Historique
Périodique
Non-fatal cocaine overdose among injecting and non-injecting cocaine users in Sydney, Australia
(Overdose non mortelle chez des usagers de cocaïne injecteurs et non-injecteurs à Sydney, Australie.)
Année
2004
Page(s) :
1315-1322
Langue(s) :
Anglais
Refs biblio. :
35
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
AUSTRALIE
Thésaurus mots-clés
COCAINE
;
SURDOSE
;
INJECTION
;
FACTEUR DE RISQUE
;
ETUDE TRANSVERSALE
Note générale :
Addiction, 2004, 99, (10), 1315-1322
Note de contenu :
fig. ; tabl.
Résumé :
FRANÇAIS :
Enquête auprès de 200 usagers de cocaïne, dont 13% avaient expérimenté une overdose. Les usagers par injection étaient les plus à risque (17% contre 3%). La consommation conjointe dune autre drogue concerne 64% des cas, cette autre drogue étant le plus souvent des opioïdes (44%), de lalcool (24%) ou du cannabis (24%). 24% des usagers avaient été témoin dune overdose, plus particulièrement les injecteurs (35% contre 8%).
ENGLISH :
Aim: To investigate the frequency of non-fatal cocaine overdose, and responses to overdoses, among injecting and non-injecting cocaine users. Design: Cross-sectional study. Setting: Sydney, Australia. Participants: Two hundred current cocaine users. Measurements: Structured interview. Findings: Thirteen per cent of the sample had overdosed on cocaine, 7% in the preceding 12 months. Cocaine injectors were more likely to have overdosed, both ever (17 v 6%) and in the preceding 12 months (9 v 3%). The most common symptoms of overdose were palpitations (68%), intense sweating (44%) and seizures (40%). The use of other drugs in combination with cocaine prior to the most recent overdose was prevalent (64%), most commonly opioids (40%,), alcohol (24%) and cannabis (24%). Those who had overdosed were more likely to be female, had longer cocaine use careers, had used more cocaine in the preceding month and preceding 6 months, had higher levels of cocaine dependence and more extensive polydrug use. Twenty-four per cent had witnessed a cocaine overdose, 13% in the preceding 12 months. Injectors were more likely to have witnessed overdoses, both ever (35% v 8%) and in the preceding 12 months (20% v 3%). Conclusions: Experience of, and exposure to, overdose were not rare events. Cocaine users need to be aware of the possibility and nature of overdose, and that cocaine overdose can occur irrespective of method of use. There is a need to emphasise the potential danger of combining cocaine with other drugs. (Author' s abstract)
Enquête auprès de 200 usagers de cocaïne, dont 13% avaient expérimenté une overdose. Les usagers par injection étaient les plus à risque (17% contre 3%). La consommation conjointe dune autre drogue concerne 64% des cas, cette autre drogue étant le plus souvent des opioïdes (44%), de lalcool (24%) ou du cannabis (24%). 24% des usagers avaient été témoin dune overdose, plus particulièrement les injecteurs (35% contre 8%).
ENGLISH :
Aim: To investigate the frequency of non-fatal cocaine overdose, and responses to overdoses, among injecting and non-injecting cocaine users. Design: Cross-sectional study. Setting: Sydney, Australia. Participants: Two hundred current cocaine users. Measurements: Structured interview. Findings: Thirteen per cent of the sample had overdosed on cocaine, 7% in the preceding 12 months. Cocaine injectors were more likely to have overdosed, both ever (17 v 6%) and in the preceding 12 months (9 v 3%). The most common symptoms of overdose were palpitations (68%), intense sweating (44%) and seizures (40%). The use of other drugs in combination with cocaine prior to the most recent overdose was prevalent (64%), most commonly opioids (40%,), alcohol (24%) and cannabis (24%). Those who had overdosed were more likely to be female, had longer cocaine use careers, had used more cocaine in the preceding month and preceding 6 months, had higher levels of cocaine dependence and more extensive polydrug use. Twenty-four per cent had witnessed a cocaine overdose, 13% in the preceding 12 months. Injectors were more likely to have witnessed overdoses, both ever (35% v 8%) and in the preceding 12 months (20% v 3%). Conclusions: Experience of, and exposure to, overdose were not rare events. Cocaine users need to be aware of the possibility and nature of overdose, and that cocaine overdose can occur irrespective of method of use. There is a need to emphasise the potential danger of combining cocaine with other drugs. (Author' s abstract)
Affiliation :
National Drug and Alcohol Research Centre, Univ. New South Wales, NSW 2052. E-mail: s.kayeunsw.edu.au
Australie. Australia.
Australie. Australia.