ArticleBMC public health2022
Spatial-temporal trends in the risk of illicit drug toxicity death in British Columbia.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Economic evaluation of diversion programs for people with drug-related legal involvement: a systematic review.BMC public health · 2026Pooled it
- Article
- Temporal and regional associations between fentanyl concentrations in the unregulated drug supply and drug-related mortality in British Columbia, Canada.The International journal on drug policy · 2026Article
- Challenges and opportunities in embedding core components of substance use health care into Housing First programs.Frontiers in public health · 2026Article
- The potential use of digital technologies to enhance opioid agonist treatment in rural and remote communities of British Columbia, Canada.Harm reduction journal · 2025Article
- Defining terminology and outcome measures for evaluating overdose response technology: An international Delphi study.Drug and alcohol review · 2025Article
- Predictors of overdose response hotline use for mental health and fatal overdose prevention.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Detection of benzodiazepines in the unregulated drug supply using point of care and confirmatory drug checking technologies: A validation study.Drug and alcohol dependence · 2025Article
- Rural community-based participatory research with families of people who use drugs: key considerations from a multi-provincial research partnership.Harm reduction journal · 2025Review
- Implementing community drug checking in smaller urban communities: a qualitative study exploring contextual factors to consider.Harm reduction journal · 2025Article
- "Oh, Another Overdose, for the Love of Pete": First Responder Perspectives on Overdose Response Technology.The western journal of emergency medicine · 2025Article
- Characteristics and Risk of Adverse Mental Health Events Amongst Users of the National Overdose Response Service (NORS) Telephone Hotline.International journal of mental health and addiction · 2025Article
- Perceptions of overdose response hotlines and applications among rural and remote individuals who use drugs in Canada: a qualitative study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Access and barriers to safer supply prescribing during a toxic drug emergency: a mixed methods study of implementation in British Columbia, Canada.Substance abuse treatment, prevention, and policy · 2024Article
- 'I'm on the coast and I'm on methadone': A qualitative study examining access to opioid agonist treatment in rural and coastal British Columbia.Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada · 2024Article
- Spatiotemporal epidemiology of substance-related accidental acute toxicity deaths in Canada from 2016 to 2017.BMC public health · 2024Article
- Accessibility gaps of physical supervised consumption sites in Canada motivating the use of overdose response technology/phone based virtual overdose response services: a retrospective cohort study.Lancet regional health. Americas · 2024Article
- Implementing Canada's first national virtual phone based overdose prevention service: lessons learned from creating the National Overdose Response Service (NORS).Harm reduction journal · 2024Article
- A qualitative study on perceptions and experiences of overdose among people who smoke drugs in Vancouver, British Columbia.Drug and alcohol dependence · 2024Article
- Preference for hotline versus mobile application/countdown-based mobile overdose response services: a qualitative study.Harm reduction journal · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIllicit drug poisoning (overdose) continues to be an important public health problem with overdose-related deaths currently recorded at an unprecedented level. Understanding the geographic variations in fatal overdose mortality is necessary to avoid disproportionate risk resulting from service access inequity.
methodsWe estimated the odds of fatal overdose per event from all cases captured by the overdose surveillance system in British Columbia (2015 - 2018), using both conventional logistic regression and Generalized Additive Models (GAM). The results of GAM were mapped to identify spatial-temporal trends in the risk of fatal overdose.
resultsWe found that the odds of fatal overdose were about 30% higher in rural areas than in large urban centers, with some regions reporting odds 50% higher than others. Temporal variations in fatal overdose revealed an increasing trend over the entire province. However, the increase occurred earlier and faster in the Interior and Northern regions.
conclusionRural areas were disproportionately affected by fatal overdose; lack of access to harm reduction services may partly explain the elevated risk in these areas.
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