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The impact of social, structural and physical environmental factors on transitions into employment among people who inject drugs.

机译：社会，结构和自然环境因素对注射毒品者向就业过渡的影响。

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摘要

Despite growing awareness of the importance of context for the health of people who use drugs, studies examining labour market outcomes have rarely considered the role that physical, social and structural factors play in shaping labour market participation among drug users. Using discrete time event history analyses, we assessed associations between high-intensity substance use, individual drug use-related risk and features of inner-city drug use scenes with transitions into regular employment. Data were derived from a community-recruited cohort of people who inject drugs in Vancouver, Canada (n = 1579) spanning the period of May 1996-May 2005. Results demonstrate that systematic socio-demographic differences in labour market outcomes in this context generally correspond to dimensions of demographic disadvantage. Additionally, in initial analyses, high-intensity substance use is negatively associated with transitions into employment. However, this negative association loses significance when indicators measuring exposure to physical, social and structural features of the broader risk environment are considered. These findings indicate that interventions designed to improve employment outcomes among drug users should address these social, structural and physical components of the risk environment as well as promote the cessation of drug use.
机译：尽管人们越来越意识到使用环境对吸毒者的健康的重要性，但是研究劳动力市场成果的研究很少考虑物理，社会和结构因素在塑造吸毒者参与劳动力市场方面的作用。通过使用离散时间事件历史分析，我们评估了高强度药物使用，与个人药物使用相关的风险与市区内药物使用场景特征之间的关联，这些特征已转变为常规就业。数据来自1996年5月至2005年5月期间在加拿大温哥华（n = 1579）进行社区注射毒品的人群。结果表明，在这种情况下，劳动力市场成果的系统性社会人口统计学差异通常与对人口不利的方面。此外，在最初的分析中，高强度物质的使用与就业的过渡负相关。但是，当考虑到衡量更广泛风险环境的物理，社会和结构特征的暴露指标时，这种负相关性就失去了意义。这些发现表明，旨在改善吸毒者的就业成果的干预措施应解决风险环境的这些社会，结构和自然因素，并促进戒毒。

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