Titre :
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Mortality of drug addicts in the United Kingdom 1967-1993. (1998)
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Auteurs :
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H. GHODSE ;
B. KILPATRICK ;
A. OYEFESO ;
Department of Psychiatry of Addictive Behaviour. St George's Hospital Medical School. London. GBR
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 27, n° 3, 1998)
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Pagination :
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473-478
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Langues:
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Anglais
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Mots-clés :
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Toxicomanie
;
Létalité
;
Epidémiologie
;
Evolution
;
Taux
;
Toxicomane
;
Homme
;
Royaume Uni
;
Europe
|
Résumé :
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[BDSP. Notice produite par INIST R0xNOWkC. Diffusion soumise à autorisation]. Background Mortality in specified clinical populations has often been regarded as a measure of treatment effectiveness. This study examined time trends in mortality of drug addicts in the UK notified to the Home Office over a 27-year period. Methods The study was a longitudinal analysis of routine mortality data of a population of newly notified addicts from 1967 to 1993. Altogether, 92 802 addicts were newly notified during the study period, and they accounted for 687 673 person-years of observation. The main outcome measures were age-specific all-causes mortality ; drug-related mortality : and age-and sex-specific standardized mortality ratios (SMR) 1967-1993. Results There were significant differences in death rates between the periods 1967-1976 (19/1000 person-years) and 1984-1993 (10.5/1000 person-years). Excess deaths were significantly higher among the 1967-1976 cohorts than in the 1984-1993 cohorts (SMR ratio=1.80,95% CI : 1.64-1.97). The majority of deaths were drug-related, with those aged
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