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See detailSudoses et inégalités sociales
Origer, Alain; Baumann, Michèle UL

Article for general public (2017)

Des chercheurs du Ministère de la Santé (Dr. Alain ORIGER) et de l’unité de recherche INSIDE, Institut Santé & Comportement (Pr. Michèle BAUMANN et son équipe) ont publié récemment dans la revue ... [more ▼]

Des chercheurs du Ministère de la Santé (Dr. Alain ORIGER) et de l’unité de recherche INSIDE, Institut Santé & Comportement (Pr. Michèle BAUMANN et son équipe) ont publié récemment dans la revue scientifique PLoS ONE un article intitulé : A social gradient in fatal opioids and cocaine related overdoses ? Sélectionné par un jury d’experts internationaux, cet article a été primé au Scientific Award 2016 dans le cadre de l’European Monitoring Centre for Drugs and Drug Addiction.h ttps://insideblog.uni.lu/surdoses-et-inegalites-sociales/ [less ▲]

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See detailSurdoses et inégalités sociales. Mieux comprendre les décès liés à l’usage de drogues pour mieux agir
Origer, Alain; Baumann, Michèle UL

Book published by L'harmattan - Académia (2016)

Les abus de drogues posent d’importants défis en termes sociaux, économiques, de sécurité et de santé publique. Quel est le profil socio-économique des consommateurs ? Quelles sont les différentes ... [more ▼]

Les abus de drogues posent d’importants défis en termes sociaux, économiques, de sécurité et de santé publique. Quel est le profil socio-économique des consommateurs ? Quelles sont les différentes trajectoires familiales, professionnelles et sociales d’usagers de drogues victimes de surdose fatale ? Quel est l’impact des inégalités sociales dans la survenue de surdoses impliquant des drogues illicites? Quel rôle pourrait avoir la réduction des inégalités sociales ? Quel enjeu pour les stratégies de prévention et de réduction des risques ? Un ensemble de recherches originales menées au Luxembourg, s’appuyant sur des méthodologies innovantes et une revue de littérature scientifique abondante, ont analysé les liens qui existent entre mortalités par surdose de drogues illicites et inégalités socio-économiques d’usagers suivis durant dix-huit ans. Les pistes de réflexion mises en avant dans cet ouvrage permettent de mieux saisir comment les conséquences néfastes pour l’individu, sa famille et la collectivité peuvent être en partie évitées ou réduites grâce à la mise en place de stratégies adaptées de prévention, de programmes de promotion de la santé et d’interventions psycho-socioéducatives. Cet ouvrage fournit des éléments de réflexion aux décideurs politiques, aux intervenants spécialisés en toxicomanie, aux professionnels de santé et du social pour pouvoir mieux décider et agir. [less ▲]

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See detailA social gradient in fatal opioids and cocaine related overdoses?
Origer, Alain; Le Bihan, Etienne UL; Baumann, Michèle UL

in PLoS ONE (2015), 4(10(5)),

To determine the existence of a social gradient in fatal overdose cases related to non-prescribed opioids and cocaine use, recorded in Luxembourg between 1994 and 2011. METHODS: Overdose cases were ... [more ▼]

To determine the existence of a social gradient in fatal overdose cases related to non-prescribed opioids and cocaine use, recorded in Luxembourg between 1994 and 2011. METHODS: Overdose cases were individually matched with four controls in a nested case-control study design, according to sex, year of birth, drug administration route and duration of drug use. The study sample, composed of 272 cases and 1,056 controls, was stratified according to a Social Inequality Accumulation Score (SIAS), based on educational attainment, employment, income, financial situation of subjects and the professional status of their father or legal guardian. Least squares linear regression analysis on overdose mortality rates and ridit scores were applied to determine the Relative Index of Inequality (RII) of the study sample. RESULTS: A negative linear relationship between the overdose mortality rate and the relative socioeconomic position was observed. We found a difference in mortality of 29.22 overdose deaths per 100 drug users in the lowest socioeconomic group compared to the most advantaged group. In terms of the Relative Inequality Index, the overdose mortality rate of opioid and cocaine users with lowest socioeconomic profiles was 9.88 times as high as that of their peers from the highest socioeconomic group (95% CI 6.49-13.26). CONCLUSIONS: Our findings suggest the existence of a marked social gradient in opioids and cocaine related overdose fatalities. Harm reduction services should integrate socially supportive offers, not only because of their general aim of social (re)integration but crucially in order to meet their most important objective, that is to reduce drug-related mortality [less ▲]

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See detailFatal Opioid and Cocaine Related Overdoses: Prevention and Harm Reduction in the Light of Socioeconomic Inequality
Origer, Alain; Baumann, Michèle UL

in Addictive Behaviours (2015)

Objective. To explore socioeconomic inequalities in fatal overdose cases related to non-prescribed opioids’ and cocaine use. Methods. Overdose cases recorded in Luxembourg between 1994 and 2011 were ... [more ▼]

Objective. To explore socioeconomic inequalities in fatal overdose cases related to non-prescribed opioids’ and cocaine use. Methods. Overdose cases recorded in Luxembourg between 1994 and 2011 were individually matched with four controls, in a nested case-control study design, according to sex, year of birth, drug administration route and duration of drug use. 272 cases vs. 1,056 controls were analyzed. The study sample was stratified according to a Social Inequality Accumulation Score (SIAS), based on educational attainment, employment, income, financial situation and professional status of father or legal guardian of subjects. Least squares linear regression analysis on overdose mortality rates and ridit scores were applied to determine the Relative Index of Inequality (RII). Results. A negative linear relationship between the overdose mortality rate and the relative socioeconomic position was observed. We found a difference in mortality of 29.22 overdose deaths per 100 drug users between the lowest socioeconomic class compared to the most advantaged class. In terms of Relative Inequality Index, the overdose mortality rate of opioid and cocaine users with lowest socioeconomic profiles was 9.58 times as high as that of their peers from the highest socioeconomic class (95% CI ; 6.49 - 13.26).Conclusions. Our results suggest the existence of a social gradient in opioid and cocaine related overdose fatalities. Medical services, emergency and psychiatric wards should take due account of the socioeconomic situation of substance abusing patients and refer those at increased risk to socially supportive offers, thus contributing to reduce drug-related mortality. [less ▲]

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