ABSTRACT Aims To assess the relationship between methadone treatment (MT) and overdose HIV/AIDS mortality among heroin users resident in Barcelona city. Design All patients who started any centre 1992 1997 were included a cohort first time they admitted for addiction treatment. Follow‐up controls carried out every 9 months, on average, until 31 December 1999. Variables, both constant varying over time, fitted into Cox regression models. Findings The study recruited 5049 patients, which...

Objective: To estimate the mortality rates from drug-related deaths and other causes among problem drug users population attributable risk of death due to opiate use in eight study sites Europe. Methods: Opiate were recruited treatment centres during period 1990–1998 followed up through national or local registries. Gender-specific overall rate, proportion by cause (drug-related, HIV, other), standardized ratios (SMRs), fraction (ARF) estimated. Results: Crude varied 1 per 100 person-years...

To examine risk factors associated with non-fatal heroin overdose, particularly frequency and route of administration.Data from cross-sectional surveys were analysed as a case-control case cross-over design.2556 subjects treated for dependence in 164 outpatient facilities Spain.Prevalence overdose involving emergency care the 12 months before treatment admission. CASE CONTROL DESIGN: Odds ratio (OR) adjusted by logistic regression. CASE-CROSSOVER Estimated relative (RR) transient injecting...

Study objective. To provide information on MMP patient's characteristics, particularly those related with Health Related Quality of Life (HRQoL) and gender. Design. Cross-sectional study. Data were collected socio-demographic, toxicological variables, HIV risk behaviors, HRQoL through the Nottingham Profile (NHP). Patients setting. Over a 30-month period (1996–1999) Barcelona's Municipal Drug Care Centres recruited 586 patients. Main results. Mean age patients was 31 years, 70% males 25%...

To examine the psychiatric status of young cocaine users using a validated instrument for evaluation comorbidity, emphasizing distinction between independent and induced conditions.Cross-sectional study.Barcelona, Spain.A cohort 139 (18-30 years) adult current regular users.The Psychiatric Research Interview Substance Mental Disorders (PRISM-IV, which produces diagnoses according to DSM-IV criteria, including Axis II antisocial borderline personality disorders).Nearly 42.5% subjects...

To study the use of supervised injection facilities (SIFs) as a predictor safer injecting practices.Cross-sectional conducted with face-to-face interview using structured questionnaire computer-assisted personal interviewing. Dried blood spot samples were collected for human immunodeficiency virus (HIV) and hepatitis C (HCV) antibody testing.All participants street-recruited by chain referral methods in Madrid Barcelona.A total 249 young heroin drug injectors recruited ITINERE cohort two...

Background To estimate the incidence of hazardous drinking in middle-aged people during an economic recession and ascertain whether individual job loss contextual changes unemployment influence rate that period. Methods Longitudinal study based on two waves SHARE project (Survey Health, Ageing Retirement Europe). Individuals aged 50–64 years from 11 European countries, who were not drinkers at baseline (n = 7,615), selected for this study. We estimated cumulative (≥40g ≥20g pure alcohol...

Many risk behaviours in adolescence are socially patterned. However, it is unclear to what extent socioeconomic position (SEP) influences adolescent drinking various parts of Europe. We examined how alcohol consumption associated with parental SEP and adolescents' own among students aged 14-17 years.Cross-sectional data were collected the 2013 SILNE study. Participants 8705 years from 6 European cities. The dependent variable was weekly binge drinking. Main independent variables (parental...

The aim of this study was to assess differences in the prevalence HIV and HCV infection associated risk factors between new (injecting for ≤5 years) long-term injectors estimate HIV/HCV incidence among injectors.Cross-sectional people who inject drugs (PWID) attended harm reduction centers Catalonia 2010-11. Anonymous questionnaires oral fluid samples were collected. Poisson regression models applied determine association factors.Of 761 participants, 21.4% injectors. New younger than (mean...

<i>Aims:</i> Our aim was to further assess the Severity of Dependence Scale (SDS) validity and identify cut-off score for a DSM-IV diagnosis heroin cocaine dependence through cross-sectional survey in Barcelona, Spain. <i>Methods:</i> The Psychiatric Research Interview Substance Mental Disorders (PRISM) used as gold standard. 146 young (18–30 years old) users were recruited from outside healthcare context, 135 whom also current users. SDS scores correlated quantity,...

Fundamento: Las defunciones por causas externas requieren exámenes complementarios para determinar la causa de muerte. Si no se incorporan estos resultados a los registros mortalidad estas pueden quedar mal clasificadas. El objetivo del estudio es validar básica defunción Registro Mortalidad con obtenida las fuentes forenses, en Barcelona entre años 2004 y 2006. Métodos: Diseño transversal. La población son fallecidos residentes intervención medicolegal información el archivo patología...

Abstract Aims To analyse the association between alcohol advertising restrictions and prevalence of hazardous drinking among people aged 50–64 years in 16 E uropean countries, taking into account both individual contextual‐level factors (alcohol taxation, availability, etc.). Design Cross‐sectional study based on SHARE project surveys. Setting Participants A total 27 773 subjects, years, from countries who participated wave 4 ( S urvey H ealth, geing R etirement urope) project. Measurements...

To determine differences between men and women in hazardous drinking, heavy cannabis use hypnosedative according to educational level employment status the economically active population Spain. Cross-sectional study with data from 2013 Spanish Household Survey on Alcohol Drugs individuals aged 25-64 [n = 14,113 (women 6,171; 7,942)]. Dependent variables were consumption; main independent situation. Associations dependent calculated Poisson regression models robust variance. All analyses...

The aim of this study was to estimate the magnitude gender differences in hazardous drinking among middle-aged people and analyse whether these are associated with contextual factors, such as public policies or socioeconomic factors.Cross-sectional design. population included 50- 64-year-old residents 16 European countries who participated Survey Health, Ageing Retirement Europe project conducted 2010-12 (n = 26 017). We estimated each country. To determine different social context women's...

Objective: To analyse the role of individual and contextual variables in injury mortality inequalities from a small area analysis perspective, looking at data for city Barcelona (Spain) 1992–98. Setting: (Spain). Methods: All deaths residents older than 19, which occurred period 1992–98 were included (n=4393). Age sex specific rates calculated each educational level cause death (traffic injuries, falls, drug overdose, suicide, other injuries). The proportion men unemployed, jail,...

Background: The aim of this study is to determine whether socioeconomic AIDS mortality inequalities before and after the introduction highly active antiretroviral therapy (HAART) have increased or decreased in a Spanish city where HAART free. Methods: used trend design, including all Barcelona residents older than 19 years age. All deaths, which occurred among these between 1991 2001 were included. variables studied age, sex, (SES) group HIV transmission group. age-standardized rates for...

Capture-recapture, an indirect method widely used to estimate undetected populations, has been criticized because it causes problems due a lack of compliance with several important assumptions and model selection strategies. This paper expands on the encountered when applying this methodology drug abuse estimations, specifically prevalence opiate use in metropolitan area Barcelona, Spain, 1993. Three samples users (from hospital emergency rooms, treatment centers, prisons) were available...

To show the utility of analysing time trends need and coverage needle-exchange programmes (NEPs) opioid substitution treatment (OST) to assess harm reduction policies targeting drug injectors or heroin users.Multiple methods applied secondary data.Spain.Thousands users included in administrative registers, surveys published studies during 1987-2010.Coverage for general population was calculated as ratio between interventions provided (obtained directly from sources) needed (estimated by...

Las dramáticas consecuencias del consumo de heroína (principalmente inyectada) han marcado el fenómeno las drogas ilegales en España los últimos treinta años. Más 300.000 personas sido tratadas por dependencia heroína, 20.000-25.000 muerto «sobredosis», 100.000 adquirido VIH mediante inyección y bastantes más se infectado con virus la hepatitis. Algunas estas pueden atribuirse al retraso puesta marcha intervenciones efectivas, como tratamientos mantenimiento metadona (TMM). Actualmente...

A number of studies have been conducted in injecting drug user (IDU) populations Europe, which the prevalence human immunodeficiency virus (HIV), hepatitis B (HBV) and C (HCV) was measured together with demographic epidemiological information such as age at first injection. measure risk becoming infected is force infection (FOI), defined per capita rate susceptible individuals acquire infection. The objective this study to estimate FOI its heterogeneity for HBV, HCV HIV (where available) IDU...