Skip to main content

Epidemiology of Contemporary Drug Abuse

  • Chapter
Policing and Prescribing
  • 29 Accesses

Abstract

In the Oxford English Dictionary (OED 1989) epidemiology is defined as ‘That branch of medical science which treats of epidemics’. This definition is unsatisfactory on two counts. Firstly, it presents a very dated and circumscribed view of the range of subjects studied by epidemiologists. Secondly, it is misleading because it conveys the impression that the field is solely the concern of medical scientists. It is certainly true that scientific epidemiological studies arose in the nineteenth century in response to community-wide epidemics of acute infectious diseases (Barker, 1973) and that such research is still important (for example, Cliff et al. 1987; Scientific American, 1988). However, for the past 50 years or so the impact of the majority of infectious diseases has diminished considerably, while the scope of the subject has broadened to include all diseases. Epidemiology is now the basic science of public health, embracing all morbidity and mortality. Furthermore, medical scientists have been joined by a growing number of experts from other disciplines—history, the social sciences, demography and statistics. Their different perspectives have further broadened the scope of the subject. Thus a recent dictionary of epidemiology defines the discipline as: ‘The study of the distribution and determinants of health-related states and events in populations, and the application of this study to control of health problems’ (Last, 1982). Consequently it could be argued, with some justification, that all the chapters in the present book constitute aspects of the epidemiology of drug abuse!

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • American Psychiatric Association (1980), Diagnostic and Statistical Manual of Mental Disorders, 3rd ed (Washington, DC: APA).

    Google Scholar 

  • Arroyave, F., D. Little, F. Letemendia and R. De Alarcon (1973) ‘Misuse of

    Google Scholar 

  • Heroin and Methadone in the City of Oxford’, British Journal of Addiction, 68, pp. 129–35.

    Google Scholar 

  • Barker, D. J. E. (1973) Practical Epidemiology (Edinburgh: Churchill Livingstone).

    Google Scholar 

  • Bean, P., C. K. Wilkinson, J. A. Giggs and D. K. Whynes (1987) Drug Taking in Nottingham and the Links with Crime, Report to the Home Office Research and Planning Unit (Nottingham University).

    Google Scholar 

  • Bewley, T., M. Johnson, J. Bland and M. Murray (1980) ‘Trends in Children’s Smoking’, Community Medicine, 2, pp. 186–89.

    Google Scholar 

  • Brettle, R. P. et al. (1987) ‘Human Immunodeficiency Virus and Drug Misuse: the Edinburgh Experience, British Medical Journal, 295, pp. 421–4.

    Google Scholar 

  • Bucknall, A. B. V. and J. R. Robertson (1986) ‘Deaths of Heroin Users in a General Practice’, Journal of the Royal College of General Practitioners, 36, pp. 120–2.

    Google Scholar 

  • Bucknall, A. B. V., J. R. Robertson and J. G. Strachan (1986) ‘Use of Psychiatric Drug Services by Heroin Users from General Practice’, British Medical Journal, 292, pp. 997–9.

    Article  Google Scholar 

  • Burr, A. (1989) ‘An Inner-city Community Response to Heroin Use’, in S. MacGregor (ed.), Drugs and British Society: Responses to a Social Problem in the 1980s (London and New York: Routledge).

    Google Scholar 

  • Cliff, A. D., P. Haggett and J. L. Ord (1987) Spatial Aspects of Influenza Epidemics (London: Pion).

    Google Scholar 

  • Conrad, P. and J. W. Schneider (1985) Deviance and Medicalisation: from Badness to Sickness (Columbus, Ohio: Merrill).

    Google Scholar 

  • De Alarcon, R. (1969) ‘The Spread of Heroin Abuse in a Community’, WHO Bulletin on Narcotics, 21.

    Google Scholar 

  • Ditton, J. and K. Spieirits (1981) ‘The Rapid Increase of Heroin Addiction in Glasgow during 1981’, Background Paper no. 2, University of Glasgow.

    Google Scholar 

  • Ditton, J. and K. Speirits (1982) ‘The New Wave of Heroin Addiction in Britain’, Sociology, 16 (4), pp. 595–8.

    Article  Google Scholar 

  • Evans, D. J. and D. T. Herbert (eds) (1989) The Geography of Crime (London: Routledge).

    Google Scholar 

  • Faris, R. E. and H. W. Dunham (1939) Mental Diseases in Urban Areas (University of Chicago Press).

    Google Scholar 

  • Fraser, A. and M. George (1988) ‘Changing Trends in Drug Use: An Initial

    Google Scholar 

  • Follow-up of a Local Heroin using Community’, British Journal of Addiction, 83, pp. 655–64.

    Google Scholar 

  • Gay, M., J. Parker, Y. Poole and R. Rawle (1984) The Interim Report: Avon Drug Abuse Monitoring Project (Hartcliffe Health Centre, Bristol).

    Google Scholar 

  • Giggs, J. A. (1980) ‘Mental Health and the Environment’, in G. M. Howe and J. A. Loraine (eds) Environmental Medicine, 2nd edn (London: William Heinemann Medical Books).

    Google Scholar 

  • Giggs, J. A. (1988) ‘The Spatial Ecology of Mental Illness’, in C. J. Smith and J. A. Giggs (eds), Location and Stigma: Contemporary Perspectives on Mental Health and Mental Health Care (Boston: Unwin Hyman).

    Google Scholar 

  • Giggs, J. A., P. Bean, D. K. Whynes, and C. K. Wilkinson (1989) ‘Class A Drug Users: Prevalence and Characteristics in Nottingham’, British Journal of Addiction, 84, pp. 1473–80.

    Article  Google Scholar 

  • Giggs, J. A. (1990) ‘Drug Abuse and Urban Ecological Structure: the

    Google Scholar 

  • Nottingham Case’, in D. W. Thomas (ed), Spatial Epidemiology, London papers in Regional Science Series (London: Pion).

    Google Scholar 

  • Hartnoll, R. L., R. Lewis, M. Mitcheson and S. Bryer (1985) ‘Estimating the Prevalence of Opioid Dependence’, Lancet 16 Jan., pp. 203–05.

    Google Scholar 

  • Haw, S. (1985) Drug Problems in Greater Glasgow (Glasgow: SCODA).

    Google Scholar 

  • Herbert, D. T. (1982) The Geography of Urban Crime (London and New York: Longman).

    Google Scholar 

  • Herbert, D. T. and D. M. Smith (eds) (1979) Social Problems and the City (Oxford University Press).

    Google Scholar 

  • Herbert, D. T. and D. M. Smith (eds) (1989) Social Problems and the City: New Perspectives (Oxford University Press).

    Google Scholar 

  • Home Office (1987) ‘Statistics of the Misuse of Drugs, United Kingdom, 1986’, Statistical Bulletin, 28/87 (and personal communication).

    Google Scholar 

  • Jones, K. and G. Moon (1987) Health, Disease and Society (London: Routledge & Kegan Paul).

    Google Scholar 

  • Knox, P. (1987) Urban Social Geography (London: Longman and New York: Wiley).

    Google Scholar 

  • Last, J. M. (ed) (1982) A Dictionary of Epidemiology (Oxford University Press).

    Google Scholar 

  • Levy, B. (1985) Prevalence of Abuse of Substances in the Brighton Health Authority Area (Brighton Drug Dependency Clinic, Brighton, Sussex).

    Google Scholar 

  • MacGregor, S. (ed) (1989) Drugs and British Society: Responses to a Social Problem in the 1980s (London: Routledge).

    Google Scholar 

  • Moser, C. A. and W. Scott (1960) British Towns: a Statistical Study of their Social and Economic Differences (London: Oliver and Boyd).

    Google Scholar 

  • Mule, S. J. (ed) (1981) Behaviour in Excess: an Examination of Volitional Disorders (New York: Free Press).

    Google Scholar 

  • NOP Market Research (1982) Survey of Drug Use in the 15–21 Age Group undertaken for the Daily Mail (London: NOP Market Research).

    Google Scholar 

  • O’Bryan, L. (1985) Adolescent Research Project: Interim Report to the DHSS, Drug Indicators Project, Birkbeck College, London.

    Google Scholar 

  • OED (1989) Oxford English Dictionary, 2nd edn (Oxford: Clarendon Press).

    Google Scholar 

  • OPCS, Office of Population Censuses and Surveys (1985) Smoking among Secondary School Children (London: HMSO).

    Google Scholar 

  • OPCS, Office of Population Censuses and Surveys (1986) Adolescent Drinking (London: HMSO).

    Google Scholar 

  • Parker, H. J., R. Newcombe and K, Bakx (1987) ‘The New Heroin Users: Prevalence and Characteristics in Wirral, Merseyside’, British Journal of Addiction, 82, pp. 147–57.

    Article  Google Scholar 

  • Parker, H. J., K. Bakx and R. Newcombe (1988) Living with heroin: the Impact of a Drugs Epidemic on an English Community (Milton Keynes: Open University Press).

    Google Scholar 

  • Pattison, C. J., E. A. Barnes and A. Thorley (1982) South Tyneside Drug Prevalence and Indicators Study (Newcastle upon Tyne: Centre for Alcohol and Drug Studies, St Nicholas Hospital).

    Google Scholar 

  • Pearson, G. (1987) ‘Social Deprivation, Unemployment and Patterns of Heroin Use’, in N. Dorn and N. South (eds) A Land Fit for Heroin? (London: MacMillan).

    Google Scholar 

  • Pearson, G., M. Gilman and S. McIver (1986) Young People and Heroin: an Examination of Heroin Use in the North of England (London and Aldershot:

    Google Scholar 

  • Health Education Council and Govver).

    Google Scholar 

  • Pearson, G. (1989) ‘Heroin Use in its Social Context’, in D. T. Herbert and D. M. Smith (eds), Social Problems and the City: New Perspectives (Oxford and New York: Oxford University Press).

    Google Scholar 

  • Peck, D. F. and M. A. Plant (1986) ‘Unemployment and Illegal Drug Use: Concordant Evidence from a Prospective Study and National Trends’, British Medical Journal, 293, pp. 929–32.

    Article  Google Scholar 

  • Peveler, R. C., R. Green and B. M. Mandelbrote (1988) ‘Prevalence of Heroin Misuse in Oxford City’, British Journal of Addiction, 83, pp. 513–18.

    Article  Google Scholar 

  • Plant, M. A., D. F. Peck and E. Samuel (1985) Alcohol, Drugs and School Leavers (London: Tavistock).

    Google Scholar 

  • Plant, M. (1989) ‘The Epidemiology of Illicit Drug-use and Misuse in Britain’, in S. MacGregor (ed), Drugs and British Society: Responses to a Social Problem in the 1980s (London and New York: Routledge).

    Google Scholar 

  • Pyle, G. F. (1979) Applied Medical Geography (Washington, DC: V. H. Winston).

    Google Scholar 

  • Reed, J. L. (1980) ‘Drug Dependence in Contemporary Societies’, in G. M. Howe and J. A. Loraine (eds), Environmental Medicine, 2nd edn (London: William Heinemann).

    Google Scholar 

  • Robertson, J. R. (1987) Heroin, AIDS and Society (London: Hodder and Stoughton).

    Google Scholar 

  • Scientific American (1988) What Science Knows about AIDS, Oct., pp. 1–112.

    Google Scholar 

  • Smith, C. J. (1984) ‘Mental Health and the Environment: Geographical Approaches’ in H. Freeman (ed), Mental Health and the Environment (London: Churchill Livingstone).

    Google Scholar 

  • Southwark Council (1985) Report of the Working Party in Drug Misuse (London: Southwark Council).

    Google Scholar 

  • Starr, P. (1982) The Social Transformation of Medicine (New York: Basic Books).

    Google Scholar 

  • Swadi, H. (1988) ‘Drug and Substance Abuse among 3333 London Adolescents’, British Journal of Addiction, 83, pp. 935–42.

    Article  Google Scholar 

  • West, L. J. and S. Cohen (1985) ‘Provisions for Mental Disorders’, in W. W. Holland, R. Detels, G. Knox and E. Breeze (eds), Oxford Textbook of Public Health, vol. 2 (Oxford University Press).

    Google Scholar 

  • Williams, M. (1986) ‘The Thatcher Generation’, New Society, 21 Feb. pp. 312–15.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Copyright information

© 1991 David K. Whynes and Philip T. Bean

About this chapter

Cite this chapter

Giggs, J. (1991). Epidemiology of Contemporary Drug Abuse. In: Whynes, D.K., Bean, P.T. (eds) Policing and Prescribing. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-11451-1_9

Download citation

Publish with us

Policies and ethics