To ascertain the prevalence and risk factors for non-fatal overdose among heroin users to assist in the development of an effective intervention.
Community setting, principally metropolitan Adelaide.
Current heroin users (used heroin in the previous six months).
A structured questionnaire including the Severity of Dependence Scale.
Of 218 current South Australian heroin users interviewed in 1996,48% had experienced at least one non-fatal overdose their life-time (median : two overdoses), and 11% had overdosed in the previous 6 months.
At some time, 70% had been present at someone else's overdose (median : three overdoses).
At the time of their own most recent overdose, 52% had been using central nervous system depressants in addition to heroin, principally benzodiazepines (33%) and/or alcohol (22%). The majority of overdoses occurred in a private home (81%) and in the presence of other people (88%). Unrealistic optimism regarding the risk of overdose was evident across the sample.
Despite almost half the sample reporting having had an overdose, and the belief expressed by respondents that on average about 50% of regular heroin users would overdose during their life-time 73% had, during the previous 6 months, « rarely » or « never » worried about possibly overdosing. (...)
Mots-clés Pascal : Dépendance, Toxicomanie, Facteur risque, Prévalence, Australie, Océanie, Association toxique, Perception sociale, Prise risque, Epidémiologie, Santé mentale, Homme, Héroïne, Overdose
Mots-clés Pascal anglais : Dependence, Drug addiction, Risk factor, Prevalence, Australia, Oceania, Toxic association, Social perception, Risk taking, Epidemiology, Mental health, Human, Heroin, Overdose
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0353170
Code Inist : 002B03D. Création : 27/11/1998.