TY - JOUR PY - 2007// TI - The role of substance use in non-drug related deaths: A cross-sectional study of drug treatment clients in the North West of England JO - Journal of substance use A1 - Beynon, C.M. A1 - McVeigh, J. SP - 39 EP - 47 VL - 12 IS - 1 N2 - Aims: (1) To identify all causes of death in a cohort of known problematic drug users; (2) to quantify the number considered drug-related in accordance with the UK Drug Strategy definition; (3) to identify the possible role of substance use in the residual causes of mortality.

DESIGN: Cross-sectional. Setting: North West of England, UK. Participants: All problematic drug users in contact with structured treatment services in 2003-2004. Measurements: All causes of mortality were identified from death certificates. Mann-Whitney U and chi-squared tests were used to explore differences in subgroups (alive, drug related deaths (DRD), non-DRD) by age and sex, respectively.

FINDINGS: Of 27,810 individuals, 103 (0.4%) were confirmed dead. Of the 102 for whom cause of death was available, 72 (70.6%) deaths were classified as non-drug related. In addition to individual causes such as cellulitis, these non-drug related deaths included 16 from infection (seven from pneumonia), seven from alcohol related liver disorders and seven suicides. Those dying from non-DRDs were significantly older than those dying of DRD (p=0.004).

CONCLUSIONS: A considerable proportion of deaths classified as non-drug related are the likely result of substance use, particularly through infection.

Language: en

LA - en SN - 1465-9891 UR - http://dx.doi.org/10.1080/14659890600824329 ID - ref1 ER -