A persistent rise in mortality among injection drug users in Rome, 1980 through 1992

被引：59

作者：

Davoli, M ^{[1
]}

Perucci, CA ^{[1
]}

Rapiti, E ^{[1
]}

Bargagli, AM ^{[1
]}

DIppoliti, D ^{[1
]}

Forastiere, F ^{[1
]}

Abeni, D ^{[1
]}

机构：

[1] OSSERV EPIDEMIOL REGIONE LAZIO,I-00198 ROME,ITALY

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 1997年 / 87卷 / 05期

关键词：

HUMAN-IMMUNODEFICIENCY-VIRUS; EPIDEMIC; PERIOD; HIV-1;

D O I：

10.2105/AJPH.87.5.851

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives. The purpose of the study was to analyze overall and cause-specific mortality among injection drug users in Rome. Methods. A cohort of 4200 injection drug users was enrolled in drug. treatment centers from 1980 through 1988 and followed up until December 1992. Results. The age-adjusted mortality rate from all causes increased from 7.8/1000 person-years in 1985/86 to 27.7/1000 in 1991/92. The rise was mainly attributable to acquired immunodeficiency syndrome (AIDS), but mortality from overdose and other causes increased as well. The cumulative risk of death by the age of 40 was 29.3%. Conclusions. The impact of AIDS deaths appears to be additional to a persistent increase of mortality for all other causes.

引用

收藏

页码：851 / 853

页数：3

相关论文

共 13 条

[1] INCUBATION PERIOD OF HUMAN-IMMUNODEFICIENCY-VIRUS [J].

ALCABES, P ;

MUNOZ, A ;

VLAHOV, D ;

FRIEDLAND, GH .

EPIDEMIOLOGIC REVIEWS, 1993, 15 (02) :303-318

[2] THE EPIDEMIC DYNAMICS OF HIV-1 IN ITALY - MODELING THE INTERACTION BETWEEN INTRAVENOUS-DRUG-USERS AND HETEROSEXUAL POPULATION [J].

ARCA, M ;

PERUCCI, CA ;

SPADEA, T .

STATISTICS IN MEDICINE, 1992, 11 (13) :1657-1684

[3]

BRANCATO G, 1996, P 11 INT C AIDS VANC

[4] DRUG SMOKING, PNEUMOCYSTIS-CARINII PNEUMONIA, AND IMMUNOSUPPRESSION INCREASE RISK OF BACTERIAL PNEUMONIA IN HUMAN IMMUNODEFICIENCY VIRUS-SEROPOSITIVE INJECTION-DRUG USERS [J].

CAIAFFA, WT ;

VLAHOV, D ;

GRAHAM, NMH ;

ASTEMBORSKI, J ;

SOLOMON, L ;

NELSON, KE ;

MUNOZ, A .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 150 (06) :1493-1498

[5]

COX DR, 1984, ANAL SURVIVAL DATA, P48

[6] HIV RISK-RELATED BEHAVIORS AMONG INJECTION-DRUG USERS IN ROME - DIFFERENCES BETWEEN 1990 AND 1992 [J].

DAVOLI, M ;

PERUCCI, CA ;

ABENI, DD ;

ARCA, M ;

BRANCATO, G ;

FORASTIERE, F ;

MONTIROLI, PM ;

ZAMPIERI, F .

AMERICAN JOURNAL OF PUBLIC HEALTH, 1995, 85 (06) :829-832

[7] MORTALITY OF INTRAVENOUS-DRUG-USERS LIVING IN MILAN, ITALY - ROLE OF HIV-1 INFECTION [J].

GALLI, M ;

MUSICCO, M .

AIDS, 1994, 8 (10) :1457-1463

[8] MORTALITY OF INTRAVENOUS-DRUG-USERS IN ROME - A COHORT STUDY [J].

PERUCCI, CA ;

DAVOLI, M ;

RAPITI, E ;

ABENI, DD ;

FORASTIERE, F .

AMERICAN JOURNAL OF PUBLIC HEALTH, 1991, 81 (10) :1307-1310

[9] HIV PREVALENCE AND FREQUENCY OF RISK BEHAVIOR IN INJECTING DRUG-USERS ENTERING TREATMENT AND OUT OF TREATMENT - A CROSS-SECTIONAL STUDY IN 5 ITALIAN CITIES [J].

REZZA, G ;

SALMASO, S ;

ABENI, D ;

BRANCATO, G ;

ANEMONA, A ;

ROVETTA, C ;

VERANI, P ;

PERUCCI, CA ;

CARBALLO, M ;

SERPELLONI, G ;

GALVAN, U ;

MANCONI, PE ;

MELONI, D ;

PIRO, R ;

SOLINAS, C ;

PETRELLA, M ;

NESPOLI, M ;

LAZZARIN, A ;

ZANON, L ;

ZAMPIERI, F .

JOURNAL OF DRUG ISSUES, 1994, 24 (03) :527-535

[10] INJECTION-DRUG USE, MORTALITY, AND THE AIDS EPIDEMIC [J].

SELWYN, PA .

AMERICAN JOURNAL OF PUBLIC HEALTH, 1991, 81 (10) :1247-1249