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The Associations between Risky Psychosocial Environment, Substance Addiction Severity and Imprisonment: A Swedish Registry Study
Umeå University, Faculty of Social Sciences, Department of Social Work.
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0001-8296-5313
University of Denver Graduate School of Social Work, Denver, Colorado, USA.
2019 (English)In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: Both childhood and adult psychosocial stressors have been identified as links to both increased risk for substance use disorder (SUD) and increased risk of imprisonment. The aim of this retrospective study is to identify, for a sample of 14,914 adults who all were assessed for risky substance use or a SUD, the importance of having a history of psychosocial stressors compared to current addiction severity. The analyses control for age, gender and education on the likelihood of future imprisonment. 

Method: Baseline Addiction Severity Index data (ASI) were merged with national registry data on prison sentences from 2003 to 2016. In the analysis, a Cox regression was used to study the association between independent variables and the likelihood of future imprisonment. 

Results: In the regression, five variables showed significant association to increased risk of imprisonment: ASI drugs other than alcohol Composite Score (positive relationship), ASI alcohol Composite Score (negative relationship), age (younger), education (lower) and parental problems with drugs other than alcohol. The factor with strongest association with imprisonment was the ASI drugs other than alcohol Composite Score, which showed the highest HR = 10.63 (3.50–32.31) for women and HR = 5.52 (3.77–8.08) for men to predict the likelihood of imprisonment. 

Discussion: Research is needed on why individuals with history of psychosocial stressors have a higher likelihood of imprisonment compared to their counterparts. Findings indicate that a high ASI Composite Score for drugs other than alcohol are strong predictors of future criminality and criminal justice system involvement.

Place, publisher, year, edition, pages
Taylor & Francis, 2019.
Keywords [en]
Substance use disorder, addiction severity index, imprisonment, Sweden, register database study
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:umu:diva-166043DOI: 10.1080/10826084.2019.1696823ISI: 000501420600001OAI: oai:DiVA.org:umu-166043DiVA, id: diva2:1376412
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2020-01-03

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Grahn, RobertPadyab, MojganLundgren, Lena
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