Historique
Article de Périodique
Predictors of accidental fatal drug overdose among a cohort of injection drug users (2001)
(Facteurs prédictifs d'une overdose accidentelle et fatale parmi une cohorte d'usagers de drogues par voie intraveineuse)
Auteur(s) :
O'DRISCOLL, P. T. ;
McGOUGH, J. ;
HAGAN, H. ;
THIEDE, H. ;
CRITCHLOW C. ;
ALEXANDER, E. R.
Année
2001
Page(s) :
984-987
Langue(s) :
Anglais
Refs biblio. :
15
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
EPIDEMIOLOGIE DESCRIPTIVE
;
CERTIFICAT DE DECES
;
INJECTION
;
VOIE INTRAVEINEUSE
;
MORTALITE
;
SURDOSE
;
FACTEUR DE RISQUE
Thésaurus géographique
ETATS-UNIS
Note de contenu :
tabl.
Résumé :
ENGLISH :
Objectives. This study evaluated factors associated with accidental fatal drug overdose among a cohort of injection drug users (IDUs). Methods. In a prospective cohort study of 2849 IDUs in King County, Washington, deaths were identified by electronically merging subject identifiers with death certificate records. Univariate and multivariate Cox regression analyses were performed to identify predictors of overdose mortality. Results. Thirty-two overdoses were observed. Independent predictors of overdose mortality were bisexual sexual orientation (relative risk [RR]=4.86; 95% confidence interval [CI]=2.30, 13.2), homelessness (RR=2.30; 95% CI= 1.06, 5.01), infrequent injection of speedballs (RR=5.36; 95% CI=1.58, 18.1), daily use of powdered cocaine (RR=4.84; 95% CI=1.13, 20.8), and daily use of poppers (RR=22.0; 95% CI= 1.74, 278). Conclusions. Sexual orientation, homelessness, and drug use identify IDUs who may benefit from targeted interventions. (Review' s abstract)
Objectives. This study evaluated factors associated with accidental fatal drug overdose among a cohort of injection drug users (IDUs). Methods. In a prospective cohort study of 2849 IDUs in King County, Washington, deaths were identified by electronically merging subject identifiers with death certificate records. Univariate and multivariate Cox regression analyses were performed to identify predictors of overdose mortality. Results. Thirty-two overdoses were observed. Independent predictors of overdose mortality were bisexual sexual orientation (relative risk [RR]=4.86; 95% confidence interval [CI]=2.30, 13.2), homelessness (RR=2.30; 95% CI= 1.06, 5.01), infrequent injection of speedballs (RR=5.36; 95% CI=1.58, 18.1), daily use of powdered cocaine (RR=4.84; 95% CI=1.13, 20.8), and daily use of poppers (RR=22.0; 95% CI= 1.74, 278). Conclusions. Sexual orientation, homelessness, and drug use identify IDUs who may benefit from targeted interventions. (Review' s abstract)
Affiliation :
Dpt of Epidemiology, Inst. of Human Virology, Univ. of Maryland, 725 W Lombard St, N142B Baltimore, MD 21208
Etats-Unis. United States.
Etats-Unis. United States.