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The Socio-Demographics and Health Service Use of Opioid Overdose Decedents in Wales: A Cross-Sectional Data Linkage Study

Matthew Jones, Gordon Ward Fuller, Matthew Jones, Ceri Bradshaw, Jenna Jones, Ann John Orcid Logo, Helen Snooks Orcid Logo, Alan Watkins Orcid Logo

European Addiction Research, Volume: 28, Issue: 3, Pages: 226 - 230

Swansea University Authors: Matthew Jones, Matthew Jones, Ceri Bradshaw, Jenna Jones, Ann John Orcid Logo, Helen Snooks Orcid Logo, Alan Watkins Orcid Logo

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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...

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Published in: European Addiction Research
ISSN: 1022-6877 1421-9891
Published: S. Karger AG 2022
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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&#x2019; 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</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HPS</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><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>&#xA9; 2022 The Author(s). 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spelling 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 HPS 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 COLLEGE CODE HPS 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
author_id_fullname_str_mv 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
format Journal article
container_title European Addiction Research
container_volume 28
container_issue 3
container_start_page 226
publishDate 2022
institution Swansea University
issn 1022-6877
1421-9891
doi_str_mv 10.1159/000521614
publisher S. Karger AG
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
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.
published_date 2022-02-16T04:18:37Z
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