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1972-1974 IBR Publication Abstracts

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August 22, 2008

1972

Sells, S. B., Chatham, L. R., & Retka, R. (1972).   A study of differential death rates and causes of death among 9276 opiate addicts during 1970-1971. Contemporary Drug Problems, 1(4), 665-706.

Abstract:   Deaths represented by the primary deceased sample of 50 cases in this study approximate a mortality rate of 15 per 1000 man-years in treatment at risk during the period studied. This rate is higher than those cited in research by Louria et al. and Baden, and is also higher than the rate extrapolated from follow-up data reported by Vaillant. On the other hand, the overall death rate reported for this 1970-71 sample is lower than those reported by James and Bewley et al. for British addicts. An intensive analysis of sex, age, race-ethnic and treatment subgroups of the population at risk revealed a wide range of death rates. Results support the interpretation that deaths among subgroups of this population represent a multivariate phenomenon. Important controlling factors appear to be related primarily to age and race-ethnic status. A death rate of 23 per 1000 per year was noted among the patients over 30, while among the patients under 30 the rate was 11 per 1000 per year. Higher rates were also noted among Mexican-American, black and Puerto Rican race-ethnic subgroups, and among patients receiving methadone treatment. However, the death rate for methadone patients may be the result of proportional overrepresentation of blacks, Mexican-Americans and patients over 30 years of age in this treatment modality.


1974

Simpson, D. D., & Sells, S. B. (1974).   Patterns of multiple drug abuse: 1969-1971. International Journal of the Addictions, 9(2), 301-314.

Abstract:   Information concerning types and frequencies of pretreatment drug abuse, obtained by interview from 11,380 patients included in the first two years (June 1969-June 1971) of the NIMH-TCU Drug Abuse Reporting Program, were examined with respect to patterns of usage. Twenty-eight patterns were defined, involving various combinations of drugs used and frequencies of use. The results indicted that the most frequent drug-abuse pattern in this patient sample, accounting for 28% of the entire sample, was the daily or weekly use of heroin with no other drugs. The daily or weekly use of heroin with cocaine, with marihuana, and with both cocaine and marihuana were also frequently observed patterns, and combined with the heroin-only pattern, they characterized the majority of all the patients. The most common patterns reported by the remainder of the patients were of poly-drug use, typically involving marihuana, amphetamines, and barbiturates, as well as heroin and cocaine.


 

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