Titre : | Mortality risk among heroin abusers: Clients and non-clients of public treatment centers for drug addiction (2015) |
Auteurs : | R. M. PAVARIN |
Type de document : | Article : Périodique |
Dans : | Substance Use and Misuse (Vol.50, n°13, 2015) |
Article en page(s) : | 1690-1696 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique ITALIEThésaurus mots-clés HEROINE ; MORTALITE ; COHORTE ; SURDOSE ; POPULATION CACHEE ; USAGER ; FACTEUR DE RISQUE |
Résumé : |
In Europe, the prevalence of problematic heroin consumption is declining but, in spite of the constant rise in the number of treated patients, many of them do not turn to a public treatment center (PTC) for their drug addiction. The aim of this study is to study the mortality risk separately for heroin abusers PTC clients and non-PTC clients (i.e. those never treated at a PTC).
Methods: Cohort study on 959 subjects resident in the metropolitan area of Bologna who went to a health service (i.e. hospital, emergency unit) or to a PTC following problems due to heroin abuse for the first time between 01/01/2004 and 31/12/2009. Standardized mortality ratios (SMRs) were calculated, and regression analysis using the Poisson method was used. Results: Elevated and statistically significant SMRs were found in both genders, irrespective of the contact facility, being higher for PTC clients. Among non-PTC clients 28% of deaths overall were from AIDS or infectious diseases (6% PTC clients), 17% from opiate overdose (6% PTC clients) and 14% from violent causes (6% PTC clients). Multivariate analysis showed a higher mortality risk for patients who used both heroin and cocaine and for concomitant abuse of benzodiazepines. Conclusions: The characteristics of patients never before treated for addiction prompts a reflection on the presence of a hidden group of patients who are hard to reach, who have a high mortality risk and who turn to health care treatment facilities only in the event of an emergency. |
Domaine : | Drogues illicites / Illicit drugs |
Affiliation : | Epidemiological Monitoring Center on Addiction, Mental Health and Dependences, ASL Bologna, Bologna, Italy |
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