Historique
Article de Périodique
Dying for heroin: the increasing opioid-related mortality in the Republic of Ireland, 19801999 (2005)
(Mourir de l'héroïne : mortalité due aux opiacés croissante en République d'Irlande, 1980-1999)
Auteur(s) :
M. KELLEHER ;
KEOWN P. ;
C. O'GARA ;
F. KEANEY ;
M. FARRELL ;
J. STRANG
Article en page(s) :
589-592
Refs biblio. :
17
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Note générale :
European Journal of Public Health, 2005, 15, (6), 589-592
Note de contenu :
fig. ; tabl.
Résumé :
ENGLISH :
Background: Over the past 20 years there has been a steady rise in mortality associated with opioid misuse in several Western countries. We aimed to examine trends in opioid-related mortality over a 20-year period in the Republic of Ireland. Methods: Retrospective analysis of deaths attributed to ICD-9 codes 304.0 (morphine-type dependence) and E850.0 (accidental poisoning by opiates and related narcotics) in the Republic of Ireland between 1980 and 1999. Results: The Republic of Ireland has seen a rapid increase in the number of opioid-related deaths over the 20-year period studied, from 0.01% of total deaths in 1980 to 0.15% in 1999. This is most marked in the younger age groups where, for example, it rose to 23% of 1519 year old male deaths for 1997. The opioid-related mortality rate in the 1544 years age range increased by nearly 14 times between 19801984 and 19951999. Over the whole period, 87% of opioid-related deaths were amongst males. Outside Dublin there has been a considerable increase in opioid-related mortality, nearly doubling the percentage of the total from 6% in the 1980s to 11% in the 1990s. Conclusions: Opioid-related mortality is an increasing problem in the Republic of Ireland, as in other Western countries. Today, young people have a very low mortality rate, and hence this rapid increase may need specific targeted interventions. The spread of opioid-related mortality outside Dublin to rural and other urban areas will have implications for service planning and provision (Review' s abstract)
ENGLISH :
Background: Over the past 20 years there has been a steady rise in mortality associated with opioid misuse in several Western countries. We aimed to examine trends in opioid-related mortality over a 20-year period in the Republic of Ireland. Methods: Retrospective analysis of deaths attributed to ICD-9 codes 304.0 (morphine-type dependence) and E850.0 (accidental poisoning by opiates and related narcotics) in the Republic of Ireland between 1980 and 1999. Results: The Republic of Ireland has seen a rapid increase in the number of opioid-related deaths over the 20-year period studied, from 0.01% of total deaths in 1980 to 0.15% in 1999. This is most marked in the younger age groups where, for example, it rose to 23% of 1519 year old male deaths for 1997. The opioid-related mortality rate in the 1544 years age range increased by nearly 14 times between 19801984 and 19951999. Over the whole period, 87% of opioid-related deaths were amongst males. Outside Dublin there has been a considerable increase in opioid-related mortality, nearly doubling the percentage of the total from 6% in the 1980s to 11% in the 1990s. Conclusions: Opioid-related mortality is an increasing problem in the Republic of Ireland, as in other Western countries. Today, young people have a very low mortality rate, and hence this rapid increase may need specific targeted interventions. The spread of opioid-related mortality outside Dublin to rural and other urban areas will have implications for service planning and provision (Review' s abstract)
Affiliation :
National Addiction Centre and Maudsley Hospital, Institute of Psychiatry, 4 Windsor Walk, Denmark Hill, London SE5 8AF. E-mail : mike.kelleher@slam.nhs.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.