Titre : | Fatal and non-fatal heroin-related overdoses: Circumstances and patterns (2021) |
Auteurs : | S. SCHNEIDER ; C. RICHTER ; R. NIETHAMMER ; L. BEISEL |
Type de document : | Article : Périodique |
Dans : | Substance Use and Misuse (Vol.56, n°13, 2021) |
Article en page(s) : | 1997-2006 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique ALLEMAGNEThésaurus mots-clés HEROINE ; SURDOSE ; MORTALITE ; FACTEUR DE RISQUE ; ETUDE DE CAS ; USAGER ; TYPOLOGIE |
Résumé : |
INTRODUCTION: Heroin overdose is a leading cause of mortality among drug users. This paper aims to identify individual and contextual factors associated with lethal and non-lethal heroin-related overdoses on the basis of case reports and semi-structured proxy interviews. Typical patterns within these cases are determined by means of cluster analysis.
METHODS: Within the CaRe (Case Reports of heroin-related overdoses) study, case reports (100 proxy reports of overdose events from 36 different facilities) were gathered and evaluated as part of a nationwide survey of experts conducted in Germany in 2019. Following initial descriptive analyses a two-step cluster analysis with the four binary variables of gender, age, time and place was conducted to identify patterns within the reported cases. RESULTS: The case reports grouped into five clusters: 1) Younger male drug users, found in a public space during the daytime; 2) Female drug users; 3) Older male drug users, found in a public space during the daytime; 4) Drug users found at home at night; 5) Drug users found outside at night. Overdoses by female drug users and those which occurred at home and/or at night were significantly more likely to have a fatal outcome. CONCLUSION: Future prevention and intervention measures should aim to consider the context, i.e. typical constellations of risk, and attempt to inhibit this through appropriate counter measures. |
Domaine : | Drogues illicites / Illicit drugs |
Affiliation : | Mannheim Institute of Public Health, Social and Preventive Medicine, Heidelberg University, Mannheim, Germany |
Lien : | https://doi.org/10.1080/10826084.2021.1963986 |
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