Journal of Epidemiology and Global Health

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Volume 4, Issue 1, March 2014, Pages 61 - 72

Terrorism, civil war and related violence and substance use disorder morbidity and mortality: A global analysis

Authors
Bradley T. Kerridgea, *, bkerridg@umd.edu bradleykerridge@gmail.com, Maria R. Khanb, Jürgen Rehmc, Amir Sapkotad
aDepartment of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, College Park, MD 20740, USA
bDepartment of Epidemiology, College of Public Health Professions, School of Medicine, University of Florida Health Services Center, University of Florida, Gainesville, FL 32610, USA
cCentre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada
dMaryland Institute for Applied Environmental Health, Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, College Park, MD 20742, USA
*Corresponding author. Address: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. Tel.: +1 301 345 0994/990 8391.
Corresponding Author
Received 11 September 2013, Revised 10 October 2013, Accepted 11 October 2013, Available Online 14 December 2013.
DOI
10.1016/j.jegh.2013.10.003How to use a DOI?
Keywords
Civil war; Terrorism; One-sided violence; Substance use disorders; Disability-adjusted life years
Abstract

Introduction: The purpose of this study is to examine associations between deaths owing to terrorism, civil war, and one-sided violence from 1994–2000 and substance use disorder disability-adjusted life years (DALYs).

Methods: The relationship between terrorism, and related violence and substance use disorder morbidity and mortality among World Health Organization Member States in 2002, controlling for adult per capita alcohol consumption, illicit drug use, and economic variables at baseline in 1994.

Results: Deaths as a result of terrorism and related violence were related to substance use disorder DALYs: a 1.0% increase in deaths as a result of terrorism, war and one-sided violence was associated with an increase of between 0.10% and 0.12% in alcohol and drug use disorder DALYs. Associations were greater among males and 15–44 year-old.

Conclusion: Terrorism, war and one-sided violence may influence morbidity and mortality attributable to substance use disorders in the longer-term suggests that more attention to be given to rapid assessment and treatment of substance use disorders in conflict-affected populations with due consideration of gender and age differences that may impact treatment outcomes in these settings. Priorities should be established to rebuild substance abuse treatment infrastructures and treat the many physical and mental comorbid disorders.

Copyright
© 2014 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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<Previous Article In Issue
Journal
Journal of Epidemiology and Global Health
Volume-Issue
4 - 1
Pages
61 - 72
Publication Date
2013/12/14
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2013.10.003How to use a DOI?
Copyright
© 2014 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

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TY  - JOUR
AU  - Bradley T. Kerridge
AU  - Maria R. Khan
AU  - Jürgen Rehm
AU  - Amir Sapkota
PY  - 2013
DA  - 2013/12/14
TI  - Terrorism, civil war and related violence and substance use disorder morbidity and mortality: A global analysis
JO  - Journal of Epidemiology and Global Health
SP  - 61
EP  - 72
VL  - 4
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2013.10.003
DO  - 10.1016/j.jegh.2013.10.003
ID  - Kerridge2013
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