TY  - JOUR
PY  - 2017//
TI  - Social determinants of drug-related mortality in a general population
JO  - Drug and alcohol dependence
A1  - Rönkä, Sanna
A1  - Karjalainen, Karoliina
A1  - Martikainen, Pekka
A1  - Makela, Pia
SP  - 37
EP  - 43
VL  - 181
IS  - 
N2  - BACKGROUND: We investigated the association between social determinants and a broad selection of drug-related deaths in a general population. <br><br>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. <br><br>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. <br><br>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.<br><br>Copyright © 2017 Elsevier B.V. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0376-8716
UR  - http://dx.doi.org/10.1016/j.drugalcdep.2017.09.005
ID  - ref1
ER  -