加拿大的住房状况和意外物质相关的急性毒性死亡,2016-2017年
Amanda VanSteelandt1, Brandi Abele2, Raahyma Ahmad1
1Substance-Related Harms Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
概括
在加拿大,无家可归者不成比例地受到意外物质毒性死亡的影响. 在机构护理和减少伤害服务期间的干预对预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 成 药物 药物 药物 药物
背景情况:
- 吸毒和无家可归有着循环的,有害的关系.
- 无家可归加剧了物质使用风险和社会耻辱.
- 意外物质毒性死亡对公众健康构成重大挑战.
研究的目的:
- 为了比较因意外物质毒性而死亡的个体的特征,重点关注住房状况.
- 确定住房和无住房人口之间的社会人口统计因素,健康史和死亡情况的差异.
- 为了告知物质毒性死亡的有针对性的预防策略.
主要方法:
- 描述性分析国家死亡调查数据 (2016-2017年).
- 无家可归者与未被认定为无家可归者之间的比较.
- 利用皮尔森基平方测试,并将人口统计数据与全国无家可归和人口普查数据进行比较.
主要成果:
- 无家可归的个人在意外物质毒性死亡中占比过高 (8.9%对比一般人口的<1%).
- 无家可归者的死亡更常发生在户外 (24%) 并涉及阿片类药物/兴奋剂 (68%-82%).
- 显著的百分比 (7%) 的无家可归的死者在前一个月内从机构出院.
结论:
- 有机会减少无家可归人口在机构护理过渡期间的死亡.
- 针对阿片类药物和兴奋剂的使用,加强降低危害的策略至关重要.
- 创造更安全的环境对于防止无家可归者因物质毒性而死亡至关重要.
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