Area-level characteristics of substance-related acute toxicity deaths: a descriptive analysis of a national chart review study of coroner and medical examiner data

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dc.contributor.author
Baddeliyanage, Richelle
Enns, Aganeta
Vansteelandt, Amanda
Schleihauf, Emily
Pan, Sai Yi
Rotondo, Jenny
dc.date.accessioned
2024-11-14T19:43:01Z
dc.date.available
2024-11-14T19:43:01Z
dc.date.issued
2022-09-28
dc.description - en
Over the last decade, Canada has experienced a substantial increase in people dying from substance-related acute toxicity. Examining mortality rates by area-level characteristics can identify disproportionately affected populations and inform strategies to reduce substance-related acute toxicity deaths (ATDs). Using area-based methods, this study sought to examine substance-related acute toxicity death rates for varying community population sizes, and indicators of deprivation in Canada from 2016 to 2017. Age-adjusted death rates were calculated. The highest rate of death was in mid-sized urban communities with populations of 100,000 to 499,999 residents (15.9 per 100,000 population), followed by larger cities of 500,000 to 1,499,999 (15.1 per 100,000 population). The highest percentage of deaths and rate of deaths were among people who resided in neighbourhoods with the highest levels of residential instability (neighbourhood population changes), and situational vulnerability (housing challenges, lower education, population identifying as Indigenous). This study provides novel evidence on the context surrounding deaths to inform responses to reduce ATDs in Canada and serves as an important baseline that can be used to measure future progress.
dc.description.abstract - en
Among people who died in Canada of substance-related acute toxicity in 2016 and 2017, deaths varied by community population sizes and neighbourhood-level indicators of deprivation (residential instability, economic dependency, ethno-cultural composition, and situational vulnerability):  The highest percentage of deaths was among people who resided in the largest urban communities with 1,500,000 or more residents (Toronto, Montreal, and Vancouver), making up 30% of deaths.  The highest rate of death was among people who resided in urban communities with 100,000 to 499,999 residents.  The highest percentage of deaths and rate of deaths were among people who resided in neighbourhoods with the highest levels of residential instability (neighbourhood population changes), and situational vulnerability (housing challenges, lower education, population identifying as Indigenous).  Across all community sizes and all four dimensions of deprivation, the majority of deaths were: o accidental o among males o among people aged 30 to 59 years old
dc.description.abstract-fosrctranslation - fr
Parmi les personnes qui sont décédées au Canada à la suite d’une intoxication aiguë liée à une substance en 2016 et en 2017, les décès variaient selon la taille de la population de la communauté et les indicateurs de défavorisation au niveau des quartiers (instabilité résidentielle, dépendance économique, composition ethnoculturelle et vulnérabilité situationnelle) :  Le pourcentage le plus élevé de décès a été recensé chez les personnes qui résidaient dans les plus grandes communautés urbaines comptant 1 500 000 habitants ou plus (Toronto, Montréal et Vancouver), soit 30 % des décès.  Le taux de mortalité le plus élevé a été enregistré chez les personnes qui résidaient dans des communautés urbaines comptant entre 100 000 et 499 999 habitants.  Le pourcentage de décès et le taux de mortalité les plus élevés ont été enregistrés chez les personnes qui résidaient dans des quartiers présentant les niveaux les plus élevés d’instabilité résidentielle (changements de population dans le quartier) et de vulnérabilité situationnelle (problèmes de logement, faible niveau d’éducation, population se définissant comme autochtone).  Indépendamment de la taille de la communauté et des dimensions de la défavorisation parmi les quatre existantes, la majorité des décès sont survenus : o de façon accidentelle; o chez les hommes; o chez les personnes âgées de 30 à 59 ans.
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/3156
dc.language.iso
en
dc.publisher - en
Public Health Agency of Canada
dc.relation.istranslationof
https://open-science.canada.ca/handle/123456789/3157
dc.rights - en
Open Government Licence - Canada
dc.rights - fr
Licence du gouvernement ouvert - Canada
dc.rights.uri - en
https://open.canada.ca/en/open-government-licence-canada
dc.rights.uri - fr
https://ouvert.canada.ca/fr/licence-du-gouvernement-ouvert-canada
dc.subject - en
Health
Poisoning
dc.subject - fr
Santé
Empoisonnement
dc.subject.en - en
Health
Poisoning
dc.subject.fr - fr
Santé
Empoisonnement
dc.title - en
Area-level characteristics of substance-related acute toxicity deaths: a descriptive analysis of a national chart review study of coroner and medical examiner data
dc.type - en
Report
dc.type - fr
Rapport
local.peerreview - en
Internal Review
local.peerreview - fr
Examen interne
local.report.series - en
National chart review study of substance-related acute toxicity deaths
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