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Missing targets on drugs-related deaths, and a Scottish paradox

机译:缺少与毒品有关的死亡目标,以及苏格兰的悖论

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The 10-year drug strategy for England and Wales was published in February 2008. It dropped drugs-related deaths (DRDs) as a key performance indicator. Scotland retained a necessary strong focus on DRDs. Scotland's DRDs numbered 1006 in 2000-02 and 1009 in 2003-05. The previous Scottish administration's claim that its number of current injectors had decreased substantially between 2000 and 2003 implied, paradoxically, that their DRD rate would have to have increased. Worse was to come: Scotland's DRDs had increased to 876 in 2006 + 2007. We analyse UK's DRDs by sex and age-group to reveal temporal trends (2000-02 versus 2003-05 versus 2006 + 2007) with different public health and epidemiological implications. We also address the above Scottish paradox and assess, by age-group, how consistent Scotland's 876 DRDs in 2006 + 2007 are with Scottish injectors' DRD rate in 2003-05 of around 1 per 100 injector-years. Public health success in the UK in reducing DRDs at younger ages should not be overshadowed by the late consequence in terms of older-age DRDs of UK's injector epidemics; in the early 1980s in Scotland, and late 1980s in England and Wales. Targets for reducing DRDs should pay heed to UK's injector epidemics.
机译:英格兰和威尔士的10年禁毒策略于2008年2月发布。该策略取消了与毒品有关的死亡(DRDs)作为关键绩效指标。苏格兰对DRD保持了必要的高度重视。苏格兰的DRD在2000-02年编号为1006,在2003-05年编号为1009。上一届苏格兰政府声称其目前的喷油器数量在2000年至2003年期间大幅减少,这自相矛盾的是,这意味着其DRD率必须提高。更糟的是:苏格兰的DRD在2006年+ 2007年增加到876个。我们按性别和年龄组分析了英国的DRD,以揭示具有不同公共卫生和流行病学意义的时间趋势(2000-02与2003-05和2006 + 2007) 。我们还解决了上述苏格兰悖论,并按年龄组评估了苏格兰在2006年+ 2007年的876个DRD与苏格兰喷油器2003-05年的DRD率(每100个喷油器年约1个)之间的一致性。就英国注射器流行病的老年DRD而言,最新结果不应掩盖英国在减少年轻DRD方面取得的公共卫生成功;在1980年代初期的苏格兰,以及1980年代后期的英格兰和威尔士。减少DRD的目标应引起英国喷油器流行病的注意。

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