Rising inequality during the 1980s and an ‘erosion of hope’ in Scotland’s poorest housing schemes increased the risk of drug-related deaths among members of ‘Generation X’ in Scotland, according to new research. A study by NHS Health Scotland and Glasgow University has found that poorer men born between 1960 and 1980 were at greater risk because of the economic and social conditions during that period.
The study also found links to gender and deprivation: young men in poor neighbourhoods were found to be 10 times as likely to die from drugs as women of the same age from a more affluent area.
Researchers discovered the link while investigating the reasons why drug-related deaths have continued to rise. According to the most recent figures drug-related deaths reached an all-time high in 2015, when 706 people died.
Report author Dr Jon Minton from the University of Glasgow said his analysis was ‘consistent with the hypothesis that economic and other policy decisions during the 1980s created rising income inequality, the erosion of hope amongst those who were least resilient and able to adjust, and resulted in a delayed negative health impact.’
He said: “The same kind of pattern we have observed and reported on previously regarding the risk of suicide in vulnerable cohorts in deprived areas in Scotland is repeated, and even more clearly visible, when looking at trends in drug-related death risk.
“For people born in 1960s and 70s, the risk of drug-related deaths throughout the life course was much increased, and gender and area inequalities in these risks increased even more. The similarity in trends in both suicide and drug-related deaths suggests a common underlying cause.”
NHS Health Se in drug-related deaths was ‘likely to be the result of a cohort of people who are at higher risk’.
Dr Fraser said: “The full impact of excess mortality in these cohorts with high drug-related deaths is unlikely to be known for some time. It already represents the deaths of hundreds of people prematurely.
“We are hopeful that the findings will be useful in informing current and future policy to help prevent the creation of further cohorts at greater risk of drug-related deaths in Scotland.”
Public Health Minister Aileen Campbell has announced a refresh of Scotland’s drug strategy, to respond to the changing nature of Scotland’s drug problem.
The Road to Recovery strategy was launched in 2008 and since then has been backed by more than £630 million of investment to ensure treatment is a person-centred and sustained offer.
Ms Campbell (above) also announced work is being progressed to develop a “Seek, Keep and Treat” framework. This joint initiative between the Scottish Government and the Scottish Drugs Forum will examine the operational implications of engaging with older drug users, how to encourage them into services and how to keep them in treatment.
Public Health Minister Aileen Campbell said:
“I’m proud of what the Road to Recovery strategy has achieved. In Scotland, drug taking in the general adult population is falling and drug taking levels among young people remain low.
“However the nature of Scotland’s drug problem is changing and we need to adapt services to meet the needs of those most at risk, who we know face complex and wide ranging social and medical issues.
“In setting out our plans to refresh the existing strategy, I’m encouraging everyone involved in treatment services to think about how they can make changes at a local level. There is also a collective need to challenge the stigma of addition and build services based on respect and dignity, as well as clinical need.
“I look forward to hearing views from across the sector in the coming months as we work together to tackle the evolving and complex needs of those who suffer from problem drug misuse.”
