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Predictors of accidental fatal drug overdose among a cohort of injection drug users

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Listed:
  • O'Driscoll, P.T.
  • McGough, J.
  • Hagan, H.
  • Thiede, H.
  • Critchlow, C.
  • Alexander, E.R.

Abstract

Objectives. This study evaluated factors associated with accidental fatal drug overdose among a cohort of injection drug users (IDUs). Methods. In a prospective cohort study of 2849 IDUs in King County, Washington, deaths were identified by electronically merging subject identifiers with death certificate records. Univariate and multivariate Cox regression analyses were performed to identify predictors of overdose mortality. Results. Thirty-two overdoses were observed. Independent predictors of overdose mortality were bisexual sexual orientation (relative risk [RR]=4,86; 95% confidence interval [CI]=2.30, 13.2), homelessness (RR=2.30; 95% CI=1.06, 5.01), infrequent injection of speedballs (RR=5.36; 95% CI=1.58, 18.1), daily use of powdered cocaine (RR=4.84; 95% CI=1.13, 20.8), and daily use of poppers (RR=22.0; 95% CI=1.74, 278). Conclusions. Sexual orientation, homelessness, and drug use identify IDUs who may benefit from targeted interventions.

Suggested Citation

  • O'Driscoll, P.T. & McGough, J. & Hagan, H. & Thiede, H. & Critchlow, C. & Alexander, E.R., 2001. "Predictors of accidental fatal drug overdose among a cohort of injection drug users," American Journal of Public Health, American Public Health Association, vol. 91(6), pages 984-987.
    • Handle: RePEc:aph:ajpbhl:2001:91:6:984-987_5
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    Cited by:

    1. Jamie Moeller & Julie Farmer & Carlos Quiñonez, 2017. "Patterns of analgesic use to relieve tooth pain among residents in British Columbia, Canada," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-18, May.
    2. Alain Origer & Etienne Le Bihan & Michèle Baumann, 2015. "A Social Gradient in Fatal Opioids and Cocaine Related Overdoses?," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-10, May.
    3. Mars, Sarah G. & Fessel, Jason N. & Bourgois, Philippe & Montero, Fernando & Karandinos, George & Ciccarone, Daniel, 2015. "Heroin-related overdose: The unexplored influences of markets, marketing and source-types in the United States," Social Science & Medicine, Elsevier, vol. 140(C), pages 44-53.

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