Cent Eur J Public Health 2022, 30(4):253-260 | DOI: 10.21101/cejph.a7121

Predictors of methamphetamine use in disadvantaged neighbourhoods in Czechia

Benjamin Petruželka1, 2, Petr Kupka3, Václav Walach3
1 Department of Addictology, General University Hospital in Prague, Prague, Czech Republic
2 Department of Addictology, First Faculty of Medicine, Charles University, Prague, Czech Republic
3 Department of Social Work, Faculty of Social Studies, University of Ostrava, Ostrava, Czech Republic

Objective: This study aims to identify predictors of the lifetime prevalence of methamphetamine use in the population of Czech disadvantaged neighbourhoods.

Methods: Using data from a face-to-face representative survey, two types of analysis were performed. A bivariate analysis (unadjusted odds ratios estimated with logistic regression) was conducted to determine the relationship with a dependent variable (lifetime prevalence of methamphetamine use). Subsequently, three multivariate binomial logistic regression models (socio-demographic and socioeconomic status, incarceration and victimization, mobility and space) were conducted to control for the influence of other variables.

Results: In a series of multinomial logit models, we have found the following predictors to be significantly associated with lifetime prevalence of methamphetamine use: age, gender, Roma ethnicity, net monthly household income, unstable housing, lifetime experience with incarceration, lifetime experience with discrimination, urban-rural divide, and index of rural peripheralization.

Conclusions: The results suggest that methamphetamine users are multidimensionally disadvantaged and therefore constitute a vulnerable group with specific needs. This should be considered when designing services and policies targeting methamphetamine use in disadvantaged neighbourhoods.

Keywords: methamphetamine, drug use, disadvantaged neighbourhoods, Roma

Received: September 22, 2021; Revised: November 9, 2022; Accepted: November 9, 2022; Published: December 31, 2022  Show citation

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Petruželka B, Kupka P, Walach V. Predictors of methamphetamine use in disadvantaged neighbourhoods in Czechia. Cent Eur J Public Health. 2022;30(4):253-260. doi: 10.21101/cejph.a7121. PubMed PMID: 36718928.
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