{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:26:49Z","timestamp":1787506009111,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,11,20]],"date-time":"2013-11-20T00:00:00Z","timestamp":1384905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"an Australian National Health and Medical Research Council Principal Research Fellowship"},{"name":"an National Health and Medical Research Council Australia Fellowship"},{"name":"Australian Government under the Substance Misuse Prevention"},{"name":"Service Improvements Grants Fund"},{"name":"Queensland Department of Health"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      The Global Burden of Disease (\n                      <jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content>\n                      ) 2010 study updated the findings of earlier exercises. It provided regional and global estimates of the burden of disease attributable to diseases, injuries and risk factors. Here we provide a brief summary of the work for illicit drug use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      Systematic reviews were undertaken to estimate the major epidemiological parameters (incidence, prevalence, duration\/remission and mortality) for each drug. Reviews evaluated the nature and quality of evidence for illicit drug use as a risk factor for many health outcomes, for the comparative risk assessment (\n                      <jats:styled-content style=\"fixed-case\">CRA<\/jats:styled-content>\n                      ) exercise.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Substantial gaps existed in basic epidemiological parameters. Following modelling and imputation of missing data, it was estimated that opioid and amphetamine dependence were the most common forms of illicit drug dependence in 2010; opioid dependence was responsible for the greatest burden. Few putative consequences of illicit drug use had the quality or quantity of data required to be included in the\n                      <jats:styled-content style=\"fixed-case\">CRA<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      Estimates of the extent and distribution of disease burden are likely to shape global and regional health policy development. The\n                      <jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content>\n                      exercise will be repeated on an annual basis;\n                      <jats:styled-content style=\"fixed-case\">GBD<\/jats:styled-content>\n                      2010 clearly demonstrated that although the illicit drug field is generating more and better epidemiological data on the health risks of drug use, there is still much work to be done to generate defensible estimates of the magnitude of risk, particularly for impactful and prevalent outcomes, such as injuries, violence and mental health complications. Until then, burden of disease attributable to illicit drugs will be underestimated.\n                      <jats:italic>\n                        [\n                        <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                        egenhardt\n                        <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                        ,\n                        <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>\n                        hiteford\n                        <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>\n                        ,\n                        <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>\n                        all\n                        <jats:styled-content style=\"fixed-case\">WD<\/jats:styled-content>\n                        . The\n                        <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                        lobal\n                        <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                        urden of\n                        <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                        isease projects: What have we learned about illicit drug use and dependence and their contribution to the global burden of disease?\n                      <\/jats:italic>\n                      Drug Alcohol Rev\n                      <jats:italic>2014;33:4\u201312]<\/jats:italic>\n                    <\/jats:p>\n                  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