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  1. Regional variations in deaths from volatile solvent abuse in Great Britain.

    Article - En anglais

    Aims

    To assess geographical variations in mortality and the relationship of socio-economic correlates to deaths from volatile substance abuse (VSA) in Great Britain.

    Design

    Analysis of the National Register of deaths from VSA by linking the addresses (postcode) of the deceased to census enumeration districts and hence wards and counties.

    Setting and participants

    All 775 deaths in Great Britain listed in the national register between 1985-91.

    Population counts from the 1991 census were used as denominators.

    Measurement

    The Poisson heterogeneity test was used to test the null hypothesis that all standardized mortality ratios were from the same population.

    The t-test was used to compare differences in Townsend Deprivation scores between wards with and without VSA deaths.

    Multiple regression was used to assess the relationship between indices of deprivation and deaths from VSA.

    Findings

    One-third of all VSA deaths occurred in six regions of Great Britain which accounted for 17% of the at risk population.

    There was considerable variation in age standardized mortality ratios (ASMR) across regions.

    A ward level analysis indicated that wards with a VSA death had significantly higher levels of deprivation.

    The Townsend deprivation index showed mean deprivation scores of 2.8 and 0.2, respectively, for wards with and without a registered death (p<0.0001). (...)

    Mots-clés Pascal : Solvant organique, Toxicomanie, Mortalité, Variation géographique, Grande Bretagne, Royaume Uni, Europe, Statut socioéconomique, Statut social, Epidémiologie, Santé mentale, Homme, Abus

    Mots-clés Pascal anglais : Organic solvent, Drug addiction, Mortality, Geographical variation, Great Britain, United Kingdom, Europe, Socioeconomic status, Social status, Epidemiology, Mental health, Human, Abuse

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0080056

    Code Inist : 002B18C05A. Création : 14/05/1998.