Centre for Health Research in Criminal Justice, Justice & Forensic Mental Health Network, Pagewood, NSW 2035, Australia; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052, Australia.
Drug Alcohol Depend. 2013 Nov 1;133(1):45-51. doi: 10.1016/j.drugalcdep.2013.06.001. Epub 2013 Jul 15.
Recently released prisoners are at markedly increased risk of death and drug-related causes predominate. Non-fatal overdose (NFOD) is considerably more common than fatal overdose, but has received relatively little research attention and most studies of NFOD in this population have suffered from small samples of unknown representativeness. This study aimed to estimate the prevalence and correlates of lifetime NFOD among prisoners in NSW and Queensland.
Cross-sectional surveys of adult prisoners in two Australian states: New South Wales (n=972) and Queensland (n=1316). Use of similar measures and methods in the two states made direct comparison of findings possible.
In both NSW and Queensland, 23% of participants reported a lifetime history of NFOD and prisoners with a history of injecting drug use were significantly more likely to report lifetime NFOD. The lifetime prevalence of NFOD among prisoners with a history of injecting drug use was significantly higher in NSW than in Queensland (44% vs. 35%; p<0.01). Independent correlates of lifetime NFOD were similar across the two states and included ever attempting suicide, ever injecting heroin, and ever injecting opioids.
The risk of NFOD among prisoners with a history of injecting drug use is high. An understanding of the risk factors for NFOD in this population can inform targeted, evidence-based interventions to reduce this risk.
最近获释的囚犯死亡风险明显增加，且死亡原因主要与毒品有关。非致命性药物过量（NFOD）比致命性药物过量更为常见，但受到的研究关注相对较少，且该人群中对 NFOD 的大多数研究都存在样本量小且代表性未知的问题。本研究旨在估计澳大利亚新南威尔士州和昆士兰州囚犯中终生 NFOD 的患病率及其相关因素。
对澳大利亚两个州的成年囚犯进行横断面调查：新南威尔士州（n=972）和昆士兰州（n=1316）。两个州使用类似的措施和方法，使得研究结果可以直接进行比较。
在新南威尔士州和昆士兰州，均有 23%的参与者报告有终生 NFOD 史，有注射吸毒史的囚犯更有可能报告终生 NFOD。有注射吸毒史的囚犯中，终生 NFOD 的患病率在新南威尔士州显著高于昆士兰州（44% vs. 35%；p<0.01）。终生 NFOD 的独立相关因素在两个州相似，包括曾经试图自杀、曾经注射海洛因和曾经注射阿片类药物。
有注射吸毒史的囚犯发生 NFOD 的风险很高。了解该人群中 NFOD 的风险因素可以为有针对性的、基于证据的干预措施提供信息，以降低这种风险。
