Evidence map›Paper›PMID 35095222›Full record

ArticleDrugs (Abingdon, England)2022

Why are drug-related deaths among women increasing in Scotland? A mixed-methods analysis of possible explanations.

Emily J Tweed, Rebekah G Miller, Joe Schofield, Lee Barnsdale, Catriona Matheson

Open access · hybridAbstract read
In one paragraph

Article in Drugs (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Assessing the reach and engagement with the 'Drugs (Abingdon, England) · 2024
    Article
  6. Overdose mortality rates for opioids and stimulant drugs are substantially higher in men than in women: state-level analysis.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  7. Review
  8. Article
  9. An avoidable crisis.Harm reduction journal · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Hidden GBV: Women and substance use.Frontiers in psychiatry · 2022
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Emily J TweedMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0001-6659-812X
Rebekah G MillerSchool of GeoSciences, University of Edinburgh, Edinburgh, UK.
Joe SchofieldDrugs Research Network for Scotland, University of Stirling, Stirling, UK.ORCID https://orcid.org/0000-0002-1307-2375
Lee BarnsdalePublic Health Scotland, Edinburgh, UK.
Catriona MathesonFaculty of Social Sciences, University of Stirling, Stirling, UK.ORCID https://orcid.org/0000-0002-7568-1125
University of Stirling · GBMRC/CSO Social and Public Health Sciences Unit · GBPublic Health Scotland · GBUniversity of Edinburgh · GB

Funding

Chief Scientist Office SPHSU13Chief Scientist Office SPHSU15Chief Scientist Office SPHSU17Medical Research Council MC_UU_00022/2Medical Research Council MC_UU_12017/13Medical Research Council MC_UU_12017/15
6 · The paper itself

Abstract

Drug-related deaths have increased significantly in Scotland in recent years, with a much greater percentage increase in deaths among women than among men. We undertook a mixed-methods project to identify explanations for this trend, comprising three parallel methodological strands: (i) an analysis of available routine data, including drug treatment data, death registrations, and surveys of people using needle exchanges; (ii) thematic analysis of interviews and focus groups with professional stakeholders and (iii) secondary analysis of interviews with women who use drugs. Results indicated that the observed trend is likely to reflect multiple, interacting causes. Potential contributors identified were: ageing; changing patterns of substance use; increasing prevalence of physical and mental health co-morbidities; changing relationships and parenting roles; changes to treatment services and wider health and social care provision; unintended consequences or poor implementation of recovery-oriented practice; and changes in the social security system. Policy responses to rising drug-related death rates require a gender-informed approach, recognising the commonalities and differences between men and women who use drugs; the diversity of experiences within each gender; and the intersections between gender and other forms of inequality, such as poverty.

Indexed as

Drug usegendermortality

Identifiers

PMID35095222
PMCPMC7612287
OpenAlexW3110898089

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.