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Social determinants of drug-related mortality in a general population
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). University of Helsinki, Finland; Max Planck Institute for Demographic Research, Germany.ORCID iD: 0000-0001-9374-1438
Number of Authors: 42017 (English)In: Drug And Alcohol Dependence, ISSN 0376-8716, E-ISSN 1879-0046, Vol. 181, p. 37-43Article in journal (Refereed) Published
Abstract [en]

Background: We investigated the association between social determinants and a broad selection of drug-related deaths in a general population. Methods: We conducted a follow-up of an 11% random sample of working-age Finnish residents for 1996-2007 linked with an oversampling of deaths and population registration data on social characteristics. We defined total drug-related deaths as those from psychoactive substance use disorders and drug-induced poisonings (drug induced deaths) as well as drug-related accidents, homicides, illnesses, and suicides. Results: The number of drug-related deaths was three times that of drug-induced deaths. We found the highest hazard ratios (HRs) for total drug-related mortality for long-term unemployment (4.9; 95% confidence interval [CI], 4.3-5.6), short-term unemployment (3.9; 95% CI, 3.5-4.4), and retirement (5.8; 95% CI, 5.1-6.8). The HRs were highest for mortality related to psychoactive substance use disorders and lowest for mortality related to drug-related suicides. The differences were large for both sexes. Conclusions: Drug-related mortality was associated with social disadvantage; however, the strength of the association varied by drug-related cause of death. Primary and secondary prevention of drug use should particularly target disadvantaged groups.

Place, publisher, year, edition, pages
2017. Vol. 181, p. 37-43
Keywords [en]
Drugs, Mortality, Social determinants, Cox regression, Register-based study
National Category
Substance Abuse Sociology
Identifiers
URN: urn:nbn:se:su:diva-150874DOI: 10.1016/j.drugalcdep.2017.09.005ISI: 000416496600007PubMedID: 29032023OAI: oai:DiVA.org:su-150874DiVA, id: diva2:1172593
Available from: 2018-01-10 Created: 2018-01-10 Last updated: 2018-01-10Bibliographically approved

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