Document Detail


Years of potential life lost among heroin addicts 33 years after treatment.
MedLine Citation:
PMID:  17291577     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine premature mortality in terms of years of potential life lost (YPLL) among a cohort of long-term heroin addicts.
METHOD: This longitudinal, prospective study followed a cohort of 581 male heroin addicts in California for more than 33 years. In the latest follow-up conducted in 1996/97, 282 subjects (48.5%) were confirmed as deceased by death certificates. YPLL before age 65 years was calculated by causes of death. Ethnic differences in YPLL were assessed among Whites, Hispanics, and African Americans.
RESULTS: On average, addicts in this cohort lost 18.3 years (SD=10.7) of potential life before age 65. Of the total YPLL for the cohort, 22.3% of the years lost was due to heroin overdose, 14.0% due to chronic liver disease, and 10.2% to accidents. The total YPLL and YPLL by death cause in addict cohort were significantly higher than that of US population. The YPLL among African Americans was significantly lower than that among Whites or Hispanics.
CONCLUSION: The YPLL among addicts was much higher than that in the national population; within the cohort, premature mortality was higher among Whites and Hispanics compared to African American addicts.
Authors:
Breda Smyth; Valerie Hoffman; Jing Fan; Yih-Ing Hser
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2007-02-08
Journal Detail:
Title:  Preventive medicine     Volume:  44     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-13     Completed Date:  2007-07-03     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  369-74     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / statistics & numerical data
Age Distribution
Aged
California / epidemiology
Cause of Death / trends*
Child
Death Certificates
European Continental Ancestry Group / statistics & numerical data
Heroin Dependence / ethnology*,  mortality*,  therapy
Hispanic Americans / statistics & numerical data
Humans
Longitudinal Studies
Male
Middle Aged
Prospective Studies
Quality-Adjusted Life Years
Survivors
Grant Support
ID/Acronym/Agency:
DA016383-01A1/DA/NIDA NIH HHS; DA07272/DA/NIDA NIH HHS; DA09169/DA/NIDA NIH HHS; K02DA00139/DA/NIDA NIH HHS; P30 DA016383/DA/NIDA NIH HHS; P30 DA016383-01A1/DA/NIDA NIH HHS
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