Document Detail


Impact of Migration on Explanatory Models of Illness and Addiction Severity in Patients With Drug Dependence in a Paris Suburb.
MedLine Citation:
PMID:  22216867     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Olivier Taïeb; Sylvie Chevret; Marie Rose Moro; Mitchell G Weiss; Anne Biadi-Imhof; Aymeric Reyre; Thierry Baubet
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-4
Journal Detail:
Title:  Substance use & misuse     Volume:  -     ISSN:  1532-2491     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602153     Medline TA:  Subst Use Misuse     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Department of Psychiatry, Avicenne Hospital, APHP, Paris 13 University, EA4403, Inserm U669 Unit, Bobigny and Paris, France.
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