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<p>New designer drugs are a major public health concern, particularly in disadvantaged, segregated communities. While the phenomenon is better understood in urban settings, it remains unexplored in rural areas. This gap explains our research rationale: an interdisciplinary survey was designed; the fieldwork took place in Hungary, in a segregated rural area (<i>n</i> = 425), in 2022. The complex sociological-psychological-existential trap represented by rural segregation is characterized by the lack of prospects for change. As the individual’s attention is narrowed to the present, such a burdensome existence is managed through escapist strategies of substance use. Our research investigates whether substance use is a cause or a consequence of structural deprivation. K-means cluster analysis was used to differentiate between the idealtypical patterns of substance use (e.g. self-controlling vs. risk-taking) and abstinence (e.g. vulnerable vs. consistent); chi-square tests were used to map the structural background and trajectories leading from abstinence to substance use.</p>

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Structural Deprivation, Rural Segregation, and Substance Use—A Hungarian Case Study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月1日

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  • Domonkos Sik,
  • Judit Szécsi,
  • József Rácz,
  • Neogrády-Kiss Márton,
  • Zsolt Demetrovics,
  • Zsuzsa Kaló,
  • Máté Kapitány-Föveny,
  • Asztrik Kovács

摘要

New designer drugs are a major public health concern, particularly in disadvantaged, segregated communities. While the phenomenon is better understood in urban settings, it remains unexplored in rural areas. This gap explains our research rationale: an interdisciplinary survey was designed; the fieldwork took place in Hungary, in a segregated rural area (n = 425), in 2022. The complex sociological-psychological-existential trap represented by rural segregation is characterized by the lack of prospects for change. As the individual’s attention is narrowed to the present, such a burdensome existence is managed through escapist strategies of substance use. Our research investigates whether substance use is a cause or a consequence of structural deprivation. K-means cluster analysis was used to differentiate between the idealtypical patterns of substance use (e.g. self-controlling vs. risk-taking) and abstinence (e.g. vulnerable vs. consistent); chi-square tests were used to map the structural background and trajectories leading from abstinence to substance use.