Polysubstance use poisoning deaths in Canada: an analysis of trends from 2014 to 2017 using mortality data

Autor:	Sarah Konefal, Adam Sherk, Bridget Maloney-Hall, Matthew Young, Pam Kent, Emily Biggar
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	Polysubstance mortality Opioid poisoning Stimulants Polysubstance use Intentional poisoning Unintentional poisoning Public aspects of medicine RA1-1270
Zdroj:	BMC Public Health, Vol 22, Iss 1, Pp 1-12 (2022)
Druh dokumentu:	article
ISSN:	1471-2458
DOI:	10.1186/s12889-022-12678-z
Popis:	Abstract Background Over the past decade, rates of drug poisoning deaths have increased dramatically in Canada. Current evidence suggests that the non-medical use of synthetic opioids, stimulants and patterns of polysubstance use are major factors contributing to this increase. Methods Counts of substance poisoning deaths involving alcohol, opioids, other central nervous system (CNS) depressants, cocaine, and CNS stimulants excluding cocaine, were acquired from the Canadian Vital Statistics Death Database (CVSD) for the years 2014 to 2017. We used joinpoint regression analysis and the Cochrane-Armitage trend test for proportions to examine changes over time in crude mortality rates and proportions of poisoning deaths involving more than one substance. Results Between 2014 and 2017, the rate of substance poisoning deaths in Canada almost doubled from 6.4 to 11.5 deaths per 100,000 population (Average Annual Percent Change, AAPC: 23%, p
Databáze:	Directory of Open Access Journals
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