Substance-related poisoning hospitalizations and homelessness in Canada: a descriptive study.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice Pub Date : 2024-05-01 DOI:10.24095/hpcdp.44.5.02

Rebecca Plouffe, Rochelle White, Heather Orpana, Vera Grywacheski

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Abstract

Introduction: The objective of this analysis is to describe patient demographics, the context, characteristics and outcomes of a substance-related poisoning, and the recorded mental disorder of people with housing and those experiencing homelessness.

Methods: Hospitalization data for Canada (except Quebec) from 1 April 2019 to 31 March 2020 were retrieved from the Canadian Institute for Health Information (CIHI) Discharge Abstract Database using ICD-10-CA codes for up to 25 diagnoses for substance-related poisonings, homelessness status and other characteristics relevant to the patient's hospitalization. We compared the characteristics of people experiencing homelessness with those of people who were housed, and their substance-related poisoning hospitalizations, using chi-square, t tests and Fisher exact test.

Results: There was a higher proportion of males, younger individuals and people with recorded mental disorders among people experiencing homelessness hospitalized for a substance-related poisoning than among their housed counterparts. Substance-related poisonings among people experiencing homelessness were more likely to be accidental, involve opioids and stimulants (most frequently fentanyl and its analogues and heroin), result in lengthier hospitalizations and end with leaving the hospital against medical advice.

Conclusion: These findings can be used to strengthen strategies and interventions to reduce substance-related harms in priority populations, particularly those experiencing homelessness.

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加拿大与药物有关的中毒住院治疗和无家可归现象：一项描述性研究。

导言：方法：我们从加拿大卫生信息研究所（CIHI）出院摘要数据库中检索了加拿大（魁北克除外）从2019年4月1日至2020年3月31日的住院数据，使用ICD-10-CA编码检索了多达25种药物相关中毒诊断、无家可归状况以及与患者住院相关的其他特征。我们使用卡方检验、t 检验和费舍尔精确检验比较了无家可归者和有住房者的特征及其药物相关中毒住院情况：在因药物中毒而住院治疗的无家可归者中，男性、年轻人和有精神障碍记录者的比例高于有住房者。无家可归者中与药物有关的中毒事件更有可能是意外事件，涉及阿片类药物和兴奋剂（最常见的是芬太尼及其类似物和海洛因），住院时间更长，并且最终违背医嘱离开医院：这些发现可用于加强战略和干预措施，以减少重点人群（尤其是无家可归者）与药物有关的伤害。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

40 weeks

期刊介绍： Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice (the HPCDP Journal) is the monthly, online scientific journal of the Health Promotion and Chronic Disease Prevention Branch of the Public Health Agency of Canada. The journal publishes articles on disease prevention, health promotion and health equity in the areas of chronic diseases, injuries and life course health. Content includes research from fields such as public/community health, epidemiology, biostatistics, the behavioural and social sciences, and health services or economics.