Abstract
This chapter examines the serious and growing public health problems related to methamphetamine abuse in the United States. It combines economic and mathematical epidemiological approaches to explaining the spread of drug abuse, treating methamphetamine use as a chronic relapsing disease that spreads through social contacts with the active facilitation of illegal drug markets. These models suggest that methamphetamine problems may exhibit typical disease characteristics such as spatial clustering and correlated growth, as would be consistent with the frequent references to methamphetamine as an epidemic. These models were tested using historical data on methamphetamine-related arrests and hospital discharges in California between 1980 and 2006. Statewide data suggest that both problem indicators grew exponentially during this period except for temporary supply reductions following the enactment of federal restrictions on the precursor chemicals used to manufacture methamphetamine. The spatial spread of methamphetamine abuse was investigated using Bayesian space-time models of arrest counts in 330 California cities. These analyses found that cities varied considerably in both their underlying levels of amphetamine-related arrests and their growth rates over time. These growth rates were strongly correlated between nearby cities, as predicted by a disease approach in which a methamphetamine ‘infection’ spreads from person to person. These analyses suggested that methamphetamine growth was highest in rural northern and southern California between 1980 and 1989, then shifted to the central valley areas during the early 1990s before moving more into urban areas after 1997.
Research for and preparation of this chapter was supported by National Institute on Drug Abuse Research Grant No. R21 DA024341 to Dr. Gruenewald and National Institute on Alcohol Abuse and Alcoholism Research Grant No. R21 AA016632 to Dr. Waller.
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Notes
- 1.
California hospital discharge data diagnostic codes for amphetamine and other psychostimulant dependence (ICD9-CM 304.4) or amphetamine and related acting sympathomimetic abuse (ICD9-CM 305.7).
- 2.
The code for ‘dangerous drugs’ corresponds to felony possession, transport or selling of methamphetamine, amphetamine, hallucinogens, and related drugs, and specifically does not include narcotics, opiates, marijuana, and ‘other drugs.’ Estimated from recent city level data, more than 90% of ‘dangerous drug’ arrests are exclusively related to methamphetamine. These codes do not include manufacturing or possession of precursor chemicals, which are separately detailed under ‘manufacturing’ and again strongly dominated by arrests related to methamphetamine.
- 3.
Specifically, the centroid of each city was located within California and tessellations constructed around each centroid. Cities that shared a common tessellated boundary were considered as connected one to the other.
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Gruenewald, P.J. et al. (2013). Spatial Models of the Growth and Spread of Methamphetamine Abuse in California. In: Sanders, B., Thomas, Y., Griffin Deeds, B. (eds) Crime, HIV and Health: Intersections of Criminal Justice and Public Health Concerns. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-8921-2_9
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