Gender Disparities in Illegal Drug-Related Mortality: A National Ecological Study in Iran.

Background: Illicit drug use is a serious multi-factorial public health challenge globally, especially in the Eastern Mediterranean Region (EMR). In 2019, the disability-adjusted life year rate for drug use disorders in the EMR rose by approximately 40%, whereas the global rate increased by less tha...

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Publicado en:Journal of Research in Health Sciences Vol. 26; no. 2; pp. 1 - 8
Autores principales: Rostami, Mehran, Mahdavi, Seyed Amirhosein, Jalilian, Mohammad, Rezaeian, Shahab
Formato: research tables/charts Journal Article
Publicado: Hamadan University of Medical Sciences, School of Public Health Spring2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring2026
      vid: 26
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      pub: Hamadan University of Medical Sciences, School of Public Health
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        atl: Gender Disparities in Illegal Drug-Related Mortality: A National Ecological Study in Iran.
      aug:
        au:
          Rostami, Mehran
          Mahdavi, Seyed Amirhosein
          Jalilian, Mohammad
          Rezaeian, Shahab
        affil: Deputy of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
      sug:
        subj:
          Substance Use Disorders Mortality
          Overdose Mortality
          Sex Factors
          Socioeconomic Factors
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Iran
          Cross Sectional Studies
          Ecological Research
          Secondary Analysis
          Happiness
          Literacy
          Personal Satisfaction
          Unemployment
          Multivariate Analysis
          Multiple Linear Regression
          Data Analysis Software
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Illicit drug use is a serious multi-factorial public health challenge globally, especially in the Eastern Mediterranean Region (EMR). In 2019, the disability-adjusted life year rate for drug use disorders in the EMR rose by approximately 40%, whereas the global rate increased by less than 25%. Despite this growing burden, limited data exist on gender patterns of drug-related mortality and its associated socio-economic factors at the national level in Iran. This study evaluated socioeconomic factors contributing to gender disparities in illicit drug-related mortality across provinces of Iran. Study Design: A national ecological study. Methods: A secondary analysis of data from the Iranian Forensic Medicine Organization's national registry was conducted from March 2022 to March 2024. Descriptive statistics were calculated for socioeconomic indicators (happiness, life satisfaction, literacy rate, unemployment, economic participation, and gross domestic product) across provinces of Iran to assess gender disparities in illicit drug-related mortality. Bivariate and multivariate regression analyses were performed to examine the relationship between these indicators and the sex ratio of illicit drug-related deaths. Results: The sex ratio of illicit drug-related deaths was 7.20, indicating a considerable gender disparity. According to the final model, greater female economic participation (β = -0.517, P = 0.018) and higher GDP (β = -1.196, P = 0.002) were significantly correlated with a lower gender gap in illicit drug-related mortality across provinces in Iran. Conclusion: At the provincial level, there were noticeable correlations between a narrower gender gap in illicit drug-related mortality and both greater female economic participation and higher GDP in Iran.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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