TY - JOUR
T1 - Fatal Overdoses of Opioids in Israel 2005-2014
AU - Feingold, Daniel
AU - Goldberger, Nehama
AU - Haklai, Ziona
AU - Lev-Ran, Shaul
N1 - Publisher Copyright:
© 2017 S. Karger AG, Basel.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Aims: To explore previously unreported rates and trends in opioid-related mortality in Israel, 2005-2014. Methods: Data was obtained from the national database on causes of death. Drug poisoning deaths were divided into opioid-related deaths and deaths related to other drugs according to International Classification of Diseases (ICD)-10 code of underlying cause, and included drug poisoning of accidental, intentional or undetermined intent. Age-adjusted rates were calculated per 100,000 population. Rate ratios were calculated and a logistic model constructed to compare the risk of opioid-related deaths in both halves of the decade (2006-2009 and 2009-2013) and between various demographic groups. Results: While age-adjusted rates of deaths related to other drugs remained relatively stable, rates of opioid-related deaths significantly decreased during this period across all groups. During the study period, the number of opioid-related deaths in Israel declined from 1.3 to 0.3 per 100,000. Opioid-related deaths were more common among men, young adults and immigrants from the Former Soviet Union. Conclusions: Rates of opioid-related deaths in Israel were low compared to those reported in the United States and United Kingdom. In addition, the decline in opioid-related deaths in Israel is contrary to trends observed in the United States and United Kingdom. Factors that may contribute to these differences are discussed.
AB - Aims: To explore previously unreported rates and trends in opioid-related mortality in Israel, 2005-2014. Methods: Data was obtained from the national database on causes of death. Drug poisoning deaths were divided into opioid-related deaths and deaths related to other drugs according to International Classification of Diseases (ICD)-10 code of underlying cause, and included drug poisoning of accidental, intentional or undetermined intent. Age-adjusted rates were calculated per 100,000 population. Rate ratios were calculated and a logistic model constructed to compare the risk of opioid-related deaths in both halves of the decade (2006-2009 and 2009-2013) and between various demographic groups. Results: While age-adjusted rates of deaths related to other drugs remained relatively stable, rates of opioid-related deaths significantly decreased during this period across all groups. During the study period, the number of opioid-related deaths in Israel declined from 1.3 to 0.3 per 100,000. Opioid-related deaths were more common among men, young adults and immigrants from the Former Soviet Union. Conclusions: Rates of opioid-related deaths in Israel were low compared to those reported in the United States and United Kingdom. In addition, the decline in opioid-related deaths in Israel is contrary to trends observed in the United States and United Kingdom. Factors that may contribute to these differences are discussed.
KW - Drug poisoning mortality
KW - Opioid poisoning
KW - Prescription opioids
UR - http://www.scopus.com/inward/record.url?scp=85038629876&partnerID=8YFLogxK
U2 - 10.1159/000485033
DO - 10.1159/000485033
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C2 - 29268270
AN - SCOPUS:85038629876
SN - 1022-6877
VL - 23
SP - 276
EP - 283
JO - European Addiction Research
JF - European Addiction Research
IS - 6
ER -