加拿大安大略省涉及和不涉及刑事司法的个人的总体和特定药物使用保健利用情况。

Cayley Russell, Alexa Yakubovich, Patricia O'Campo, Kathleen Qu, Lesley Plumptre, Fiona Kouyoumdjian, Flora I Matheson
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引用次数: 0

摘要

目的:与普通人群相比,矫正人群有更高的物质使用障碍和相关医疗保健就诊率。然而,在这一人群中存在与药物使用相关的医疗保健访问的证据有限。使用加拿大安大略省的人口数据,本研究旨在检查有和没有已知的省级刑事司法系统参与的个人的总体和物质使用特定的医疗保健访问(分别为CJI与非CJI)。设计/方法/方法:本回顾性研究比较了2015年4月1日至2020年3月31日期间在省级监禁的个人(CJI组)与没有刑事司法参与的人(非CJI组)的总体和物质使用相关的医疗保健就诊情况。这两组都是通过现有的卫生管理数据确定的,并按年龄、性别和物质匮乏进行了单独匹配。研究结果:作者确定并匹配了208,188人(59.9%为男性),有或没有CJI并进行了医疗保健访问。与非精神分裂症组相比,精神分裂症组因饮酒、吸毒和与非法药物有关的过量而就诊的比率大约是精神分裂症组的20倍。在CJI患者中,女性的总体医疗保健就诊率较高,而男性的物质使用特异性就诊率较高。研究局限性/意义:研究结果强调了安大略省CJI患者中与物质使用相关需求的大量医疗保健访问。这些结果可以为加强惩教释放计划、改善社区治疗的可及性以及加强对这一高危人群的药物使用预防和治疗干预提供信息。实际意义:结果可以为加强惩教释放计划、改善社区治疗的可及性、加强对这一高危人群的药物使用预防和治疗干预提供信息。原创性/价值:据作者所知,这项研究是加拿大第一个利用人口水平的行政卫生数据来识别和匹配有和没有CJI的大量个人样本,并纵向检查特定物质使用的医疗保健利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Overall and substance use-specific healthcare utilization among individuals with and without criminal justice involvement in Ontario, Canada.

Purpose: Correctional populations have higher rates of substance use disorders and related healthcare visits relative to the general population. However, limited evidence on substance use-related healthcare visits exists among this population. Using population data for Ontario, Canada, this study aims to examine overall and substance use-specific healthcare visits for individuals with and without known provincial criminal justice system involvement (CJI versus non-CJI, respectively).

Design/methodology/approach: This retrospective study compared overall and substance use-related healthcare visits between April 1, 2015 and March 31, 2020 among provincially-incarcerated individuals (CJI group) versus those without criminal justice involvement (non-CJI group). Both groups were identified through available health administrative data and were individually matched by age, sex and material deprivation.

Findings: The authors identified and matched 208,188 individuals (59.9% male) with and without CJI and a healthcare visit. Compared to the non-CJI group, those with CJI had approximately 20 times the rate of healthcare visits for alcohol use, drug use and illicit drug-related overdoses. Among those with CJI, females had a higher prevalence of overall healthcare visits, whereas males had a higher prevalence of substance use-specific visits.

Research limitations/implications: Findings highlight the high number of healthcare visits for substance use-related needs among individuals with CJI in Ontario. These results can inform efforts to enhance correctional release planning, improve access to community-based treatment and strengthen substance use prevention and treatment interventions for this high-risk population.

Practical implications: Results can inform efforts to enhance correctional release planning, improve access to community-based treatment, and strengthen substance use prevention and treatment interventions for this high-risk population.

Originality/value: To the best of the authors' knowledge, this study is the first in Canada to draw on population-level administrative health data to identify and match a large sample of individuals with and without CJI and examine substance use-specific healthcare utilization, longitudinally.

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