Trends in opioid-related fatal overdoses in Massachusetts, 1990-2003
Trends in opioid-related fatal overdoses in Massachusetts, 1990-2003
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DOI：
10.1016/j.jsat.2006.04.008
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发表时间：
2006-09-01
影响因子：
3.9
通讯作者：
Hume, Beth
中科院分区：
文献类型：
--
作者：
Fernandez, William;Hackman, Holly;Hume, Beth
自1997年以来，中毒，特别是海洛因和其他阿片类药物中毒，一直是马萨诸塞州伤害死亡的主要原因。我们的目的是描述马萨诸塞州居民中阿片类药物相关中毒死亡的近期趋势。研究方法：马萨诸塞州1990-2003年的死亡档案，按照国际疾病分类第九次修订版和国际疾病分类第十次修订版进行编码，用于确定所有中毒死亡和阿片类药物相关中毒死亡;对死亡率进行年龄调整，并按年份、性别和种族/民族分组。结果：从1990年到2003年，阿片类药物相关的致命中毒率从1990年的1.4/10万上升到2003年的8.8/10万，上升了529%。与类阿片有关的中毒死亡总数的比例从1990年的28%上升到2003年的69%。结论：马萨诸塞州阿片类药物相关中毒死亡率显著增加。为了指导未来的公共卫生干预措施，有必要进行进一步的调查，以更好地描述所涉及的特定阿片类药物，这些死亡的情况以及可用的医疗和行为卫生保健选择。(c)2006爱思唯尔公司All rights reserved.
Since 1997, poisoning, particularly from heroin and other opioids, has been the leading cause of injury mortality in Massachusetts. Our aim was to describe recent trends in opioid-related poisoning deaths among Massachusetts residents. Methods: Massachusetts death files for the years 1990-2003, as coded by International Classification of Disease, Ninth Revision and International Classification of Disease, Tenth Revision, were used to identify all poisoning deaths and opioid-related poisoning deaths; rates were age-adjusted and grouped by year, sex, and race/ethnicity. Results: From 1990 to 2003, opioid-related fatal poisoning rates increased by 529% from 1.4 per 100,000 in 1990 to 8.8 per 100,000 in 2003. The proportion of total poisoning deaths associated with opioids rose from 28% in 1990 to 69% in 2003. Conclusions: Massachusetts experienced a significant increase in opioid-related poisoning death rates. To guide future public health interventions, further investigation is necessary to better delineate the specific opioids involved, the circumstances surrounding these deaths, and the medical and behavioral health care options available. (c) 2006 Elsevier Inc. All rights reserved.