Shahbazi Fatemeh, Mirtorabi Seyed Davood, Ghadirzadeh Mohammad Reza, Hashemi-Nazari Seyed Saeed, Barzegar Abdolrazagh
Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
General Practitioner, Department of Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Addict Health. 2017 Jul;9(3):166-174.
Drug abuse is a severe and chronic disorder that leaves morbidity, disability and premature mortality in the society. The study of death due to substance abuse provides useful information for local, national and international administrators. Thus, by identifying the factors that have an impact on overdose-related mortality we can provide suitable intervention for vulnerable groups. The aim of this study was an investigation of mortality rate caused by consumption of narcotic and psychoactive substances in Iran.
In this cross-sectional study, demographic and epidemiological data about all people whose cause of death was substance abuse in March 2014 to February 2015 were collected from Legal Medicine Organization (LMO). Finally, the information that was extracted from two checklists was analyzed by descriptive statistics.
In this study, 2986 cases died from substances abuse were evaluated. Most deaths have befallen in unmarried young men with mean age of 36.9 ± 12.3, in the private locations. The mortality rate of drug abuse in the whole country was 38.4 per 1000000 population. The proportion of mortality was higher in Iranian nationality and in people who had a diploma and less education. History of overdose, suicide, hospitalization in a psychiatric hospital, staying in prison and substance abuse in the family were investigated in the study population.
The present study revealed that mortality rate from substance abuse is more among unmarried young men aged 30-39 years with low education level and also in the self-employed group. We suggest that policies should be taken to prevent these people from accessing and using the drug.
药物滥用是一种严重的慢性疾病，会给社会带来发病率、残疾和过早死亡。对药物滥用导致的死亡进行研究可为地方、国家和国际管理人员提供有用信息。因此，通过确定对过量用药相关死亡率有影响的因素，我们可以为弱势群体提供适当的干预措施。本研究的目的是调查伊朗麻醉药品和精神活性物质消费导致的死亡率。
在这项横断面研究中，从法医学组织收集了2014年3月至2015年2月期间所有死因是药物滥用者的人口统计学和流行病学数据。最后，对从两份清单中提取的信息进行描述性统计分析。
在本研究中，对2986例药物滥用死亡病例进行了评估。大多数死亡发生在未婚青年男性中，平均年龄为36.9±12.3岁，地点为私人场所。全国药物滥用死亡率为每100万人口38.4例。伊朗国籍以及拥有文凭和受教育程度较低的人群死亡率较高。在研究人群中调查了过量用药史、自杀史、在精神病院住院史、入狱史和家庭药物滥用情况。
本研究表明，30 - 39岁、教育水平低的未婚青年男性以及自营职业群体中药物滥用死亡率更高。我们建议应采取政策防止这些人获取和使用毒品。
