Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users

Background: Studies on diabetes among illicit drug users are scarce in Finland. This study aimed to describe hospitalization and death due to diabetes among treatment-seeking illicit drug users. Methods: Information of 4817 treatment-seeking drug users (3365 men and 1452 women) aged 11–65 years (mea...

Full description

Bibliographic Details
Main Authors: Alex Aregbesola, Ifeoma N Onyeka, Olubunmi Olubamwo, Kimmo Ronkainen, Jari Tiihonen, Jaana Föhr, Jussi Kauhanen
Format: Article
Language:English
Published: SAGE Publishing 2018-04-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/2050312118768164
_version_ 1818655019657854976
author Alex Aregbesola
Ifeoma N Onyeka
Olubunmi Olubamwo
Kimmo Ronkainen
Jari Tiihonen
Jaana Föhr
Jussi Kauhanen
author_facet Alex Aregbesola
Ifeoma N Onyeka
Olubunmi Olubamwo
Kimmo Ronkainen
Jari Tiihonen
Jaana Föhr
Jussi Kauhanen
author_sort Alex Aregbesola
collection DOAJ
description Background: Studies on diabetes among illicit drug users are scarce in Finland. This study aimed to describe hospitalization and death due to diabetes among treatment-seeking illicit drug users. Methods: Information of 4817 treatment-seeking drug users (3365 men and 1452 women) aged 11–65 years (mean 24.5 years) was linked to the Finnish national hospital discharge register and the national death registry to identify those clients who were hospitalized or died from diabetes mellitus during 1997–2013. Results: Fifty-three persons (42 men and 11 women) had primary diagnoses of diabetes, with a total of 146 hospitalizations (121 among men and 25 among women). The total length of stay among men (1183 days) far exceeded those of women (138 days). Overall, type 1 diabetes was the main contributor to hospitalizations (67%, n = 98/146). The proportion of Type 1 diabetes with complications was 31% in men (n = 37/121) and 44% in women (n = 11/25). All cases of deaths due to diabetes (n = 7) occurred in men. Conclusion: Diabetes hospitalizations were mainly due to Type 1 diabetes. Longer length of hospital stay was observed in men, and all diabetes deaths occurred among men. Male drug users and drug users in general would require more support to reduce morbidity and mortality due to diabetes.
first_indexed 2024-12-17T03:03:02Z
format Article
id doaj.art-763d54a9be4a4e36b4292b8673156e87
institution Directory Open Access Journal
issn 2050-3121
language English
last_indexed 2024-12-17T03:03:02Z
publishDate 2018-04-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medicine
spelling doaj.art-763d54a9be4a4e36b4292b8673156e872022-12-21T22:06:01ZengSAGE PublishingSAGE Open Medicine2050-31212018-04-01610.1177/2050312118768164Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug usersAlex Aregbesola0Ifeoma N Onyeka1Olubunmi Olubamwo2Kimmo Ronkainen3Jari Tiihonen4Jaana Föhr5Jussi Kauhanen6Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, FinlandInstitute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, FinlandInstitute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, FinlandInstitute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, FinlandDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, SwedenHelsinki Deaconess Institute, Helsinki, FinlandInstitute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, FinlandBackground: Studies on diabetes among illicit drug users are scarce in Finland. This study aimed to describe hospitalization and death due to diabetes among treatment-seeking illicit drug users. Methods: Information of 4817 treatment-seeking drug users (3365 men and 1452 women) aged 11–65 years (mean 24.5 years) was linked to the Finnish national hospital discharge register and the national death registry to identify those clients who were hospitalized or died from diabetes mellitus during 1997–2013. Results: Fifty-three persons (42 men and 11 women) had primary diagnoses of diabetes, with a total of 146 hospitalizations (121 among men and 25 among women). The total length of stay among men (1183 days) far exceeded those of women (138 days). Overall, type 1 diabetes was the main contributor to hospitalizations (67%, n = 98/146). The proportion of Type 1 diabetes with complications was 31% in men (n = 37/121) and 44% in women (n = 11/25). All cases of deaths due to diabetes (n = 7) occurred in men. Conclusion: Diabetes hospitalizations were mainly due to Type 1 diabetes. Longer length of hospital stay was observed in men, and all diabetes deaths occurred among men. Male drug users and drug users in general would require more support to reduce morbidity and mortality due to diabetes.https://doi.org/10.1177/2050312118768164
spellingShingle Alex Aregbesola
Ifeoma N Onyeka
Olubunmi Olubamwo
Kimmo Ronkainen
Jari Tiihonen
Jaana Föhr
Jussi Kauhanen
Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users
SAGE Open Medicine
title Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users
title_full Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users
title_fullStr Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users
title_full_unstemmed Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users
title_short Diabetes hospitalizations and deaths in a cohort of treatment-seeking illicit drug users
title_sort diabetes hospitalizations and deaths in a cohort of treatment seeking illicit drug users
url https://doi.org/10.1177/2050312118768164
work_keys_str_mv AT alexaregbesola diabeteshospitalizationsanddeathsinacohortoftreatmentseekingillicitdrugusers
AT ifeomanonyeka diabeteshospitalizationsanddeathsinacohortoftreatmentseekingillicitdrugusers
AT olubunmiolubamwo diabeteshospitalizationsanddeathsinacohortoftreatmentseekingillicitdrugusers
AT kimmoronkainen diabeteshospitalizationsanddeathsinacohortoftreatmentseekingillicitdrugusers
AT jaritiihonen diabeteshospitalizationsanddeathsinacohortoftreatmentseekingillicitdrugusers
AT jaanafohr diabeteshospitalizationsanddeathsinacohortoftreatmentseekingillicitdrugusers
AT jussikauhanen diabeteshospitalizationsanddeathsinacohortoftreatmentseekingillicitdrugusers