加拿大多伦多的过量药物死亡率和监督消费服务:生态研究和空间分析
Indhu Rammohan1, Tommi Gaines2, Ayden Scheim3
1Centre on Drug Policy Evaluation, St Michael's Hospital, Toronto, ON, Canada.
The Lancet. Public health
|February 2, 2024
概括
监督消费服务 (SCS) 在多伦多社区显著减少了过量死亡. 这种反向关联随着时间的推移而变得越来越强大,表明SCS在降低死亡率方面的有效性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 众所周知,监督消费服务 (SCS) 能够防止现场过量死亡.
- 它们对人口水平过量死亡率的影响仍然不太清楚.
- 这项研究调查了SCS与加拿大多伦多过量死亡率之间的空间关联.
研究的目的:
- 为了描述多伦多过量服用死亡率的趋势.
- 为了确定SCS位置和过量死亡事件之间的空间关系.
- 评估SCS实施对社区水平过量死亡率的影响.
主要方法:
- 生态研究和空间分析,比较SCS实施前后的过量死亡率.
- 利用验尸官的数据来调查多伦多涉及精神活性物质的意外死亡.
- 使用地理加权回归来建模SCS近距离和过量死亡率之间的关联.
主要成果:
- 包括2017年5月至2019年12月期间多伦多发生的787起过量死亡事件.
- 过量服用的死亡率在有SCS的社区显著下降 (每10万人中有8.10至2.70人死亡).
- 地理加权回归表明,SCS附近和过量死亡率之间存在显著的反向关联,从2018年到2019年加强.
结论:
- 多伦多的SCS实施与周围社区的过量死亡率降低有关.
- 从2018年到2019年,SCS对过量死亡率的保护作用增加了.
- 政策制定者应该考虑在高过量死亡率地区实施和维持SCS.
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