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Predictors of 5-year mortality following inpatient/residential group treatment for substance use disorders
(Facteurs de prédiction du taux de mortalité sur cinq ans suite à un traitement résidentiel de groupe pour des troubles liés à la consommation de substances psychoactives)
Auteur(s) :
J. E. JOHNSON ;
J. W. FINNEY ;
R. H. MOOS
Article en page(s) :
1300-1316
Refs biblio. :
52
Domaine :
Plusieurs produits / Several products
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
MORTALITE
;
FACTEUR PREDICTIF
;
FACTEUR DE RISQUE
;
PREVALENCE
;
SUIVI DU PATIENT
;
PARTENAIRE SEXUEL
;
CONSOMMATION
;
VIH
;
SIDA
Thésaurus géographique
ETATS-UNIS
Note générale :
Addictive Behaviors, 2005, 30, (7), 1300-1316
Note de contenu :
tabl.
Résumé :
ENGLISH :
This study examined the prevalence and predictors of 5-year mortality following treatment for substance use disorders. The predictors were assessed at baseline, at discharge, and at a 1-year follow-up for 3698 male veterans, and included demographic, substance use, medical, and psychological functioning, social support, and continuing care. The annual mortality rate was 2.38%, with an observed/expected ratio of 3.05. After accounting for significant demographic, substance use, psychological, and medical conditions, not having a spouse or partner at intake independently predicted 5-year mortality. After accounting for intake variables, more depression at discharge and more medical conditions, a diagnosis of HIV or AIDS, more ounces of ethanol on a maximum drinking day, and lack of a spouse or partner at the 1-year follow-up independently predicted 5-year mortality. Unexpectedly, good quality relationships were related to a higher mortality risk. Results can be used to increase at-risk patients' motivation for recovery. (Editor's abstract.)
ENGLISH :
This study examined the prevalence and predictors of 5-year mortality following treatment for substance use disorders. The predictors were assessed at baseline, at discharge, and at a 1-year follow-up for 3698 male veterans, and included demographic, substance use, medical, and psychological functioning, social support, and continuing care. The annual mortality rate was 2.38%, with an observed/expected ratio of 3.05. After accounting for significant demographic, substance use, psychological, and medical conditions, not having a spouse or partner at intake independently predicted 5-year mortality. After accounting for intake variables, more depression at discharge and more medical conditions, a diagnosis of HIV or AIDS, more ounces of ethanol on a maximum drinking day, and lack of a spouse or partner at the 1-year follow-up independently predicted 5-year mortality. Unexpectedly, good quality relationships were related to a higher mortality risk. Results can be used to increase at-risk patients' motivation for recovery. (Editor's abstract.)
Affiliation :
Center for Health Care Evaluation, Department of Veterans Affairs, 795 Willow Road, Menlo Park, California 94025. E-mail : Jennifer_Johnsonbrown.edu
Etats-Unis. United States.
Etats-Unis. United States.
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