Evidence map›Paper›PMID 32485075›Full record

ArticleDrug and alcohol review2020

Impact of migration from an illicit drug scene on hospital outcomes among people who use illicit drugs in Vancouver, Canada.

Tara Beaulieu, Kanna Hayashi, Huiru Dong, Kora DeBeck, Andrew Day, Rachael McKendry, Gaganpreet Kaur, Rolando Barrios, M-J Milloy, Lianping Ti

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 49% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Tara BeaulieuBritish Columbia Centre on Substance Use, Vancouver, Canada.
Kanna HayashiBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0003-3843-2928
Huiru DongBritish Columbia Centre on Substance Use, Vancouver, Canada.
Kora DeBeckBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0003-2045-1653
Andrew DayVancouver Coastal Health, Vancouver, Canada.
Rachael McKendryVancouver Coastal Health, Vancouver, Canada.
Gaganpreet KaurBritish Columbia Centre on Substance Use, Vancouver, Canada.
Rolando BarriosVancouver Coastal Health, Vancouver, Canada.
M-J MilloyBritish Columbia Centre on Substance Use, Vancouver, Canada.
Lianping TiBritish Columbia Centre on Substance Use, Vancouver, Canada.ORCID 0000-0003-2470-438X
University of British Columbia · CAVancouver Coastal Health · CASimon Fraser University · CABritish Columbia Centre on Substance Use · CA

Funding

Vancouver Drug Users Study: The Impacts of Evolving Drug Use Patterns on HIV/AIDSU01DA038886 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI DEBECK, KORA, HAYASHI, KANNA · 2015 to 2024
$12.1M
Impacts of universal access to HIV/AIDS care among HIV+ injection drug usersR01DA021525 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MILLOY, M-J · 2007 to 2016
$5.8M
Impacts of universal access to HIV/AIDS care among HIV+ injection drug usersU01DA021525 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MILLOY, M-J · 2017 to 2024
$4.3M
CIHR MSH-141971MSFHR / St. Paul's Hospital Foundation-Providence Health Care Career Scholar AwardNG Biomed LtdNIDA NIH HHS R01 DA021525NIDA NIH HHS U01 DA021525NIDA NIH HHS U01 DA038886St. Paul's FoundationTier 1 Canada Research Chair in Inner City MedicineUniversity of British Columbia Doctoral Fellowship
6 · The paper itself

Abstract

INTRODUCTION AND

aimsPeople who use illicit drugs (PWUD) are vulnerable to an array of negative health outcomes, and increased hospital services utilisation. PWUD are also a transient population which poses challenges to the provision of optimal health care. The objective of this study was to identify out-migration patterns from Vancouver's Downtown Eastside (DTES), a neighbourhood where services for PWUD are concentrated, and to estimate the impact of these patterns on hospitalisation events among PWUD. DESIGN AND

methodsData were collected through three prospective cohorts of PWUD in Vancouver, which were linked with health administrative data. Latent class growth analysis was used to define migration trajectory groups. Poisson regression was used to estimate the effect of migration patterns on hospitalisation events.

resultsA total of 1180 participants were included in the study. Four latent classes were identified: early migration out (243, 20.6%); frequent revisit (112, 9.5%); late migration out (219, 18.6%); and consistently living in the DTES (606, 51.4%). Compared with those who consistently lived in the DTES, participants in the early migration out group had lower hospitalisation events (adjusted rate ratio = 0.65; 95% confidence interval: 0.48-0.90). DISCUSSION AND

conclusionWe found that PWUD who migrated out of the DTES early had lower hospitalisation events compared to those who consistently lived in the DTES, which may be a function of lesser addiction severity among this trajectory group. These findings underscore a need to provide transitional health and social service supports for other trajectory groups in an effort to minimise hospitalisation for preventable causes.

Indexed as

Drug UsersIllicit DrugsSubstance-Related DisordersCanadaHospitalizationHumansProspective StudiesIllicit Drugshospital outcomesillicit drugsmigration patterns

Identifiers

PMID32485075
PMCPMC7864616
OpenAlexW3029273029

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.