Death and survival in a cohort of heroin addicts from London clinics: a 22-year follow-up study
Article first published online: 24 JAN 2006
Volume 89, Issue 10, pages 1299–1308, October 1994
How to Cite
OPPENHEIMER, E., TOBUTT, C., TAYLOR, C. and ANDREW, T. (1994), Death and survival in a cohort of heroin addicts from London clinics: a 22-year follow-up study. Addiction, 89: 1299–1308. doi: 10.1111/j.1360-0443.1994.tb03309.x
- Issue published online: 24 JAN 2006
- Article first published online: 24 JAN 2006
Data are presented on the 43 people who died over a 22-year follow-up period of a cohort of 128 heroin addicts drawn in 1969 from the newly opened London clinics. The main causes of death were drug-related, with 18 deaths specifically determined as due to overdose, of which the great majority were among people being prescribed opiates at the lime. The mortality rate was a mean of 1.84% annually, and the excess mortality ratio was 11.9. This excess was highest at the beginning and varied over the period of study, appearing higher at the opening of the clinics and again in the mid-1980s. No sex differences in mortality rates were demonstrated but the excess mortality wan concentrated at younger ages. No prediction of the 85 survivors could be made on the basis of length of heroin use prior to study intake, nor on age at intake.