Metodología del estudio de cohortes del proyecto ITINERE sobre consumidores de heroína en tres ciudades españolas y características básicas de los participantes

Hoz, Luis de la Fuente de; Puig, Mariàngels; Gómez, Rosario Ballesta; Poetela, María J Bravo; Barrio, Gregorio; Salvany, Antònia Domingo; Rosario, Teresa Silva do; Hortensi, Mireia Ambrós

doi:10.1590/s1135-57272005000400005

Cited by 23 publications

(15 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On the other hand, both cities had supervised injection facilities, and although there are more of these facilities in Barcelona, it seems unlikely that this would have an impact on mortality [30]. We observed no difference between the two cities in the prevalence of drug use in solitary [18]. …”

Section: Discussionmentioning

confidence: 91%

“…The proportion of participants in both cities that used drugs in solitary as the most frequent context of use was high and very similar (32.1% in Barcelona and 29.7% in Madrid). Regardless, the most common places of consumption in both Barcelona and Madrid were open-air drug scenes, streets or parks (64.8% in Barcelona and 57.2% in Madrid), where drug users are in the company of others [18]. In addition, specific, systematic programs aimed at preventing overdoses and their consequences were not widespread during the study period.…”

Section: Discussionmentioning

confidence: 99%

“…The main methodological details of the cohort have been reported elsewhere [18]. The cohort were from the cities of Barcelona and Madrid, which were mainly chosen to cover the two basic epidemiological profiles related to the route of heroin administration in Spain: Barcelona, where injection was predominant, and Madrid, where a transition had occurred on the route of heroin administration (mainly towards smoking) and injection was no longer predominant.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Lethality of Opioid Overdose in a Community Cohort of Young Heroin Users

Espelt¹,

Barrio

Álamo-Junquera

et al. 2015

Eur Addict Res

View full text Add to dashboard Cite

Background: The aim of the study was to estimate the lethality of opioid overdose among young heroin users. Methods: A prospective community cohort study was conducted in Barcelona and Madrid, Spain. Participants included 791 heroin users aged 18-30 years who were followed up between 2001 and 2006. Fatal overdoses were identified by record linkage of the cohort with the general mortality register, while non-fatal overdoses were self-reported at baseline and follow-up interviews. The person-years (py) at risk were computed for each participant. Fatal and non-fatal overdose rates were estimated by city. Transition towards injection shortly before the overdose could not be measured. Overdose lethality (rate of fatal overdose in proportion to total overdose) and its 95% CI was estimated using Bayesian models. Results: The adjusted rates of fatal and non-fatal opioid overdose were 0.7/100 py (95% CI: 0.4-1.1) and 15.8/100 py (95% CI: 14.3-17.6), respectively. The adjusted lethality was 4.2% (95% CI: 2.5-6.5). Conclusions: Four out of 100 opioid overdoses are fatal. These are preventable deaths that could be avoided before or after the overdose takes place. Resources are urgently needed to prevent fatal opioid overdose.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Lethality of Opioid Overdose in a Community Cohort of Young Heroin Users

Espelt¹,

Barrio

Álamo-Junquera

et al. 2015

Eur Addict Res

View full text Add to dashboard Cite

show abstract

“…Esto es similar a lo hallado en la presente investigación, donde la mayoría de los participantes comenzaron a usar heroína entre los 17 y los 20 años. De la Fuente De Hozk y otros, 39 en el marco del proyecto ITINERE, también registran como edad de inicio en el consumo de heroína, por la vía fumada o inhalada, los 18 años.…”

Section: Discussionunclassified

“…Ello amerita que se conozcan sus particularidades con el fin de hacer óptimas las intervenciones, pues estudios como los realizados por De la Fuente y otros, 39 demuestran que hay diferencias en las prácticas de consumo en un mismo país.…”

Section: Discussionunclassified

Consumo de heroína en Colombia, prácticas relacionadas e incidencia en la salud pública

Pérez¹,

Vallejo²

2010

Rev. cub. salud pública

View full text Add to dashboard Cite

INVESTIGACIÓN Consumo de heroína en Colombia, prácticas relacionadas e incidencia en la salud públicaHeroin consumption in Colombia-associated practice and incidence in the public health care RESUMENIntroducción El consumo de heroína empieza a ser una amenaza para la salud pública de Colombia, entre otras razones, porque los consumidores la están adquiriendo a más bajo costo. Objetivos Caracterizar el consumo de heroína en la ciudad de Medellín y su área metropolitana. Métodos Investigación cualitativa. La información se recolectó entre los meses de julio y septiembre de 2008. El acceso a los participantes se hizo a través de los centros de tratamiento del consumo de drogas y mediante la técnica de "bola de nieve". La población quedó constituida por 42 consumidores regulares de heroína a quienes se les aplicó una entrevista estructurada, cara a cara, que consultó por el tipo de heroína consumida, vías de administración, frecuencias de consumo, utensilios utilizados, prácticas de consumo, rituales que acompañan estas prácticas, relaciones sexuales y protección, ideas y gestos suicidas. Resultados Los consumidores eran predominantemente hombres, solteros, con edades comprendidas entre los 18 y los 23 años, sin hijos y muchos con estudios universitarios no terminados. Mayoritariamente se ubicaban en un estrato socioeconómico medio, tenían antecedentes familiares de consumo de sustancias psicoactivas, lo que favoreció su inicio en el consumo de drogas en edades tempranas. La principal vía de uso de la heroína era la inhalación, aunque también la consumen inyectada y fumada. Los consumidores comparten jeringas y otros utensilios, tienen relaciones sexuales bajo el efecto de las drogas sin condón y Revista Cubana de Salud Pública; 2010 36(4)311-322http://scielo.sld.cu delinquen para poder suministrarse la sustancia. Conclusiones El consumo de heroína es una realidad emergente en Colombia y su área metropolitana, que acecha de manera importante a la salud pública, la seguridad y la convivencia. Es necesario hacer estudios específicos de prevalencia e incidencia de esta sustancia que permita tomar urgentes medidas de intervención.Palabras clave: Heroína, Medellín, Colombia, salud pública. ABSTRACTIntroduction Heroin addiction represents a threat to the public health in Colombia because, among other reasons, the heroin users are purchasing the drug at lower prices.Objectives To characterize the heroin consumption in Medellín and its metropolitan areas. Methods Qualitative research study. Information collected from July to September, 2008. The participants were accessed through the drug addiction treatment centers and the "snowball" technique. The population was finally made up of 42 sustained heroin users, who were administered a face-to-face structured interview that asked about type of heroin used, routes of administration, frequency, implements, practices, accompanying rituals, sexual relations and use of protection, suicidal ideas and gestures.Results Heroin users were predominantly single males aged 18-23 years, ha...

show abstract

Differences between women and men in serial HIV prevalence and incidence trends

et al. 2008

View full text Add to dashboard Cite

To measure trends in HIV incidence and serial prevalence by sex in a intravenous drug users (IDUs) and heterosexuals (HT) cohort recruited in a counselling centre in Valencia (1988-2005). Serial prevalence and incidence rates were calculated and modelled by logistic and Poisson regression respectively. 5948 IDUs and 13343 HT were recruited. Prevalence was higher among female IDUs (46% vs. 41%), and female HT (4.1% vs. 2%). For IDUs, an interaction (P = 0.005) between sex and calendar was detected. Age-adjusted prevalence showed faster yearly decline in men (OR = 0.87 95%CI: 0.85-0.88) than in women (OR = 0.91 95%CI: 0.88-0.93). Incidence was higher in female IDUs (9.79% p-y) than in men, (5.38% p-y) with an annual decrease for both of 11%. HIV incidence was higher in female HT (0.62% p-y) compared to men 0.23% p-y with a 21% yearly decline. Gender differences in HIV prevalence and incidence trends have been detected. Women showed an increased vulnerability to infection in a country whose HIV epidemic has been largely driven by IDUs.

show abstract

Metodología del estudio de cohortes del proyecto ITINERE sobre consumidores de heroína en tres ciudades españolas y características básicas de los participantes

Cited by 23 publications

References 35 publications

Lethality of Opioid Overdose in a Community Cohort of Young Heroin Users

Lethality of Opioid Overdose in a Community Cohort of Young Heroin Users

Consumo de heroína en Colombia, prácticas relacionadas e incidencia en la salud pública

Differences between women and men in serial HIV prevalence and incidence trends

Contact Info

Product

Resources

About