ArticleBMC public health2018
Drug-related deaths in Scotland 1979-2013: evidence of a vulnerable cohort of young men living in deprived areas.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Explaining the Differences in Opioid Overdose Deaths between Scotland and England/Wales: Implications for European Opioid Policies.European addiction research · 2021Pooled it
- Changing life expectancy in European countries 1990-2021: a subanalysis of causes and risk factors from the Global Burden of Disease Study 2021.The Lancet. Public health · 2025Article
- Impact of 'street' benzodiazepines on drug-related deaths in England, Wales and Northern Ireland.Drug and alcohol review · 2025Article
- Assessing the reach and engagement with the 'Drugs (Abingdon, England) · 2024Article
- Comparing trends in mid-life 'deaths of despair' in the USA, Canada and UK, 2001-2019: is the USA an anomaly?BMJ open · 2023Article
- Why are drug-related deaths among women increasing in Scotland? A mixed-methods analysis of possible explanations.Drugs (Abingdon, England) · 2022Article
- Deaths from 'diseases of despair' in Britain: comparing suicide, alcohol-related and drug-related mortality for birth cohorts in Scotland, England and Wales, and selected cities.Journal of epidemiology and community health · 2021Article
- The contributions of public health policies and healthcare quality to gender gap and country differences in life expectancy in the UK.Population health metrics · 2021Article
- Interpersonal violence in a deprived Scottish urban area with aggregations of physical health risks and psychiatric morbidity: an ecological study.BMC public health · 2021Article
- Mechanisms and context in the San Patrignano drug recovery community, Italy: a qualitative study to inform transfer to Scotland.Drugs (Abingdon, England) · 2021Article
- 'It's not 9 to 5 recovery': the role of a recovery community in producing social bonds that support recovery.Drugs (Abingdon, England) · 2021Article
- Deaths of despair: cause-specific mortality and socioeconomic inequalities in cause-specific mortality among young men in Scotland.International journal for equity in health · 2020Article
- Changing mortality trends in countries and cities of the UK: a population-based trend analysis.BMJ open · 2020Article
- Article
- Do age, period or cohort effects explain circulatory disease mortality trends, Scotland 1974-2015?Heart (British Cardiac Society) · 2020Article
- Article
- Recent adverse mortality trends in Scotland: comparison with other high-income countries.BMJ open · 2019Article
- All-cause and cause-specific mortality in Scotland 1981-2011 by age, sex and deprivation: a population-based study.European journal of public health · 2019Article
- Disparities in mortality among 25-44-year-olds in England: a longitudinal, population-based study.The Lancet. Public health · 2018Article
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5 authors.
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Abstract
backgroundEven after accounting for deprivation, mortality rates are higher in Scotland relative to the rest of Western Europe. Higher mortality from alcohol- and drug-related deaths (DRDs), violence and suicide (particularly in young adults) contribute to this 'excess' mortality. Age-period and cohort effects help explain the trends in alcohol-related deaths and suicide, respectively. This study investigated whether age, period or cohort effects might explain recent trends in DRDs in Scotland and relate to exposure to the changing political context from the 1980s.
methodsWe analysed data on DRDs from 1979 to 2013 by sex and deprivation using shaded contour plots and intrinsic estimator regression modelling to identify and quantify relative age, period and cohort effects.
resultsThe peak age for DRDs fell around 1990, especially for males as rates increased for those aged 18 to 45 years. There was evidence of a cohort effect, especially among males living in the most deprived areas; those born between 1960 and 1980 had an increased risk of DRD, highest for those born 1970 to 1975. The cohort effect started around a decade earlier in the most deprived areas compared to the rest of the population.
conclusionAge-standardised rates for DRDs among young adults rose during the 1990s in Scotland due to an increased risk of DRD for the cohort born between 1960 and 1980, especially for males living in the most deprived areas. This cohort effect is consistent with the hypothesis that exposure to the changing social, economic and political contexts of the 1980s created a delayed negative health impact.
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