Journal of immigrant and minority health · 2026
Prevalence of Substance use Among In-Transit Migrants at the Mexico-United States Border.
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Bojorquez Ietza, Goldenberg Shira M, Harvey-Vera Alicia, Sepulveda Jaime, Strathdee Steffanie
Аннотация
BACKGROUND: Little is known about substance use among in-transit migrants.
OBJECTIVE: To describe the prevalence of substance use among in-transit migrants in shelters in Tijuana, Mexico, and the association of social and migration-related characteristics, and mental health problems, with substance use.
METHODS: Non-probability cross-sectional survey (2020-2021, n = 481), employing core questions of the Global Adult Tobacco Survey (GATS), the short version of the Alcohol Use Disorders Identification Test (AUDIT-C), and a question about lifetime drug use. We used logistic regression models to evaluate associations.
RESULTS: The prevalence of current tobacco use was 19%, 14% scored over the cutoff of the AUDIT-C, and 20% reported lifetime use of a drug. Odds for tobacco were lower among cis-women (OR 0.06, p < .001) and participants born in countries other than Mexico (OR 0.48, p = .024), and directly associated with income and longer stay in Tijuana. The odds for scoring over cutoff in AUDIT-C were lower among cis-women (OR 0.33, p < .001), older participants (OR 0.96 per year of age, p = .008) and participants born in countries other than Mexico (OR 0.37, p = .002), and directly associated with income. The odds for drug use were lower among cis-women (OR 0.11, p < .001), older participants (OR 0.94 per year of age, p < .001) and participants born in countries other than Mexico (OR 0.30, p = .014), and directly associated with income. Mental health problems were not significantly associated with substance use.
CONCLUSION: The prevalence of substance use was broadly comparable to that of the general population in Mexico, and within the range of other displaced populations.
OBJECTIVE: To describe the prevalence of substance use among in-transit migrants in shelters in Tijuana, Mexico, and the association of social and migration-related characteristics, and mental health problems, with substance use.
METHODS: Non-probability cross-sectional survey (2020-2021, n = 481), employing core questions of the Global Adult Tobacco Survey (GATS), the short version of the Alcohol Use Disorders Identification Test (AUDIT-C), and a question about lifetime drug use. We used logistic regression models to evaluate associations.
RESULTS: The prevalence of current tobacco use was 19%, 14% scored over the cutoff of the AUDIT-C, and 20% reported lifetime use of a drug. Odds for tobacco were lower among cis-women (OR 0.06, p < .001) and participants born in countries other than Mexico (OR 0.48, p = .024), and directly associated with income and longer stay in Tijuana. The odds for scoring over cutoff in AUDIT-C were lower among cis-women (OR 0.33, p < .001), older participants (OR 0.96 per year of age, p = .008) and participants born in countries other than Mexico (OR 0.37, p = .002), and directly associated with income. The odds for drug use were lower among cis-women (OR 0.11, p < .001), older participants (OR 0.94 per year of age, p < .001) and participants born in countries other than Mexico (OR 0.30, p = .014), and directly associated with income. Mental health problems were not significantly associated with substance use.
CONCLUSION: The prevalence of substance use was broadly comparable to that of the general population in Mexico, and within the range of other displaced populations.