Historique
Article de Périodique
The role of substance use in non-drug related deaths: a cross-sectional study of drug treatment clients in the North West of England (2007)
(Rôle de l'usage de drogue dans le décompte des morts non lié à la drogue : étude transversale des toxicomanes pris en charge dans le nord ouest de l'Angleterre)
Auteur(s) :
C. M. BEYNON ;
J. McVEIGH
Article en page(s) :
39-47
Refs biblio. :
27
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
MORTALITE
;
ETUDE TRANSVERSALE
;
ENQUETE
;
INFECTION
Thésaurus géographique
ROYAUME-UNI
Note générale :
Journal of Substance Use, 2007, 12, (1), 39-47
Note de contenu :
tabl.
Résumé :
ENGLISH :
Aims: (1) To identify all causes of death in a cohort of known problematic drug users; (2) to quantify the number considered drug-related in accordance with the UK Drug Strategy definition; (3) to identify the possible role of substance use in the residual causes of mortality. Design: Cross-sectional. Setting: North West of England, UK. Participants: All problematic drug users in contact with structured treatment services in 2003-2004. Measurements: All causes of mortality were identified from death certificates. Mann-Whitney U and chi-squared tests were used to explore differences in subgroups (alive, drug related deaths (DRD), non-DRD) by age and sex, respectively. Findings: Of 27,810 individuals, 103 (0.4%) were confirmed dead. Of the 102 for whom cause of death was available, 72 (70.6%) deaths were classified as non-drug related. In addition to individual causes such as cellulitis, these non-drug related deaths included 16 from infection (seven from pneumonia), seven from alcohol related liver disorders and seven suicides. Those dying from non-DRDs were significantly older than those dying of DRD (p = 0.004). Conclusions: A considerable proportion of deaths classified as non-drug related are the likely result of substance use, particularly through infection. (Author' s abstract)
ENGLISH :
Aims: (1) To identify all causes of death in a cohort of known problematic drug users; (2) to quantify the number considered drug-related in accordance with the UK Drug Strategy definition; (3) to identify the possible role of substance use in the residual causes of mortality. Design: Cross-sectional. Setting: North West of England, UK. Participants: All problematic drug users in contact with structured treatment services in 2003-2004. Measurements: All causes of mortality were identified from death certificates. Mann-Whitney U and chi-squared tests were used to explore differences in subgroups (alive, drug related deaths (DRD), non-DRD) by age and sex, respectively. Findings: Of 27,810 individuals, 103 (0.4%) were confirmed dead. Of the 102 for whom cause of death was available, 72 (70.6%) deaths were classified as non-drug related. In addition to individual causes such as cellulitis, these non-drug related deaths included 16 from infection (seven from pneumonia), seven from alcohol related liver disorders and seven suicides. Those dying from non-DRDs were significantly older than those dying of DRD (p = 0.004). Conclusions: A considerable proportion of deaths classified as non-drug related are the likely result of substance use, particularly through infection. (Author' s abstract)
Affiliation :
Centre for Public Health, Faculty of Health and Applied Social Sciences, Liverpool John Moores University, Castle House, North Street, Liverpool L3 2AY
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.