Historique
Périodique
Opiates, cocaine and alcohol combinations in accidental drug overdose deaths in New York City, 1990-98
(Associations des opiacés, de la cocaine et de l'alcool dans les morts accidentelles par overdose à New-York, 1990-1998.)
Auteur(s) :
COFFIN, P. O. ;
GALEA, S. ;
AHERN, J. ;
LEON, A. C. ;
VLAHOV, D. ;
TARDIFF, K.
Année :
2003
Page(s) :
739-747
Langue(s) :
Anglais
Refs biblio. :
35
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
ALCOOL
;
OPIACES
;
COCAINE
;
SURDOSE
;
POLYCONSOMMATION
;
FACTEUR DE RISQUE
;
EPIDEMIOLOGIE DESCRIPTIVE
;
POPULATION A RISQUE
Note générale :
Addiction, 2003, 98, (6), 739-747
Note de contenu :
fig. ; tabl.
Résumé :
FRANÇAIS :
Les auteurs ont analysé les données disponibles sur l'ensemble des overdoses ayant eu lieu dans la ville de New-York entre 1990 et 1998. 97, 6% des overdoses sont imputées soit aux opiacés, soit à la cocaïne ou à l'alcool, et dans 57,8 % des cas à l'association d'un ou de plusieurs des trois produits. On note une augmentation du nombre d'overdoses entre 1990 et 1993, et une diminution après 1993. Le taux d'overdoses dues à la consommation d'un seul produit reste relativement stable, tandis qu'au contraire il varie en fonction des polyconsommations. Les associations de produits seraient, en outre, caractérisées par l'appartenance à tel ou tel groupe d'usagers avec des discriminations par sexe ou par ethnie.
ENGLISH :
Accidental drug overdose contributes substantially to mortality among drug users. Multi-drug use has been documented as a key risk factor in overdose and overdose mortality in several studies. This study investigated the contribution of multiple drug combinations to overdose mortality trends. We collected data on all overdose deaths in New York City between 1990 and 1998 using records from the Office of the Chief Medical Examiner (OCME). We standardized yearly overdose death rates by age, sex and race to the 1990 census population for NYC to enable comparability between years relevant to this analysis. Opiates, cocaine and alcohol were the three drugs most commonly atributed as the cause of accidental overdose death by the OCME, accounting for 97.6`% of all deaths ; 57.8% of those deaths were attributed to two or more of these three drugs in combination. Accidental overdose deaths increased in 1990-93 and subsequently declined slightly in 1993-98. Changes in the rate of multi-drug combination deaths accounted for most of the change in overdose death rates, whereas single drug overdose death rates remained relatively stable. Trends in accidental overdose death rates within gender and racial/ethnic strata varied by drug combination suggesting different patterns of multi-drug use among different subpopulations. Conclusions These data suggest that interventions to prevent accidental overdose mortality should address the use of drugs such as heroin, cocaine and alcohol in combination. (Author' s abstract)
Les auteurs ont analysé les données disponibles sur l'ensemble des overdoses ayant eu lieu dans la ville de New-York entre 1990 et 1998. 97, 6% des overdoses sont imputées soit aux opiacés, soit à la cocaïne ou à l'alcool, et dans 57,8 % des cas à l'association d'un ou de plusieurs des trois produits. On note une augmentation du nombre d'overdoses entre 1990 et 1993, et une diminution après 1993. Le taux d'overdoses dues à la consommation d'un seul produit reste relativement stable, tandis qu'au contraire il varie en fonction des polyconsommations. Les associations de produits seraient, en outre, caractérisées par l'appartenance à tel ou tel groupe d'usagers avec des discriminations par sexe ou par ethnie.
ENGLISH :
Accidental drug overdose contributes substantially to mortality among drug users. Multi-drug use has been documented as a key risk factor in overdose and overdose mortality in several studies. This study investigated the contribution of multiple drug combinations to overdose mortality trends. We collected data on all overdose deaths in New York City between 1990 and 1998 using records from the Office of the Chief Medical Examiner (OCME). We standardized yearly overdose death rates by age, sex and race to the 1990 census population for NYC to enable comparability between years relevant to this analysis. Opiates, cocaine and alcohol were the three drugs most commonly atributed as the cause of accidental overdose death by the OCME, accounting for 97.6`% of all deaths ; 57.8% of those deaths were attributed to two or more of these three drugs in combination. Accidental overdose deaths increased in 1990-93 and subsequently declined slightly in 1993-98. Changes in the rate of multi-drug combination deaths accounted for most of the change in overdose death rates, whereas single drug overdose death rates remained relatively stable. Trends in accidental overdose death rates within gender and racial/ethnic strata varied by drug combination suggesting different patterns of multi-drug use among different subpopulations. Conclusions These data suggest that interventions to prevent accidental overdose mortality should address the use of drugs such as heroin, cocaine and alcohol in combination. (Author' s abstract)
Affiliation :
Ctr Urban Epidemiol. Studies, New York Academy Med., 1216 Fifth Ave., New Yok, NY 10029. E-mail: sgaleanyam.org
Etats-Unis. United States.
Etats-Unis. United States.