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The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study
European Addiction Research, Volume: 28, Issue: 3, Pages: 226 - 230
Swansea University Authors: Matthew Jones, Matthew Jones, Ceri Bradshaw, Jenna Jones, Ann John , Helen Snooks , Alan Watkins
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DOI (Published version): 10.1159/000521614
Abstract
ackground: Fatal opioid overdose is a significant public health problem with increasing incidence in developed countries. This study aimed to describe demographic and service user characteristics of decedents of opioid overdose in Wales to identify possible targets for behaviour modification and lif...
Published in: | European Addiction Research |
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ISSN: | 1022-6877 1421-9891 |
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S. Karger AG
2022
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URI: | https://cronfa.swan.ac.uk/Record/cronfa60482 |
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<?xml version="1.0"?><rfc1807><datestamp>2022-11-02T11:32:56.0156558</datestamp><bib-version>v2</bib-version><id>60482</id><entry>2022-07-13</entry><title>The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study</title><swanseaauthors><author><sid>e3595273bb063f8694ce43326f4bd298</sid><firstname>Matthew</firstname><surname>Jones</surname><name>Matthew Jones</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>d063b18627093a02f325955f76eeeb76</sid><firstname>Matthew</firstname><surname>Jones</surname><name>Matthew Jones</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>8b96f170df39ac5f5af2f9354946a630</sid><firstname>Ceri</firstname><surname>Bradshaw</surname><name>Ceri Bradshaw</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>e662b6c5aba239a9cd0f115d16df0a82</sid><ORCID/><firstname>Jenna</firstname><surname>Jones</surname><name>Jenna Jones</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>ed8a9c37bd7b7235b762d941ef18ee55</sid><ORCID>0000-0002-5657-6995</ORCID><firstname>Ann</firstname><surname>John</surname><name>Ann John</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>ab23c5e0111b88427a155a1f495861d9</sid><ORCID>0000-0003-0173-8843</ORCID><firstname>Helen</firstname><surname>Snooks</surname><name>Helen Snooks</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>81fc05c9333d9df41b041157437bcc2f</sid><ORCID>0000-0003-3804-1943</ORCID><firstname>Alan</firstname><surname>Watkins</surname><name>Alan Watkins</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-07-13</date><deptcode>PSYS</deptcode><abstract>ackground: Fatal opioid overdose is a significant public health problem with increasing incidence in developed countries. This study aimed to describe demographic and service user characteristics of decedents of opioid overdose in Wales to identify possible targets for behaviour modification and life-saving interventions. Methods: A retrospective cross-sectional analysis was conducted of a census sample of opioid overdose-related deaths recorded between January 01, 2012, and October 11, 2018, in Wales. UK Office for National Statistics, Welsh Demographic Service, and National Health Service datasets were linked deterministically. Decedents’ circumstances of death, demographic characteristics, residency, and health service use were characterized over 3 years prior to fatal overdose using descriptive statistics. Results: In total, 638 people died of opioid overdose in Wales between January 01, 2012, and October 11, 2018, with an incidence rate of 3.04 per 100,000 people per year. Decedents were predominantly male (73%) and middle aged (median age 50 years). Fatal overdoses predominantly occurred in the community (93%) secondary to heroin (30%) or oxycodone derivative use (34%). In the 3 years prior to death, decedents changed address frequently (53%) but rarely moved far geographically. The majority of decedents had recently visited the emergency department (83%) or were admitted to the hospital (64%) prior to death. Only a minority had visited specialist drug services (32%). Conclusions: Deaths from opioid overdose typically occur in middle-aged men living peripatetic lifestyles. Victims infrequently visit specialist drug services but often attend emergency medical services. Emergency department-based interventions may therefore be important in prevention of opioid overdose fatalities in the community.</abstract><type>Journal Article</type><journal>European Addiction Research</journal><volume>28</volume><journalNumber>3</journalNumber><paginationStart>226</paginationStart><paginationEnd>230</paginationEnd><publisher>S. Karger AG</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1022-6877</issnPrint><issnElectronic>1421-9891</issnElectronic><keywords>Opioids; Overdose; Epidemiology; Emergency department</keywords><publishedDay>16</publishedDay><publishedMonth>2</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-02-16</publishedDate><doi>10.1159/000521614</doi><url/><notes>Data Availability Statement: The data that support the findings of this study are available from the SAIL databank, but restrictions apply to the availability of these data, which were used under licence for the current study and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of SAIL.</notes><college>COLLEGE NANME</college><department>Psychology School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PSYS</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>The study was funded by PRIME Centre Wales.</funders><projectreference/><lastEdited>2022-11-02T11:32:56.0156558</lastEdited><Created>2022-07-13T12:16:02.6371742</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Matthew</firstname><surname>Jones</surname><order>1</order></author><author><firstname>Gordon Ward</firstname><surname>Fuller</surname><order>2</order></author><author><firstname>Matthew</firstname><surname>Jones</surname><order>3</order></author><author><firstname>Ceri</firstname><surname>Bradshaw</surname><order>4</order></author><author><firstname>Jenna</firstname><surname>Jones</surname><orcid/><order>5</order></author><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>6</order></author><author><firstname>Helen</firstname><surname>Snooks</surname><orcid>0000-0003-0173-8843</orcid><order>7</order></author><author><firstname>Alan</firstname><surname>Watkins</surname><orcid>0000-0003-3804-1943</orcid><order>8</order></author></authors><documents><document><filename>60482__24809__034029ec5a3e45f9bdb32fde0ae1c977.pdf</filename><originalFilename>60482.pdf</originalFilename><uploaded>2022-08-02T14:36:22.4828997</uploaded><type>Output</type><contentLength>127424</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© 2022 The Author(s). 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2022-11-02T11:32:56.0156558 v2 60482 2022-07-13 The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study e3595273bb063f8694ce43326f4bd298 Matthew Jones Matthew Jones true false d063b18627093a02f325955f76eeeb76 Matthew Jones Matthew Jones true false 8b96f170df39ac5f5af2f9354946a630 Ceri Bradshaw Ceri Bradshaw true false e662b6c5aba239a9cd0f115d16df0a82 Jenna Jones Jenna Jones true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false 81fc05c9333d9df41b041157437bcc2f 0000-0003-3804-1943 Alan Watkins Alan Watkins true false 2022-07-13 PSYS ackground: Fatal opioid overdose is a significant public health problem with increasing incidence in developed countries. This study aimed to describe demographic and service user characteristics of decedents of opioid overdose in Wales to identify possible targets for behaviour modification and life-saving interventions. Methods: A retrospective cross-sectional analysis was conducted of a census sample of opioid overdose-related deaths recorded between January 01, 2012, and October 11, 2018, in Wales. UK Office for National Statistics, Welsh Demographic Service, and National Health Service datasets were linked deterministically. Decedents’ circumstances of death, demographic characteristics, residency, and health service use were characterized over 3 years prior to fatal overdose using descriptive statistics. Results: In total, 638 people died of opioid overdose in Wales between January 01, 2012, and October 11, 2018, with an incidence rate of 3.04 per 100,000 people per year. Decedents were predominantly male (73%) and middle aged (median age 50 years). Fatal overdoses predominantly occurred in the community (93%) secondary to heroin (30%) or oxycodone derivative use (34%). In the 3 years prior to death, decedents changed address frequently (53%) but rarely moved far geographically. The majority of decedents had recently visited the emergency department (83%) or were admitted to the hospital (64%) prior to death. Only a minority had visited specialist drug services (32%). Conclusions: Deaths from opioid overdose typically occur in middle-aged men living peripatetic lifestyles. Victims infrequently visit specialist drug services but often attend emergency medical services. Emergency department-based interventions may therefore be important in prevention of opioid overdose fatalities in the community. Journal Article European Addiction Research 28 3 226 230 S. Karger AG 1022-6877 1421-9891 Opioids; Overdose; Epidemiology; Emergency department 16 2 2022 2022-02-16 10.1159/000521614 Data Availability Statement: The data that support the findings of this study are available from the SAIL databank, but restrictions apply to the availability of these data, which were used under licence for the current study and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of SAIL. COLLEGE NANME Psychology School COLLEGE CODE PSYS Swansea University The study was funded by PRIME Centre Wales. 2022-11-02T11:32:56.0156558 2022-07-13T12:16:02.6371742 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Matthew Jones 1 Gordon Ward Fuller 2 Matthew Jones 3 Ceri Bradshaw 4 Jenna Jones 5 Ann John 0000-0002-5657-6995 6 Helen Snooks 0000-0003-0173-8843 7 Alan Watkins 0000-0003-3804-1943 8 60482__24809__034029ec5a3e45f9bdb32fde0ae1c977.pdf 60482.pdf 2022-08-02T14:36:22.4828997 Output 127424 application/pdf Version of Record true © 2022 The Author(s). This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY) true eng https://creativecommons.org/licenses/by/4.0/ |
title |
The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study |
spellingShingle |
The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study Matthew Jones Matthew Jones Ceri Bradshaw Jenna Jones Ann John Helen Snooks Alan Watkins |
title_short |
The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study |
title_full |
The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study |
title_fullStr |
The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study |
title_full_unstemmed |
The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study |
title_sort |
The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study |
author_id_str_mv |
e3595273bb063f8694ce43326f4bd298 d063b18627093a02f325955f76eeeb76 8b96f170df39ac5f5af2f9354946a630 e662b6c5aba239a9cd0f115d16df0a82 ed8a9c37bd7b7235b762d941ef18ee55 ab23c5e0111b88427a155a1f495861d9 81fc05c9333d9df41b041157437bcc2f |
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e3595273bb063f8694ce43326f4bd298_***_Matthew Jones d063b18627093a02f325955f76eeeb76_***_Matthew Jones 8b96f170df39ac5f5af2f9354946a630_***_Ceri Bradshaw e662b6c5aba239a9cd0f115d16df0a82_***_Jenna Jones ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks 81fc05c9333d9df41b041157437bcc2f_***_Alan Watkins |
author |
Matthew Jones Matthew Jones Ceri Bradshaw Jenna Jones Ann John Helen Snooks Alan Watkins |
author2 |
Matthew Jones Gordon Ward Fuller Matthew Jones Ceri Bradshaw Jenna Jones Ann John Helen Snooks Alan Watkins |
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European Addiction Research |
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1022-6877 1421-9891 |
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10.1159/000521614 |
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S. Karger AG |
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Faculty of Medicine, Health and Life Sciences |
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description |
ackground: Fatal opioid overdose is a significant public health problem with increasing incidence in developed countries. This study aimed to describe demographic and service user characteristics of decedents of opioid overdose in Wales to identify possible targets for behaviour modification and life-saving interventions. Methods: A retrospective cross-sectional analysis was conducted of a census sample of opioid overdose-related deaths recorded between January 01, 2012, and October 11, 2018, in Wales. UK Office for National Statistics, Welsh Demographic Service, and National Health Service datasets were linked deterministically. Decedents’ circumstances of death, demographic characteristics, residency, and health service use were characterized over 3 years prior to fatal overdose using descriptive statistics. Results: In total, 638 people died of opioid overdose in Wales between January 01, 2012, and October 11, 2018, with an incidence rate of 3.04 per 100,000 people per year. Decedents were predominantly male (73%) and middle aged (median age 50 years). Fatal overdoses predominantly occurred in the community (93%) secondary to heroin (30%) or oxycodone derivative use (34%). In the 3 years prior to death, decedents changed address frequently (53%) but rarely moved far geographically. The majority of decedents had recently visited the emergency department (83%) or were admitted to the hospital (64%) prior to death. Only a minority had visited specialist drug services (32%). Conclusions: Deaths from opioid overdose typically occur in middle-aged men living peripatetic lifestyles. Victims infrequently visit specialist drug services but often attend emergency medical services. Emergency department-based interventions may therefore be important in prevention of opioid overdose fatalities in the community. |
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2022-02-16T08:08:10Z |
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