Impact of HIV Infection on Mortality in a Cohort of Injection Drug Users

The prevalence of HIV has been rising among injection drug users (IDUs) and AIDS is now an important cause of death among that population. We tracked mortality and recorded detailed causes of death in the Vancouver Injection Drug Users Study (VIDUS). This is an open cohort of over 1,400 active IDUs...

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Veröffentlicht in:Journal of acquired immune deficiency syndromes (1999) 2001-12, Vol.28 (4), p.351-357
Hauptverfasser: Tyndall, Mark W, Craib, Kevin J. P, Currie, Sue, Li, Kathy, OʼShaughnessy, Michael V, Schechter, Martin T
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container_end_page 357
container_issue 4
container_start_page 351
container_title Journal of acquired immune deficiency syndromes (1999)
container_volume 28
creator Tyndall, Mark W
Craib, Kevin J. P
Currie, Sue
Li, Kathy
OʼShaughnessy, Michael V
Schechter, Martin T
description The prevalence of HIV has been rising among injection drug users (IDUs) and AIDS is now an important cause of death among that population. We tracked mortality and recorded detailed causes of death in the Vancouver Injection Drug Users Study (VIDUS). This is an open cohort of over 1,400 active IDUs that began in May 1996. At enrollment and at semiannual follow-up visits, a trained interviewer administers a detailed semistructured questionnaire. Mortality was recorded during follow-up and detailed causes of death were collected from coronerʼs reports, hospital records, and the provincial (British Columbia) registry. Causes of death were obtained on 125 participants. Overall, the leading cause of death was overdose accounting for 25% of deaths among HIV-positive participants and 42% among HIV-negative participants. Of the 65 deaths among HIV-positive individuals, 22 (34%) were HIV related. Mortality was associated with older age (adjusted hazards ratio [AHR], 1.03 per year), HIV positivity (AHR, 2.67), injection cocaine use (AHR, 2.23) and methadone treatment (AHR, 0.47). The high rate of HIV in this population has added significantly to the burden of illness and death in this marginalized population.
doi_str_mv 10.1097/00126334-200112010-00008
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Overall, the leading cause of death was overdose accounting for 25% of deaths among HIV-positive participants and 42% among HIV-negative participants. Of the 65 deaths among HIV-positive individuals, 22 (34%) were HIV related. Mortality was associated with older age (adjusted hazards ratio [AHR], 1.03 per year), HIV positivity (AHR, 2.67), injection cocaine use (AHR, 2.23) and methadone treatment (AHR, 0.47). 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subjects Adolescent
Adult
Age Factors
Aged
Biological and medical sciences
British Columbia - epidemiology
Cause of Death
Cocaine
Cohort Studies
Deaths
Drug Overdose
Drug use
Experimental viral diseases and models
Female
HIV
HIV Infections - epidemiology
HIV Infections - mortality
Human immunodeficiency virus
Humans
Infections
Infectious diseases
Injections
Male
Medical sciences
Methadone - administration & dosage
Middle Aged
Miscellaneous
Mortality
Narcotics - administration & dosage
Population Surveillance
Public health. Hygiene
Public health. Hygiene-occupational medicine
Substance Abuse, Intravenous - epidemiology
Substance Abuse, Intravenous - mortality
Surveys and Questionnaires
Viral diseases
title Impact of HIV Infection on Mortality in a Cohort of Injection Drug Users
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