title: Relationships Between Integration and Drug Use Among Deported Migrants in Tijuana, Mexico.
abstract: Deported migrants face numerous challenges which may elevate their risk for drug use. We examined relationships between integration and drug use among deported migrants in Tijuana, Mexico. A cross-sectional survey conducted at a free health clinic included 255 deported Mexican-born migrants residing in Tijuana ≥6 months. Multivariable logistic regression examined associations between variables across four integration domains (public participation, social connections, macro-level facilitators and foundations) and recent (past 6-month) drug use. The prevalence of recent drug use was 46 %. Having sought work in Tijuana in the past 6 months, greater household affluence, lifetime history of incarceration in both US and Mexico, and lacking health insurance were independently associated with recent drug use. Policies that support access to employment, adequate housing and healthcare in Mexico, particularly for justice-involved deportees, may facilitate successful integration and reduce potential stressors that may contribute to drug use.
authors: Division of Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.|Centre for Population Health, Burnet Institute, Melbourne, VIC, 3004, Australia.|School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
authors: Danielle
authors: D
authors: Horyniak
authors: Alcohol Research Group, University of California Berkeley, Emeryville, CA, 94608, USA.
authors: Miguel
authors: M
authors: Pinedo
authors: Division of Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.
authors: Jose Luis
authors: JL
authors: Burgos
authors: Division of Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA. vojeda@uscd.edu.
authors: Victoria D
authors: VD
authors: Ojeda
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008603:Mental Health; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D011329:Prisoners / Q000706:statistics & numerical data; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous; D019966:Substance-Related Disorders / Q000208:ethnology*; D000069756:Undocumented Immigrants / Q000706:statistics & numerical data*
keywords: Deportation; Illicit drug use; Integration; Mexico; Migration