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
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
Journal officiel de l'Union Européenne, L 86, 21 mars 2014, p.1-13.
Le troisième programme Santé de l'UE (2014-2020) est le principal instrument utilisé par la Commission européenne pour appliquer la stratégie de l'UE en matière de santé. Le programme poursuit 4 grands objectifs:
- agir en faveur de la santé, prévenir les maladies et créer des conditions favorables à des modes de - vie sains, en tenant compte du principe de l'intégration des questions de santé dans toutes les politiques;
- protéger les citoyens de l'Union des menaces transfrontières graves sur la santé;
- contribuer à des systèmes de santé innovants, efficaces et viables;
- améliorer l'accès des citoyens de l'Union à des soins de santé de meilleure qualité et plus sûrs.
- Date de parution: mars 2014
- Editeur: Journal officiel de l'Union Européenne