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Mortality in a cohort of young primary cocaine users: Controlling the effect of the riskiest drug-use behaviors
- Source :
-
Addictive Behaviors . Mar2013, Vol. 38 Issue 3, p1601-1604. 4p. - Publication Year :
- 2013
-
Abstract
- Abstract: Background: Published studies indicate that primary cocaine users (PCUs) have a mortality rate 4–8 times higher than their age–sex peers in the general population. Most PCUs are primary intranasal cocaine users, never-injectors and never-opioid users (PICUNINOs) and are usually underrepresented in cohort mortality studies. The aim is to estimate excess mortality in all PCUs and in the subgroups of never-opioid users and PICUNINOs in Spain. Methods: 714 PCUs aged 18–30 were street-recruited in 2004–2006 in Spain and followed until 2010 to ascertain vital status. Drug use was self-reported at baseline and 1–2years later. Mortality was compared with that of the general population using standardized mortality ratios (SMRs). Results: SMRs were 4.7 (95% CI: 2.4–9.0), 2.5 (95%CI: 0.8–7.8) and 3.1 (95% CI: 1.0–9.6), respectively, among all participants, never-opioid users and PICUNINOS when using only baseline data on drug use, and 1.2 (95% CI: 0.2–8.5) and 1.4 (95% CI: 0.2–9.9) among the latter two subgroups, when using baseline plus follow-up data. Conclusion: Short-term mortality in young Spanish PCUs is 5 times higher than in the general population. This excess mortality may largely be explained by a history of opioid use or the risk of starting such use. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 03064603
- Volume :
- 38
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Addictive Behaviors
- Publication Type :
- Academic Journal
- Accession number :
- 85155061
- Full Text :
- https://doi.org/10.1016/j.addbeh.2012.10.007