Historique
Article de Périodique
Social determinants of drug-related mortality in a general population (2017)
Auteur(s) :
RONKA, S. ;
KARJALAINEN, K. ;
MARTIKAINEN, P. ;
MAKELA, P.
Année :
2017
Page(s) :
37-43
Langue(s) :
Anglais
Domaine :
Autres substances / Other substances ; Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
FINLANDE
Thésaurus mots-clés
POPULATION GENERALE
;
MORTALITE
;
PRODUIT ILLICITE
;
CHOMAGE
;
CATEGORIE SOCIO-PROFESSIONNELLE
;
AGE
;
SEXE
;
CAUSE DE DECES
;
PSYCHOTROPES
;
HOMICIDE
;
SUICIDE
;
ACCIDENT
Résumé :
Background: We investigated the association between social determinants and a broad selection of drug-related deaths in a general population.
Methods: We conducted a follow-up of an 11% random sample of working-age Finnish residents for 1996-2007 linked with an oversampling of deaths and population registration data on social characteristics. We defined total drug-related deaths as those from psychoactive substance use disorders and drug-induced poisonings (drug-induced deaths) as well as drug-related accidents, homicides, illnesses, and suicides.
Results: The number of drug-related deaths was three times that of drug-induced deaths. We found the highest hazard ratios (HRs) for total drug-related mortality for long-term unemployment (4.9; 95% confidence interval [CI], 4.3-5.6), short-term unemployment (3.9; 95% CI, 3.5-4.4), and retirement (5.8; 95% CI, 5.1-6.8). The HRs were highest for mortality related to psychoactive substance use disorders and lowest for mortality related to drug-related suicides. The differences were large for both sexes.
Conclusions: Drug-related mortality was associated with social disadvantage; however, the strength of the association varied by drug-related cause of death. Primary and secondary prevention of drug use should particularly target disadvantaged groups.
Highlights:
Drug-related mortality is associated with social disadvantage.
The number of drug-related deaths was three times that of drug-induced deaths.
Compared with women, men had a threefold hazard of dying of drug-related causes.
Methods: We conducted a follow-up of an 11% random sample of working-age Finnish residents for 1996-2007 linked with an oversampling of deaths and population registration data on social characteristics. We defined total drug-related deaths as those from psychoactive substance use disorders and drug-induced poisonings (drug-induced deaths) as well as drug-related accidents, homicides, illnesses, and suicides.
Results: The number of drug-related deaths was three times that of drug-induced deaths. We found the highest hazard ratios (HRs) for total drug-related mortality for long-term unemployment (4.9; 95% confidence interval [CI], 4.3-5.6), short-term unemployment (3.9; 95% CI, 3.5-4.4), and retirement (5.8; 95% CI, 5.1-6.8). The HRs were highest for mortality related to psychoactive substance use disorders and lowest for mortality related to drug-related suicides. The differences were large for both sexes.
Conclusions: Drug-related mortality was associated with social disadvantage; however, the strength of the association varied by drug-related cause of death. Primary and secondary prevention of drug use should particularly target disadvantaged groups.
Highlights:
Drug-related mortality is associated with social disadvantage.
The number of drug-related deaths was three times that of drug-induced deaths.
Compared with women, men had a threefold hazard of dying of drug-related causes.
Affiliation :
Department of Social Research, University of Helsinki, Finland