Mortality among Hispanic drug users in Puerto Rico.
This paper assesses mortality rate for a cohort of drug users in Puerto Rico compared with that of the Island's general population, examining causes of death and estimating relative risk of death. Date and cause of death were obtained from death certificates during 1998. Vital status was confirmed through contact with subjects, family, and friends. HIV/AIDS was the major cause of death (47.7%), followed by homicide (14.6%), and accidental poisoning (6.3%). Females had higher relative risk of death than males in all age categories. Not living with a sex partner and not receiving drug treatment were related to higher mortality due to HIV/AIDS. Drug injection was the only variable explaining relative risk of death due to overdose. Puerto Rico needs to continue developing programs to prevent HIV/AIDS among drug users. Special attention should be given to young women, who appear to be in greatest need of programs to prevent early mortality.
Robles
Rafaela R
RR
Centro de Estudios en Adicción, Escuela de Medicina, Universidad Central del Caribe, PO Box 60327, Bayamón, PR 00960-6032. rrobles@uccaribe.edu
Matos
Tomás D
TD
Colón
Héctor M
HM
Sahai
Hardeo
H
Reyes
Juan C
JC
Marrero
C Amalia
CA
Calderón
José M
JM
D000328:Adult; D017677:Age Distribution; D002423:Cause of Death; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000401:mortality; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D011647:Puerto Rico / Q000208:ethnology; D012044:Regression Analysis; D012307:Risk Factors; D017678:Sex Distribution; D019966:Substance-Related Disorders / Q000401:mortality*