.6 95% CI 2.2-5.9). In multivariate analyses, these factors and indicators of deviant behaviour still carried significantly increased relative risk for intravenous drug abuse, although several of them are interrelated. Low emotional control, nervousness, sleeping problems and other nervous problems were associated with an increased relative risk in univariate but not in multivariate analyses.

Key Words: Epidemiology • substance abuse • narcotics • social medicine • psychology

Scandinavian Journal of Public Health, Vol. 20, No. 2, 94-101 (1992)
DOI: 10.1177/140349489202000206


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