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Mortality of intravenous drug users in Rome: A cohort study

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  • Perucci, C.A.
  • Davoli, M.
  • Rapiti, E.
  • Abeni, D.D.
  • Forastiere, F.

Abstract

A historical cohort study was carried out in Rome to examine overall and cause-specific mortality among intravenous drug users (IV-DUs). A total of 4200 IVDUs (3411 men and 789 women) enrolled in methadone treatment centers between 1980 and 1988 were studied. There were 239 deaths during the follow-up period. The overall SMR was 10.10 in the entire cohort (95% confidence interval, 8.86-11.47), 9.30 in males and 18.07 in females. A large excess of mortality in both sexes was found for infectious, circulatory, respiratory, and digestive diseases as well as for violence, overdose, AIDS, and unknown or ill-defined causes. Tumors and suicide were excessive only in males. Deaths due to drug overdose, violence or trauma, and cirrhosis accounted for 63.6%, AIDS for 7.1%, endocarditis and other bacterial infections for 7.1%, and neoplasms for 3.8% of total mortality. These findings document serious health consequences of drug abuse in Italy.

Suggested Citation

  • Perucci, C.A. & Davoli, M. & Rapiti, E. & Abeni, D.D. & Forastiere, F., 1991. "Mortality of intravenous drug users in Rome: A cohort study," American Journal of Public Health, American Public Health Association, vol. 81(10), pages 1307-1310.
    • Handle: RePEc:aph:ajpbhl:1991:81:10:1307-1310_0
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    Cited by:

    1. Lessner, Lawrence, 2008. "HIV prevalence for New York State using Newborn Seroprevalence and AIDS Surveillance Data," Socio-Economic Planning Sciences, Elsevier, vol. 42(4), pages 286-299, December.

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