Mortality risk in a population of patients treated for gambling disorders: results of a follow-up study.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annali dell'Istituto superiore di sanita Pub Date : 2021-07-01 DOI:10.4415/ANN_21_03_03
Raimondo Maria Pavarin, Marco Domenicali, Silvia Marani, Elsa Turino, Fabio Caputo
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Abstract

Aims: To examine mortality risk and causes of death in a cohort of a population of patients treated for gambling disorders in northern Italy from 1992 to 2019.

Methods: Cohort study.

Results: Half of the patients were diagnosed with psychiatric disorders, substance use disorder or alcohol dependence. The excess mortality compared to the general population (SMR) was 1.16 (0.85-1.58), more elevated among females aged 40 to 59 and males aged 20 to 29. Females had higher SMRs for all cancers and suicide; males for malignant neoplasm of liver, of lung, of prostate, and of bladder.

Conclusions: Despite patients increasing, subjects who most turn to the services are the most serious ones, in older age, with comorbid mental disorders and with a compromised health status. This is reflected in the high risk of death for all cancers.

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赌博障碍治疗人群的死亡风险:一项随访研究的结果。
目的:研究1992年至2019年意大利北部一组接受赌博障碍治疗的患者的死亡风险和死亡原因。方法:队列研究。结果:半数患者被诊断为精神障碍、物质使用障碍或酒精依赖。与一般人群(SMR)相比,其超额死亡率为1.16(0.85-1.58),其中40 ~ 59岁女性和20 ~ 29岁男性的超额死亡率更高。女性患所有癌症和自杀的smr都更高;男性患肝、肺、前列腺和膀胱恶性肿瘤。结论:尽管患者数量在增加,但大多数求助于服务的对象是最严重的,年龄较大,伴有精神疾病和健康状况受损的患者。这反映在所有癌症的高死亡率上。
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来源期刊
Annali dell'Istituto superiore di sanita
Annali dell'Istituto superiore di sanita PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
4.80%
发文量
65
审稿时长
>12 weeks
期刊介绍: Annali dell’Istituto Superiore di Sanità is a peer reviewed quarterly science journal which publishes research articles in biomedicine, translational research and in many other disciplines of the health sciences. The journal includes the following material: original articles, reviews, commentaries, editorials, brief and technical notes, book reviews. The publication of Monographic Sections has been discontinued. In case you wish to present a small number of coordinated contributions on specific themes concerning priorities in public health, please contact the Editorial office. The journal is in English.
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