The Role of Social Capital in Drug Use and Dependence in Four Canadian Provinces
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University of Windsor Scholarship at UWindsor Electronic Theses and Dissertations Theses, Dissertations, and Major Papers 2016 The Role of Social Capital in Drug Use and Dependence in Four Canadian Provinces Stefan Rein Treffers University of Windsor Follow this and additional works at: https://scholar.uwindsor.ca/etd Recommended Citation Treffers, Stefan Rein, "The Role of Social Capital in Drug Use and Dependence in Four Canadian Provinces" (2016). Electronic Theses and Dissertations. 5770. https://scholar.uwindsor.ca/etd/5770 This online database contains the full-text of PhD dissertations and Masters’ theses of University of Windsor students from 1954 forward. These documents are made available for personal study and research purposes only, in accordance with the Canadian Copyright Act and the Creative Commons license—CC BY-NC-ND (Attribution, Non-Commercial, No Derivative Works). 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The Role of Social Capital in Drug Use and Dependence in Four Canadian Provinces by Stefan Treffers A Thesis Submitted to the Faculty of Graduate Studies through the Department of Sociology, Anthropology, and Criminology in Partial Fulfillment of the Requirements for the Degree of Master of Arts at the University of Windsor Windsor, Ontario, Canada © 2016 Stefan Treffers The Role of Social Capital in Drug Use and Dependence in Four Canadian Provinces by Stefan Treffers APPROVED BY: ______________________________________________ Shelagh Towson, External Reader Department of Psychology ______________________________________________ John Deukmedjian, Departmental Reader Department of Sociology, Anthropology, and Criminology ______________________________________________ Reza Nakhaie, Supervisor Department of Sociology, Anthropology, and Criminology May 9, 2016 Author‘s Declaration of Originality I hereby certify that I am the sole author of this thesis and that no part of this thesis has been published or submitted for publication. I certify that, to the best of my knowledge, my thesis does not infringe upon anyone‘s copyright nor violate any proprietary rights and that any ideas, techniques, quotations, or any other material from the work of other people included in my thesis, published or otherwise, are fully acknowledged in accordance with the standard referencing practices. Furthermore, to the extent that I have included copyrighted material that surpasses the bounds of fair dealing within the meaning of the Canada Copyright Act, I certify that I have obtained a written permission from the copyright owner(s) to include such material(s) in my thesis and have included copies of such copyright clearances to my appendix. I declare that this is a true copy of my thesis, including any final revisions, as approved by my thesis committee and the Graduate Studies office, and that this thesis has not been submitted for a higher degree to any other University or Institution. iii Abstract Using data from the Canadian Community Health Survey collected between 2008 and 2012, this study explores the relationships between individual-level social capital and illicit drug use and dependence. The results showed that when controlling for relevant socio-demographic and socioeconomic factors, the influences of network size and marital status on prevalence of illicit drug use were significant and varied by type of drug, while social support showed a consistent protective effect. When measuring drug dependence, all three dimensions of social capital measured in this study showed protective effects. These findings lend support to the notion that drug use outcomes cannot be fully understood without appreciating the social contexts in which individuals use and become dependent on drugs. As such, this study suggests that effective policy interventions aimed at mitigating adverse consequences of drug use must address social and economic inequalities that impede the development of social capital at the individual level1. 1 The analysis in this thesis is based on public use microdata accessed from Statistics Canada, and the opinions expressed do not represent the views of Statistics Canada. iv Acknowledgments I would like to express my deep gratitude to my supervisor, Dr. Reza Nakhaie, whose care, patience, and expert guidance I will always cherish and admire. I could not have asked for a better mentor to support me through this endeavour. I am also grateful to my committee members, Dr. John Deukmedjian and Dr. Shelagh Towson, for their insightful comments which have encouraged me to be mindful of my analytical approach and think critically about the issues at hand. I‘d like to thank Dr. Randy Lippert for the many opportunities he has given me to work with him, to learn from him, and to make my graduate experience a very fulfilling one. And lastly, I owe everything to my loving parents who regardless of circumstance have always given me their unconditional affection and support. They are the two most important anchors in my life and continue to give me strength every day. It is these particular moments which allow me to reflect on how lucky I am to have great people around me. They are the reasons for my past accomplishments and continuing success and without their help and care I would not be where I am today. v Table of Contents AUTHOR‘S DECLARATION OF ORIGINALITY ......................................................... iii ABSTRACT ....................................................................................................................... iv ACKNOWLEDGMENTS .................................................................................................. v LIST OF TABLES ........................................................................................................... viii LIST OF FIGURES ............................................................................................................ x LIST OF APPENDICES .................................................................................................... xi CHAPTER 1: INTRODUCTION ....................................................................................... 1 Study Overview ............................................................................................................................ 1 Background .................................................................................................................................. 2 Disparities in Health: A Cause for Concern ................................................................................ 9 Purpose of the Study .................................................................................................................. 18 CHAPTER 2: LITERATURE REVIEW AND THEORETICAL CONCEPTS .............. 19 Level of Analysis ........................................................................................................................ 25 Social Support ............................................................................................................................ 29 Information Flows ...................................................................................................................... 31 Informal Social Control ............................................................................................................. 32 Theoretical Obscurities .............................................................................................................. 33 Marital Status as a Measure of Social Capital .......................................................................... 36 Research Hypotheses ................................................................................................................. 40 CHAPTER 3: DATA SOURCE AND METHODOLOGY .............................................. 42 Data Source ............................................................................................................................... 42 Description of the Sample .......................................................................................................... 43 Merging of Datasets ................................................................................................................... 44 Sample Weights .......................................................................................................................... 44 Imputation of Missing Income Values ........................................................................................ 45 Access to Microdata ................................................................................................................... 46 vi Dependent Variables .................................................................................................................. 46 Independent Variables: Measures of Social Capital ................................................................. 54 Control Variables: Socio-demographic and Socioeconomic Variables .................................... 58 Description of Data Analysis Techniques .................................................................................. 60 CHAPTER 4: RESULTS .................................................................................................