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A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico.

A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico. Research Abstract Details 

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  • A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico. Abstract Text:

    hector manuel colonHector Manuel Colon,sherry derenSherry Deren,rafaela rivera roblesRafaela Rivera Robles,sung-yeon kangSung-Yeon Kang,myrna cabassaMyrna Cabassa,hardeo sahaiHardeo Sahai,

    Drug users have been found to be at high risk of mortality but the mortality experience of Hispanic drug users remains understudied. This study assessed mortality among Puerto Rican injection drug users (IDUs) in New York City (NY), and in Puerto Rico (PR). Study subjects were 637 IDUs from NY and 319 IDUs from PR. Mortality was ascertained using data from the National Death Index. Annual mortality rate of the NY cohort was 1.3 per 100 person years compared to the PR cohort with a rate of 4.8. Compared to the Hispanic population of New York City, the standardized mortality ratio (SMR) of the NY cohort was 4.4. Compared to the population of Puerto Rico, the SMR of the PR cohort was 16.2. The four principal causes of death were: NY-HIV/AIDS (50.0%), drug overdoses (13.3%), cardiovascular conditions (13.3%), and pulmonary conditions (10.0%); PR-HIV/AIDS (37.0%), drug overdoses (24.1%), sepsis (13.0%), and homicide (11.1%). Modeling time to death using Cox proportional hazards regression, the relative risk of mortality of the PR cohort as compared to the NY cohort was 9.2. The other covariates found to be significantly associated with time to death were age, gender, education, social isolation, intoxication with alcohol, and HIV seropositivity. The large disparity in mortality rates found in this study suggests that health disparities research should be expanded to identify intra-group disparities. Furthermore, these results point to an urgent need to reduce excess mortality among IDUs in Puerto Rico.

    A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico. Publishing Authors By Initials

    hm colonHM Colon,s derenS Deren,rr roblesRR Robles,sy kangSY Kang,m cabassaM Cabassa,h sahaiH Sahai,

    For similar disorders of environmental origin: substance-related disorders: substance abuse, intravenous research abstracts see: disorders of environmental origin: substance-related disorders: substance abuse, intravenous research

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    A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico. Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: Journal of urban health : bulletin of the New York

    VOLUME: 83

    Page Numbers: 1114-26

    Journal Abbreviation:

    ISSN: 1099-3460

    DAY: 3

    MONTH: Nov

    YEAR: 2006

    A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 9809909

    A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico. Keywords Mesh Terms:

    KEYWORDS: Substance Abuse, Intravenous

    MESH TERMS: mortality

    Chemical & Substance for Abstract: A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico. Information

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    Grant and Affiliation Information for A comparative study of mortality among Puerto Rican injection drug users in East Harlem, New York, and Bayamon, Puerto Rico.

    AFFILIATION: Center for Addiction Studies, School of Medicine, Universidad Central del Caribe, Box 60327, Bayamon, 00960-6032, Puerto Rico. hcolon@uccaribe.edu

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIDA

    GRANT: DA10425

    ACRONYM: DA

    MEDLINETA: J Urban Health

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