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Impact of Addictive Substances and Behaviours on Individual and Societal Well-being$
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Peter Anderson, Jürgen Rehm, and Robin Room

Print publication date: 2015

Print ISBN-13: 9780198714002

Published to Oxford Scholarship Online: April 2015

DOI: 10.1093/acprof:oso/9780198714002.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 25 October 2020

Addictive substances and socioeconomic development

Addictive substances and socioeconomic development

(p.189) Chapter 10 Addictive substances and socioeconomic development
Impact of Addictive Substances and Behaviours on Individual and Societal Well-being

Robin Room

Sujatha Sankaran

Laura A. Schmidt

Pia Mäkelä

Jürgen Rehm

Oxford University Press

The interplay is considered between socioeconomic factors and alcohol, tobacco, and other psychoactive substances. Relations of addictive behaviour to differences in wealth between societies and within societies are considered. The socioeconomic profile of abstention versus use, and of heavy use, varies between cultures and psychoactive substances. But there is generally social inequity in that poorer users tend to suffer greater health and injury consequences for a given level of substance use, and are also usually subject to greater stigmatization and marginalization. Alcohol history illustrates that the process of development is double-edged in effect: a growing alcohol market is often a part of economic development, but problems from drinking are a drag on development. For alcohol, tobacco, and controlled drugs, particularities of relations to development and social class are discussed, and the interplay between commercial interests pushing for open markets and social responses to rising rates of problems.

Keywords:   socioeconomic development, social inequity, stigmatization, marginalization, industrialization, commercial interests, abstention, tobacco, alcohol, controlled drugs

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