Predictors of overdose response hotline use for mental health and fatal overdose prevention.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-02-18 DOI:10.17269/s41997-024-00981-8

Will Rioux, Dylan Viste, Taylor Orr, Nathan Rider, S Monty Ghosh

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引用次数: 0

Abstract

Objectives: The overdose crisis remains one of the largest public health issues facing North America to date. Formalized virtual spotting services have gained popularity as a harm reduction intervention, proving early effectiveness in reducing overdose mortality. This study determined the characteristics of individuals who recurrently use one such service, Canada's National Overdose Response Service (NORS).

Methods: In this retrospective study, call logs from NORS were analyzed from service inception. Demographics including age, gender, province, community size, substance used, routes of administration, and adverse events were all collected and imputed into a marginal means and rates model to determine the predictors of recurrent service use.

Results: A total of 7340 unique calls were included within our analysis. Of those, 1167 (15.8%) reported their gender as male, 3744 (51.0%) as female, and 1329 (18.1%) as gender diverse, and 1100 (14.9%) did not report their gender. In terms of age, 46 (0.6%) were individuals under the age of 18 years, 3561 (48.5%) were between 18 and 30, 557 (7.6%) were between 31 and 40, 2505 (34.1%) were between 41 and 50, 525 (7.1%) were age 51 or over, and 146 (2.0%) did not report their age. Men's rate ratios for recurrent calls were significantly lower than women's (RR = 0.08, 95% CI = 0.07‒0.09), as were those for respondents aged 31‒40 years as compared with those aged 18‒30 (RR = 0.26, 95% CI = 0.15‒0.45). Between regions, rate ratios for callers from British Columbia (RR = 0.28, 95% CI = 0.17‒2.24) and Atlantic provinces (RR = 0.09; 95% CI = 0.07‒0.12) were significantly lower than those for callers from the province of Ontario. Similarly, rural callers demonstrated lower recurrent service use (RR = 0.08; 95% CI = 0.07‒0.11) than their urban counterparts.

Conclusion: NORS demonstrates higher usage patterns within certain demographic groups, in particular, urban women. The results can therefore be used to target public health messaging toward those who derive the most benefit from the service and to tailor programming to those who are at highest risk to use alone.

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药物过量反应热线用于心理健康和致命药物过量预防的预测因素。

目标：药物过量危机仍然是迄今为止北美面临的最大公共卫生问题之一。形式化的虚拟点滴服务作为减少危害的干预措施已经获得了普及，证明了在降低过量死亡率方面的早期有效性。这项研究确定了经常使用加拿大国家药物过量反应服务（NORS）的个体的特征。方法：回顾性分析NORS自服务开始以来的通话记录。包括年龄、性别、省份、社区规模、药物使用、给药途径和不良事件在内的人口统计数据都被收集起来，并输入到边际均值和比率模型中，以确定反复使用服务的预测因子。结果：我们的分析中包含了总共7340个独特的呼叫。其中男性1167人（15.8%），女性3744人（51.0%），多元性别1329人（18.1%），无性别1100人（14.9%）。年龄方面，18岁以下46例（0.6%），18 ~ 30岁3561例（48.5%），31 ~ 40岁557例（7.6%），41 ~ 50岁2505例（34.1%），51岁及以上525例（7.1%），未报年龄146例（2.0%）。男性反复打电话的比率明显低于女性（RR = 0.08, 95% CI = 0.07-0.09）， 31-40岁的受访者与18-30岁的受访者相比也是如此（RR = 0.26, 95% CI = 0.15-0.45）。在地区之间，来自不列颠哥伦比亚省（RR = 0.28, 95% CI = 0.17-2.24）和大西洋省份(RR = 0.09；95% CI = 0.07-0.12)显著低于来自安大略省的呼叫者。同样，农村呼叫者表现出较低的经常性服务使用(RR = 0.08；95% CI = 0.07-0.11)。结论：NORS在某些人口群体，特别是城市妇女中显示出较高的使用模式。因此，研究结果可用于向从该服务中获益最多的人群传递公共卫生信息，并为单独使用风险最高的人群量身定制方案。

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

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.