Abstract
A call for a systems science approach to understanding drug use in urban environments
Highlights
Comment political and economic systems and major global and national trends.[9]
The authors found that higher rates of urban population growth were associated with older age at onset of injecting drug use (1·40 years per annual percentage change, 95% CI 0·41–2·40) and lower gross domestic product was associated with a lower median age of people who inject drugs (PWID; 0·13 years per US$1000 GDP increase, 0·06–0·20; p
Sustainable Development Goal (SDG) 11 does not have specific drug use-related targets, these findings suggest that the urban environment is an important contextual variable for injecting drug use
Summary
Comment political and economic systems and major global and national trends.[9]. A systems approach would be valuable for the assessment of these associations, to determine whether causal pathways exist that link urbanisation and urban environments to drug use, and to identify features or processes in urban environments that can be manipulated to prevent injection drug use or reduce the associated harms. A call for a systems science approach to understanding drug use in urban environments In The Lancet Global Health, Lindsey Hines and colleagues quantify the association between injecting drug use and development indicators.[1] The authors found that higher rates of urban population growth were associated with older age at onset of injecting drug use (1·40 years per annual percentage change, 95% CI 0·41–2·40) and lower gross domestic product was associated with a lower median age of people who inject drugs (PWID; 0·13 years per US$1000 GDP increase, 0·06–0·20; p
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