Drug-related mortality and its impact on adult mortality in eight European countries

Objective: To estimate the mortality rates from drug-related deaths and other causes among problem drug users and population attributable risk of death due to opiate use in eight study sites in Europe. Methods: Opiate users were recruited from drug treatment centres during the period 1990–1998 and d...

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Published in:European journal of public health 2006-04, Vol.16 (2), p.198-202
Main Authors: Bargagli, Anna Maria, Hickman, Matthew, Davoli, Marina, Perucci, Carlo A., Schifano, Patrizia, Buster, Marcel, Brugal, Teresa, Vicente, Julian
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
Age groups
AIDS
Cohort analysis
Drug addiction
Drug addicts
Drug use
drug-related mortality
Epidemiology
Estimates
Europe - epidemiology
European Union
Female
HIV
HIV positive persons
Human immunodeficiency virus
Humans
Longitudinal studies
Male
Males
Middle Aged
Mortality
Mortality - trends
Narcotics
opiate addiction
Opioid-Related Disorders - mortality
Poisoning
Population
Predation
Public health
Registries
Substance abuse treatment
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Summary:Objective: To estimate the mortality rates from drug-related deaths and other causes among problem drug users and population attributable risk of death due to opiate use in eight study sites in Europe. Methods: Opiate users were recruited from drug treatment centres during the period 1990–1998 and deaths followed up through national or local mortality registries. Gender-specific overall mortality rate, proportion of deaths by cause (drug-related, HIV, other), standardized mortality ratios (SMRs), and the attributable risk fraction (ARF) were estimated. Results: Crude mortality rates varied from 1 per 100 person-years in the Dublin and London cohorts to 3.8 per 100 person-years in Barcelona. The highest drug-related mortality rate was 10 per 1000 person-years in Barcelona; the rates were ∼7 per 1000 person-years in Denmark, London, Rome, and Vienna, and
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/cki168