Evidence map›Paper›PMID 40898886›Full record

ArticleDrug and alcohol review2025

Characteristics of Drug-Related Deaths Among Individuals Engaged in Sex Work in the United Kingdom, 1997-2023.

Emmert Roberts, Sharmila Parmanand, Caroline Copeland

Abstract read
In one paragraph

Article in Drug and alcohol review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. 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

3 authors.

Emmert RobertsNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-4152-5570
Sharmila ParmanandDepartment of Gender Studies, London School of Economics, London, UK.
Caroline CopelandFaculty of Life Sciences & Medicine, King's College London, London, UK.ORCID 0000-0002-4462-1402

Funding

National Institute for Health and Care Research NIHR302215
6 · The paper itself

Abstract

introductionIndividuals engaged in sex work are an understudied population recognised to be at differential risk of experiencing drug-related harms. We aimed to determine the case characteristics, circumstances of death and type of implicated drugs among sex workers dying due to drug-related causes.

methodsRetrospective cohort study in the United Kingdom using coronial records from the National Programme on Substance Use Mortality, 1997-2023. Information was available on decedent sociodemographics, characteristics of death and implicated drugs.

resultsNineteen decedents were reported to be sex workers at the time of their death. Overall, decedents were predominantly female (n = 17, 90%) with a mean age of 36.4 years (SD 8.0; range 26-58). Poisoning was the only disease or condition that was certified as a direct, antecedent or contributory cause of death. The mean number of drugs detected at post-mortem was 5.4 (SD 2.5; range 1-10) with multiple drug toxicity implicated in the majority of cases (n = 18, 95%). The most commonly implicated drug groups were opioids (n = 17, 90%) and benzodiazepines (n = 9, 47%). All decedents had a history of substance dependence (n = 19, 100%), with almost a third injecting (n = 6, 32%). DISCUSSION AND

conclusionsThere have been low but consistent numbers of drug-related deaths each year where individuals were reported to be sex workers, results likely representing significantly conservative estimates. Polysubstance, opioid and benzodiazepine use are overrepresented within a largely female population with a significant burden of substance dependence. Non-judgmental facilitation of access to evidence-based addiction treatment, in particular for opioid use disorder, should be a priority.

Indexed as

Drug OverdoseSex WorkersSubstance-Related DisordersAdultCause of DeathCohort StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesUnited Kingdombenzodiazepinesdrug‐related deathsepidemiologyopioidssex work

Identifiers

PMID40898886
PMCPMC12405828

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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.