Class A drug users: prevalence and characteristics in greater Nottingham

This paper reports on the prevalence of known Class A drug use in Greater Nottingham, a large urbanized area with a population of 472,285 in 1981. Use of a multi-agency enumeration technique identified only 170 users during 1985-86, giving an annual prevalence of 0.45 per 1000 of the adult population. The rates for opioid use and injected amphetamine use were 0.27 and 0.14 per 1000. Geographical analysis of the intra-urban residential distributions of the drug users identified statistically significant variations with the greatest concentrations occurring in the inner city residential areas, in neighbourhoods fringing major suburban shopping centres, and several council estates. Ecological analysis established statistically significant links between drug use and multiple deprivation, adult unemployment and crime.