An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)

Background: The Ministry of Health and Medical Education (MOHME) and the Legal Medicine Organization(LMO) are the 2 death registration systems in Iran for registering drug-related deaths. The aim of the presentstudy was to assess the number of undercount and the overlap between the deaths registered...

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Main Authors: Masoudeh Babakhanian, Mehran Zarghami, Abbas Alipour, Ardeshir Khosravi, Seyed Saeed Hashemi-Nazari, Mehdi Saberi, Mohammad Reza Ghadirzadeh
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2020-05-01
Series:Addiction and Health
Subjects:
Online Access:https://ahj.kmu.ac.ir/article_90609_dd51b28c4bdaeb62f17c34fefdfb794a.pdf
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author Masoudeh Babakhanian
Mehran Zarghami
Abbas Alipour
Ardeshir Khosravi
Seyed Saeed Hashemi-Nazari
Mehdi Saberi
Mohammad Reza Ghadirzadeh
author_facet Masoudeh Babakhanian
Mehran Zarghami
Abbas Alipour
Ardeshir Khosravi
Seyed Saeed Hashemi-Nazari
Mehdi Saberi
Mohammad Reza Ghadirzadeh
author_sort Masoudeh Babakhanian
collection DOAJ
description Background: The Ministry of Health and Medical Education (MOHME) and the Legal Medicine Organization(LMO) are the 2 death registration systems in Iran for registering drug-related deaths. The aim of the presentstudy was to assess the number of undercount and the overlap between the deaths registered by the 2 sources.Methods: In this descriptive study, according to the 10th revision of the International Classification ofDiseases (ICD-10), the registered data on drug-related deaths in the years 2014-2016, as recorded by theMOHME and the LMO, were collected and the number of deaths was estimated using 2-source capturerecapture method and Excel and SPSS software.Findings: The total number of drug-related deaths, as registered by the 2 sources, was 8639 during the3 years. A major part of the drug-related deaths (75% of the data) had been registered by the LMO and only25% of deaths had been registered by the MOHME. There was also a small overlap (7.7% of deaths) betweenthe data from the 2 sources. The final estimation from the capture-recapture model and analysis of sensitivityshowed that, during the 3 years, the total number of drug-related deaths was 14517 [95% confidence interval(CI):14498-14558]. Based on the complete overlap assumption and 50% of unidentified individuals in the2 sources, the number of deaths was estimated at 11341 and 12418, respectively. The largest number ofdrug-related deaths had occurred within the age range of 25-39 years and in men. Kermanshah, Hamedan,and Zanjan Provinces (Iran) had the largest number of cumulative incidences of drug-related deaths. Basedon the data provided by the MOHME, the most common cause of death was Methadone poisoning.Conclusion: There was a small overlap between the MOHME and the LMO in the registration of drug-relateddeaths. Failure to enter accurate and correct information has led to miscalculations of these deaths in Iran
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spelling doaj.art-e18d48bf286e46e5b826e7b00b2f77042023-09-04T06:24:39ZengKerman University of Medical SciencesAddiction and Health2008-46332008-84692020-05-01122879710.22122/ahj.v12i2.26690609An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)Masoudeh Babakhanian0Mehran Zarghami1Abbas Alipour2Ardeshir Khosravi3Seyed Saeed Hashemi-Nazari4Mehdi Saberi5Mohammad Reza Ghadirzadeh6Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, IranPsychiatry and Behavioral Sciences Research Center, Addiction Institute AND Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences. Sari, IranDepartment of social medicine, School of Medicine, Mazandaran University of Medical Sciences, Sari, IranDeputy for Public Health, Ministry of Health and Medical Education, Tehran, IranPromotion and Injury Prevention Research Center AND Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, IranLegal Medicine Organization, Tehran University of Medical Sciences, Tehran, IranLegal Medicine Research Center, Legal Medicine Organization, Tehran, IranBackground: The Ministry of Health and Medical Education (MOHME) and the Legal Medicine Organization(LMO) are the 2 death registration systems in Iran for registering drug-related deaths. The aim of the presentstudy was to assess the number of undercount and the overlap between the deaths registered by the 2 sources.Methods: In this descriptive study, according to the 10th revision of the International Classification ofDiseases (ICD-10), the registered data on drug-related deaths in the years 2014-2016, as recorded by theMOHME and the LMO, were collected and the number of deaths was estimated using 2-source capturerecapture method and Excel and SPSS software.Findings: The total number of drug-related deaths, as registered by the 2 sources, was 8639 during the3 years. A major part of the drug-related deaths (75% of the data) had been registered by the LMO and only25% of deaths had been registered by the MOHME. There was also a small overlap (7.7% of deaths) betweenthe data from the 2 sources. The final estimation from the capture-recapture model and analysis of sensitivityshowed that, during the 3 years, the total number of drug-related deaths was 14517 [95% confidence interval(CI):14498-14558]. Based on the complete overlap assumption and 50% of unidentified individuals in the2 sources, the number of deaths was estimated at 11341 and 12418, respectively. The largest number ofdrug-related deaths had occurred within the age range of 25-39 years and in men. Kermanshah, Hamedan,and Zanjan Provinces (Iran) had the largest number of cumulative incidences of drug-related deaths. Basedon the data provided by the MOHME, the most common cause of death was Methadone poisoning.Conclusion: There was a small overlap between the MOHME and the LMO in the registration of drug-relateddeaths. Failure to enter accurate and correct information has led to miscalculations of these deaths in Iranhttps://ahj.kmu.ac.ir/article_90609_dd51b28c4bdaeb62f17c34fefdfb794a.pdfdeathsubstance-related disordersiran
spellingShingle Masoudeh Babakhanian
Mehran Zarghami
Abbas Alipour
Ardeshir Khosravi
Seyed Saeed Hashemi-Nazari
Mehdi Saberi
Mohammad Reza Ghadirzadeh
An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)
Addiction and Health
death
substance-related disorders
iran
title An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)
title_full An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)
title_fullStr An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)
title_full_unstemmed An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)
title_short An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016)
title_sort estimation of drug related deaths in iran using the capture recapture method 2014 2016
topic death
substance-related disorders
iran
url https://ahj.kmu.ac.ir/article_90609_dd51b28c4bdaeb62f17c34fefdfb794a.pdf
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