Social epidemiologic comparisons in a European cohort of substance-dependent therapeutic community clients: A case-oriented analysis

Abstract

A case-oriented analytical approach compared the index national case of France with the typical European outcome, other European cases and American results on social epidemiological indicators. Modal distributions were found to be most similar between the French sample and the total European sample on most social network items in a European therapeutic community cohort (n = 723). The characteristics of the American and our sample were also found to be strikingly similar. Network size varies mainly with the number of substance-dependent contacts reported by the client. Southern European clients have been living with their parents while northern clients have been living alone. Spending most of the time with drug-using friends is not related to developing intimate relationships and a counterbalance to a situation of peer loneliness. The importance of looking at the function of social network relations in risk networks in harmonising European policy is emphasised.