Study of the Cause-Specific Mortality of Substance Abuse-related Deaths in Kermanshah Province 2010–2015

AUTHORS

Alireza Alikhani 1 , Ebrahim Ghaderi 2 , * , Nader Esmaeilnasab 1 , Farid Najafi 3 , Daem Roshani 2 , Ghobad Moradi 2 , Bijan Nori 2

AUTHORS INFORMATION

1 . Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran

2 Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran

3 Dept. of Biostatistics & Epidemiology, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

How to Cite: Alikhani A , Ghaderi E , Esmaeilnasab N , Najafi F , Roshani D , et al. Study of the Cause-Specific Mortality of Substance Abuse-related Deaths in Kermanshah Province 2010–2015, J Kermanshah Univ Med Sci. 2017 ; 21(3):e69280.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 21 (3); e69280
Published Online: December 30, 2017
Article Type: Original Article
Received: September 25, 2017
Accepted: December 12, 2017

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Abstract

Introduction: Abuse and dependency on opiates and stimulant substances are a huge challenge to the world today. Because of their potential for causing mortality among consumers in addition to imposing an economic burden and endangering the health of the individual, from the perspective of general public health, this issue is very important to society.

Methods: This was a descriptive-analytical study, which included all deaths in 2010–2015 that were referred to Kermanshah forensic medicine in the west of Iran due to the abuse of substances. Data collection used a checklist based on the information contained in the files of the deceased, including demographic information, diagnostic medical records, body examination, and the results of autopsy, toxicology and pathology.

Results: The total recorded deaths included 490 people (458 men, 32 women) with an average age of 35.7 years. The most common types of used substances were opium and its derivatives (59%). In the final diagnosis of deaths, according to autopsy, the bodies had the highest detection rates for pulmonary tuberculosis (37.6%) followed by cardiac arrest (32.2%). It is imperative to note that in 14.5% of the deceased, HIV was diagnosed. Most of the diagnoses of substance abuse were based on urinary samples (57.7%).

Conclusion: Considering the high rates of deaths found on autopsy to be due to tuberculosis, as well as the prevalence of hepatitis and other disorders and concomitant diseases, attention to infection prevention methods and formulation of an application in line with harm reduction policies seems necessary.

Keywords

substance abuse mortality cause of death Kermanshah

© 2017, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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