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Biomedical subjects

Eilish Gilvarry

Publications and source records attributed to Eilish Gilvarry.

5 recordsLinked to original sources

Intercity differences in drug use by pre-teenage school children.

BACKGROUND: Regional variations in rates of drug use have been described previously in relation to adolescents. However, reasons for these differences are not clear. Previous publications pointed to higher rates of drug use by Glasgow children compared to children living in Newcastle upon Tyne. This paper explores the hypothesis that a higher rate of drug use in Glasgow is due to higher availability there. METHOD: School surveys were conducted in Glasgow and Newcastle upon Tyne on a total of 2,318 children aged 10-12. These concerned aspects of behaviour, lifestyle, family life and drug use. FINDINGS: The data indicate that the higher rate of drug use by Glasgow children was attributable to greater opportunities for children to gather at leisure centres and other venues and activities facilitating exposure to more drug-experienced young people.

Child↗

Buprenorphine mortality, seizures and prescription data in the UK, 1980-2002.

Buprenorphine safety in overdose has been debated recently, but no mortality data related to this compound from the UK have been published. To gather together all of the buprenorphine mortality figures, a number of different sources have been checked. To inform on buprenorphine safety issues, accessible information related to its availability indicators (i.e. prescriptions; seizures) data for the 1980-2002 time frame have been sought. In the UK, during this period, buprenorphine was mentioned in 43 fatalities. Typically, victims were males in the 25-44 age group. In 12 cases (28% of total), a verdict of suicide was given. Buprenorphine was detected on its own in seven cases; more frequently, it was found together with benzodiazepines and other opiates. Large quantities of buprenorphine were prescribed both in England in 1985-1989 and in 1991-1992 in Scotland, where seizures reached their highest levels. Buprenorphine prescriptions seemed to peak again after 1999, when high dose buprenorphine formulations entered the UK market. No positive correlation was found between the number of buprenorphine deaths over the years and either buprenorphine dispensings/prescriptions or seizures. However, an increase in buprenorphine-related deaths since 1999 was identified and this may be an issue which should be carefully monitored over the next few years.

Adult↗

European adolescent substance use: the roles of family structure, function and gender.

OBJECTIVES: The aim of this study was, first, to explore family structure and measures of family functioning in relation to adolescent substance use and secondly, to establish if these relationships differed according to gender or according to the city of origin of the sample. DESIGN, SETTING, PARTICIPANTS: The study surveyed pupils aged 14-15 years in representative samples drawn from five European cities: Newcastle upon Tyne, Dublin, Rome, Bremen and Groningen. Data were obtained on 3984 participants in relation to their substance use, living with both biological parents, confiding in parents and grandparents. and supervision, as well as other variables representing delinquency, social class and drug availability. RESULTS: Living with both parents was associated with reduced levels of drug use in four cities but not in Dublin, due perhaps to the high availability from peers in that city. It was not associated with reduced levels of regular drinking. The effect of confiding in mother was evident in all cities and in relation to substance use in general. However, when a delinquency variable was added to the logistic regressions, its significance in relation to polydrug use disappeared. Supervision was somewhat more important in relation to male than female drug use. CONCLUSION: Living with both parents is a less robust barrier to substance use than qualitative aspects of family life, particularly attachment to mothers. The latter is a robust inhibitor of substance use irrespective of regional differences in drug availability, weakening only in the face of more generally problematic behaviour. Perhaps because of their greater tendency to risk-taking or rule breaking, supervision appears more important for male than female drug use. These findings underscore the role of families, but especially that of mothers, in regulating the substance-related behaviour of young people.

Adolescent↗