Influence of war on quantitative and qualitative changes in drug-induced mortality in Split-Dalmatia County, CroatiaReportar como inadecuado




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Croatian medical journal, Vol.52 No.5 October 2011. -

Aim To study drug-induced mortality and characteristics

of overdose deaths in the war 1991-1995, pre-war 1986-

1990, and post-war period 1996-2000 in Split-Dalmatia

County.

Methods We retrospectively searched through Databases

of the Department of Forensic Medicine, University Hospital

Split, the national register of death records, the archives

of the Split-Dalmatia County Police, and the Register of

Treated Drug Addicts of the Croatian National Institute of

Public Health, covering the period from 1986 to 2000, according

to drug poisoning codes IX and X of the International

Classification of Diseases. The indicators were statistically

analyzed.

Results There were 146 registered drug-induced deaths,

with 136 93% deceased being men. The median age of

all cases was 27 years interquartile range 8. Most of them

were single 70.6%, unemployed 44.6%, and secondary

school graduates 69.2%. In the war period, there were 4.8

times more deaths than in the pre-war period P = 0.014,

and in the post-war period there were 5.2 times more

deaths than in the pre-war period P = 0.008. The most

common site of death was the deceased person’s home.

The toxicological analyses showed that 59 61% deaths

were heroin related, alcohol use was found in 62 cases

42.5%, and multi-substance use was found in more than

a half of the cases. In 133 91.1% cases, deaths were classified

as unintentional, whereas 13 8.9% were classified

as suicides.

Conclusion The war, along with other risk factors, contributed

to unfavorable developments related to drug abuse

in Split-Dalmatia County, including the increase in the

drug-induced mortality rate.

drug-induced death; war; epidemiology; heroin; alcohol; toxicology



Autor: Ivana Marasović Šušnjara - ; Public Health Institutes of Split and Dalmatian County, Split, Croatia Marija Definis Gojanović

Fuente: http://hrcak.srce.hr/



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