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Auteur C. A. SCHOENBORN
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Excess mortality among people who report lifetime use of illegal drugs in the United States: A 20-year follow-up of a nationally representative survey / E. R. WALKER ; L. A. PRATT ; C. A. SCHOENBORN ; B. G. DRUSS in Drug and Alcohol Dependence, Vol.171 (February 2017)
in Drug and Alcohol Dependence > Vol.171 (February 2017) . - 31-38
Titre : Excess mortality among people who report lifetime use of illegal drugs in the United States: A 20-year follow-up of a nationally representative survey Type de document : Périodique Auteurs : E. R. WALKER ; L. A. PRATT ; C. A. SCHOENBORN ; B. G. DRUSS Année de publication : 2017 Article en page(s) : 31-38 Langues : Anglais Mots-clés : Thésaurus Géographique
PRODUIT ILLICITE ; HEROINE ; COCAINE ; MORTALITE ; FACTEUR DE RISQUE ; CAUSE DE DECES ; ENQUETE
Discipline : EPI Epidémiologie / Epidemiology Domaine : Drogues illicites / Illicit drugs Résumé : Objective: The purpose of this study was to determine the mortality risks, over 20 years of follow-up in a nationally representative sample, associated with illegal drug use and to describe risk factors for mortality.
Methods: We analyzed data from the 1991 National Health Interview Survey, which is a nationally representative household survey in the United States, linked to the National Death Index through 2011. This study included 20,498 adults, aged 18-44 years in 1991, with 1047 subsequent deaths. A composite variable of self-reported lifetime illegal drug use was created (hierarchical categories of heroin, cocaine, hallucinogens/inhalants, and marijuana use).
Results: Mortality risk was significantly elevated among individuals who reported lifetime use of heroin (HR = 2.40, 95% CI: 1.65-3.48) and cocaine (HR = 1.27, 95% CI: 1.04-1.55), but not for those who used hallucinogens/inhalants or marijuana, when adjusting for demographic characteristics. Baseline health risk factors (smoking, alcohol use, physical activity, and BMI) explained the greatest amount of this mortality risk. After adjusting for all baseline covariates, the association between heroin or cocaine use and mortality approached significance. In models adjusted for demographics, people who reported lifetime use of heroin or cocaine had an elevated mortality risk due to external causes (poisoning, suicide, homicide, and unintentional injury). People who had used heroin, cocaine, or hallucinogens/inhalants had an elevated mortality risk due to infectious diseases.
Conclusions: Heroin and cocaine are associated with considerable excess mortality, particularly due to external causes and infectious diseases. This association can be explained mainly by health risk behaviors.
Heroin users had a 2.4 times higher risk of mortality, adjusting for demographics.
Cocaine users had a 1.3 times higher risk of mortality, adjusting for demographics.
Adjusted for all covariates, heroin and cocaine use were not linked with mortality.
Health risk factors explained most of the mortality risk for drug users.
Main causes of death for drug users were external causes, poisoning, and infections.
Affiliation : Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=78614[article]Mortality risks associated with average drinking level and episodic heavy drinking / C. A. SCHOENBORN ; M. STOMMEL ; B. W. WARD in Substance Use and Misuse, Vol.49, n°10 (2014)
in Substance Use and Misuse > Vol.49, n°10 (2014) . - 1250-1258
Titre : Mortality risks associated with average drinking level and episodic heavy drinking Type de document : Périodique Auteurs : C. A. SCHOENBORN ; M. STOMMEL ; B. W. WARD Année de publication : 2014 Article en page(s) : 1250-1258 Langues : Anglais Mots-clés : Thésaurus Géographique
ALCOOL ; MODELE STATISTIQUE ; ENQUETE ; MORTALITE ; FACTEUR DE RISQUE ; ABUS ; CONSOMMATION ; CAUSE DE DECES
Discipline : EPI Epidémiologie / Epidemiology Domaine : Alcool / Alcohol Résumé : Data from the 1997 to 2004 National Health Interview Survey Sample Adult questionnaires were linked to the National Death Index (N = 242,397) to examine mortality risks associated with average and episodic heavy drinking. Cox proportional hazard models (Stata 12.0) revealed that (average) heavier drinkers and episodic heavy drinkers (5+ in a day) had increased mortality risks but when examined together, episodic heavy drinking added only modestly to the mortality risks of light and moderate drinkers. Limitations and implications of results for survey measurement of potentially harmful levels of alcohol use are noted. This was a Federal study that received no outside funding. Affiliation : Division of Health Interview Statistics, National Center for Health Statistics, CDC, Hyattsville, MD, USA Cote : Abonnement Lien : http://dx.doi.org/10.3109/10826084.2014.891620 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=74560[article]