Substance Use and Misuse
Volume 47, Issue 4, 2012, Pages 347-355

Impact of migration on explanatory models of illness and addiction severity in patients with drug dependence in a paris suburb (Article)

Taeb O.* , Chevret S. , Moro M.R. , Weiss M.G. , Biadi-Imhof A. , Reyre A. , Baubet T.
  • a Department of Psychiatry, Avicenne Hospital, APHP, Paris 13 University, 125 rue de Stalingrad, Bobigny and Paris 93000, France
  • b Department of Biostatistics, Saint-Louis Hospital, APHP, Paris Diderot University, Paris, France
  • c Department of Adolescent Psychiatry, Cochin Hospital, APHP, Paris Descartes University, Paris, France
  • d Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland
  • e Department of Sociology, Groupe d'Analyse du Social et de la Sociabilité, Centre National de la Recherche Scientifique, Paris, France
  • f Department of Psychiatry, Avicenne Hospital, APHP, Paris 13 University, 125 rue de Stalingrad, Bobigny and Paris 93000, France
  • g Department of Psychiatry, Avicenne Hospital, APHP, Paris 13 University, 125 rue de Stalingrad, Bobigny and Paris 93000, France

Abstract

Objectives of this study were to assess explanatory models (considering illness experience and meaning), addiction severity among patients with drug dependence, and the role of migration. Adapted Explanatory Model Interview Catalogue interviews were conducted with 70 outpatients in a Paris suburb. Among them, 42 were either first-or second-generation immigrants, most from North Africa. Explanatory models were analyzed qualitatively and quantitatively according to migration status, assessing potential confounders with multivariate linear models. Explanatory models were heterogeneous. Compared with nonmigrants, migrants reported fewer somatic and violence-related symptoms. They attributed the causes of their addiction more frequently to social and magico-religious factors and less to psychological factors. Conversely, no difference in addiction severity was found between migrants and nonmigrants. Considering local patterns of illness experience and meaning of drug dependence is a critical component of culturally sensitive clinical care. © 2012 Informa Healthcare USA, Inc.

Author Keywords

Migration Drug dependence Explanatory models of illness Addiction severity Paris

Index Keywords

prospective study Models, Psychological hospitalization psychological model psychological aspect France Prospective Studies human Substance-Related Disorders ethnology Humans Severity of Illness Index male Emigrants and Immigrants female Africa Article adult Africa, Northern Psychological Theory migration Emigration and Immigration addiction
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856037849&doi=10.3109%2f10826084.2011.639841&partnerID=40&md5=9a45ca402e74e51e117e47a2c1f4bd94
DOI: 10.3109/10826084.2011.639841
ISSN: 10826084
Cited by: 3
Original Language: English