加拿大与物质有关的中毒住院和无家可归:一项描述性研究
Rebecca Plouffe1, Rochelle White2, Heather Orpana1,3
1Centre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
概括
由于与物质有关的中毒而住院的无家可归者更年轻,更有可能是男性,并且精神障碍的发生率更高. 他们的中毒往往涉及阿片类药物和兴奋剂,导致更长的住院时间和违背医疗建议离开.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物使用研究研究 药物使用研究
背景情况:
- 与物质相关的中毒对健康构成重大风险.
- 无家可归是健康影响医疗保健结果的关键社会决定因素.
- 了解与物质相关的危害差异对于有针对性的干预至关重要.
研究的目的:
- 为了比较人口统计,中毒特征和住房和无家可归的人之间的结果.
- 分析涉及到因物质相关中毒而入院的物质类型.
- 确定住房和无住房个人住院模式和结论的差异.
主要方法:
- 利用了加拿大卫生信息研究所 (CIHI) 的住院数据 (2019年4月~2020年3月).
- 使用ICD-10-CA代码来识别与物质有关的中毒和无家可归状态.
- 在住房和无家可归人口之间进行了比较统计分析 (chi-square,t测试,费舍尔精确测试).
主要成果:
- 与无家可归的人相比,无家可归者中男性比例较高,年龄较小,精神障碍记录较高.
- 无家可归人口中与物质相关的中毒更频繁地是意外的,涉及阿片类药物和兴奋剂 (芬太尼,海洛因),并导致更长的住院治疗.
- 在那些经历无家可归的人中,因与物质有关的中毒而入院的可能性更大,最终会违背医疗建议离开.
结论:
- 调查结果强调了无家可归者在与物质有关的中毒住院病例中的显著差异.
- 干预措施和减轻与物质有关的危害的战略必须优先考虑这个脆弱的人群.
- 需要加强支持和有针对性的公共卫生举措,以应对无家可归社区的物质使用挑战.
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