TY  - JOUR
PY  - 2014//
TI  - Mortality among a national population sentenced to compulsory care for substance use disorders in Sweden: descriptive study
JO  - Evaluation and program planning
A1  - Hall, Taylor
A1  - Chassler, Deborah
A1  - Blom, Björn
A1  - Grahn, Robert
A1  - Blom-Nilsson, Marcus
A1  - Sullivan, Lisa
A1  - Lundgren, Lena
SP  - 153
EP  - 162
VL  - 49
IS  - 
N2  - Sweden's compulsory addiction system treats individuals with severe alcohol and narcotics use disorders. Merging data from three national level register databases of those sentenced to compulsory care from 2001 to 2009 (n=4515), the aims of this study were to: (1) compute mortality rates to compare to the general Swedish population; (2) identify leading cause of mortality by alcohol or narcotics use; and (3) identify individual level characteristics associated with mortality among alcohol and narcotics users. In this population, 24% were deceased by 2011. The most common cause of death for alcohol users was physical ailments linked to alcohol use, while narcotics users commonly died of drug poisoning or suicide. Average age of death differed significantly between alcohol users (55.0) and narcotics users (32.5). Multivariable logistic regression analysis identified the same three factors predicting mortality: older age (alcohol users OR=1.28, narcotic users OR=1.16), gender [males were nearly 3 times more likely to die among narcotics users (p<.000) and 1.6 times more likely to die among alcohol users (p<.01)] and reporting serious health problems (for alcohol users p<.000, for narcotics users p<.05). Enhanced program and government efforts are needed to implement overdose-prevention efforts and different treatment modalities for both narcotic and alcohol users.<p />  <p>Language: en</p>
LA  - en
SN  - 0149-7189
UR  - http://dx.doi.org/10.1016/j.evalprogplan.2014.12.013
ID  - ref1
ER  -