Mortality Risk among Heroin Users Accessing Treatment

Natives and Non-Natives Patients Results of a Longitudinal Study

Bibliographic Data

ID13913749
AuthorsRaimondo Maria Pavarin (0000-0003-1403-3148, Epidemiological Monitoring Center on Addiction, Mental Health DSM-DP, Azienda USL, Bologna, Italy, corresponding author), Samantha Sanchini (Epidemiological Monitoring Center on Addiction, Mental Health DSM-DP, Azienda USL, Romagna (District of Forlì), Italy), Silvia Marani (Epidemiological Monitoring Center on Addiction, Mental Health DSM-DP, Azienda USL, Bologna, Italy), Elsa Turino (Epidemiological Monitoring Center on Addiction, Mental Health DSM-DP, Azienda USL, Bologna, Italy), Leonardo Tadonio (0000-0002-9239-905X, Monitoring Center on Addiction, Mental Health DAISM-DP, Azienda USL, Parma, Italy), Barbara Cantarelli (Monitoring Center on Addiction, Harm Reduction Service, Mental Health DAISM-DP, Azienda USL, Parma, Italy)
Year2019
Volume52
Issue2
Pages176-185
Publication date2019-12-19
Open AccessNo
TypeARTICLE
VenueJournal of Psychoactive Drugs (JOURNAL)
Journal identifiersISSN: 0279-1072 • E-ISSN: 2159-9777
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/02791072.2019.1706014
PMID31856700
OpenAlexW2996408429
LanguageEN
Citations received1
References cited6

The aim of this study was to examine mortality risk and causes of death for natives and non-natives in a cohort of heroin population of treated in Northern Italy. Crude Mortality Rates (CMRs) were 12.78 per 1,000 Person Years (PY), Standardized Mortality Rate (SMR) was 9.93. Mortality has been decreasing over time, was higher for patients who accessed the treatment services before 2001 and has been increasing with age. CMRs and SMRs were higher among natives, while non-natives were distinguished by higher CMRs and SMRs for suicide. The natives were at greater risk of death than non-natives both injecting and non-injecting, but the mortality risk was not statistically significant in the different periods of first admission. Among non-native patients, older on average, there was a lower proportion of injecting, and a higher quota of people unemployed than among Italian natives. We highlight differences between the various areas of origin concerning consumption patterns and risk of death. The results of the study highlight a particular sub-population of heroin users, the non-natives, who as compared with the Italians, have less invasive consumption styles, reach the health services later but benefit from fewer medical controls

Cohort · Cohort study · Consumption (sociology · Drug · Environmental health · Ethnic group · Heroin · Mortality rate · Population · Psychiatry · Demography · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Medicine · Opioid Use Disorder Treatment · Gerontology

Tools

Open DOISci-Hub