To investigate social and economic inequalities in fatal overdose cases related to opioid and cocaine use, recorded in Luxembourg between 1994 and 2011.
Cross-examination of national data from law enforcement and drug use surveillance sources and of forensic evidence in a nested case-control study design. Overdose cases were individually matched with four controls, when available, according to sex, year of birth, drug administration route and duration of drug use. 272 cases vs 1056 controls were analysed. Conditional logistic regression analysis was performed to assess the respective impact of a series of socioeconomic variables.
Being professionally active [OR=0.66 (95% CI 0.45-0.99)], reporting salary as main legal income source [OR=0.42 (95% CI 0.26-0.67)] and education attainment higher than primary school [OR=0.50 (95% CI 0.34-0.73)] revealed to be protective factors, whereas the professional status of the father or legal guardian of victims was not significantly associated to fatal overdoses.
Socioeconomic inequalities in drug users impact on the occurrence of fatal overdoses. Compared to their peers, users of illicit drugs with lower socioeconomic profiles show increased odds of dying from overdose. However, actual and self-referred socioeconomic characteristics of drug users, such as educational attainment and employment, may have a greater predictive value of overdose mortality than the parental socioeconomic status. Education, vocational training and socio-professional reintegration should be part of drug-related mortality prevention policies.
- Date de parution: septembre 2014
- Alain ORIGER
- Editeur: Elsevier
[H, poudre, came, Hélène, Brongen, Boulle]
Informations sur les risques liés à la consommation d'héroîne, conseils et prévention.
- Date de parution: octobre 2014 (fr, de) / juin 2012 (pt, en)
- Editeur: Centre de Prévention des Toxicomanies (CePT)
[Les jeunes et la drogue]
Flash Eurobarometer 401
This survey builds on the work of previous reports in exploring young people’s perceptions of and attitudes towards drugs, including:
Self-reported use of cannabis and new substances that imitate the effects of illicit drugs.
Sources of information about drugs, including their effects and the associated risks.
Perceived ease of availability of drugs.
The perceived health risks associated with occasional or regular use of various drugs, including alcohol and tobacco.
The appropriate legal status of a range of currently illegal drugs, as well as alcohol and tobacco.
Opinions about the best ways for authorities to tackle drug problems.
Results are analysed at the overall EU28 level and (where sample sizes permit) at country level, and by a range of socio-demographic groups. Where possible, comparisons are made with the results from 2011.
- Date de parution: août 2014
[coke, neige, blanche, coco]
Informations sur les risques liés à la consommation de cocaîne, conseils et prévention.
- Date de parution: octobre 2014
- Editeur: Centre de Prévention des Toxicomanies (CePT)
We analysed gender differences in national fatal overdose (FOD) cases related to opiates and cocaine use between 1985 and 2011 (n = 340).
Cross-examination of national data from law enforcement and drug use surveillance sources and of forensic evidence. Bivariate and logistic regression analysis of male/female differences according to sociodemographics, forensic evidence and drug use trajectories.
The burden of deaths caused by FOD on the general national mortality was higher for men (PMR/100=0.55) compared with women (PMR/100=0.34). Compared with their male peers, women were younger at the time of death (t=3.274; p=0.001) and showed shorter drug use careers (t=2.228; p=0.028). Heroin use was recorded more frequently in first drug offences of female victims (AOR=6.59; 95% CI 2.97-14.63) and according to forensic evidence, psychotropic prescription drugs were detected to a higher degree in females (AOR=2.019; 95% CI 1.065-3.827).
The time window between the onset of illicit drug use and its fatal outcome revealed to be shorter for women versus men included in our study. Early intervention in female drug users, routine involvement of first-line healthcare providers and increased attention to use of poly- and psychotropic prescription drugs might contribute to prevent premature drug-related death and reduce gender differences.
- Date de parution: février 2014
- Alain ORIGER A, Sofia LOPES DA COSTA S, Michèle BAUMANN
- Editeur: Karger
[Evaluation de la stratégie et plan d'action gouvernemental 2010-2014 du Luxembourg en matière de lutte contre les drogues et les toxicomanies]
On request of the Luxembourg Ministry of Health, the Trimbos Institute has conducted an evaluation of the Governmental Strategy and Action Plan 2010-2014 of Luxembourg regarding the fight against drugs and addictions.
This evaluation report starts with a summary, followed by chapter 2 with a short description of the objectives, the structure and the priorities of the Strategy and the Action Plan. Based on this we identified the key questions for the evaluation.
Chapter 3 describes the project methodology and activities.
In chapter 4 we present an assessment of what has been achieved in the period covered by the strategy and action plan based on a survey (questionnaires) and a face-to-face interview round among stakeholders. In Annex 4 we summarize these achievements in a balance sheet.
Chapter 5 describes the results of a SWOT analysis assessing the Strengths, Weaknesses, Opportunities and Threats of the Drug Strategy and Action Plan based on the findings from the questionnaires and the face-to-face interviews with stakeholders.
Chapter 6 follows with a discussion of findings based among others on the focus group with key stakeholders.
Finally, in chapter 7 we present recommendations for the new Drug Strategy and Action Plan.
This publication can be ordered at the Unit International Affairs (firstname.lastname@example.org).
- Date de parution: novembre 2014
- Franz TRAUTMAN, Richard BRAAM
- Editeur: Trimbos-instituut