Evidence map›Paper›PMID 39141615›Full record

ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2024

Housing status and accidental substance-related acute toxicity deaths in Canada, 2016-2017.

Amanda VanSteelandt, Brandi Abele, Raahyma Ahmad, Aganeta Enns, Beth Jackson, Tanya Kakkar, Fiona Kouyoumdjian

Abstract read
In one paragraph

Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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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. 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

7 authors.

Amanda VanSteelandtSubstance-Related Harms Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Brandi AbeleThe Canadian Association of People Who Use Drugs, Dartmouth, Nova Scotia, Canada.
Raahyma AhmadSubstance-Related Harms Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Aganeta EnnsSubstance-Related Harms Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Beth JacksonHealth Equity Policy Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Tanya KakkarSubstance-Related Harms Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Fiona KouyoumdjianOntario Ministry of Health, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is a complex relationship between housing status and substance use, where substance use reduces housing opportunities and being unhoused increases reasons to use substances, and the associated risks and stigma.

methodsIn this descriptive analysis of people without housing who died of accidental substance-related acute toxicity in Canada, we used death investigation data from a national chart review study of substance-related acute toxicity deaths in 2016 and 2017 to compare sociodemographic factors, health histories, circumstances of death and substances contributing to death of people who were unhoused and people not identified as unhoused, using Pearson chi-square test. The demographic distribution of people who died of acute toxicity was compared with the 2016 Nationally Coordinated Point-In-Time Count of Homelessness in Canadian Communities and the 2016 Census.

resultsPeople without housing were substantially overrepresented among those who died of acute toxicity in 2016 and 2017 (8.9% versus <1% of the overall population). The acute toxicity event leading to death of people without housing occurred more often in an outdoor setting (24%); an opioid and/or stimulant was identified as contributing to their death more frequently (68%-82%; both contributed in 59% of their deaths); and they were more frequently discharged from an institution in the month before their death (7%).

conclusionWe identified several potential opportunities to reduce acute toxicity deaths among people who are unhoused, including during contacts with health care and other institutions, through harm reduction supports for opioid and stimulant use, and by creating safer environments for people without housing.

Indexed as

HousingIll-Housed PersonsSubstance-Related DisordersAdolescentAdultAgedCanadaDrug OverdoseFemaleHumansMaleMiddle AgedYoung Adultdrug overdosehomelessnesshomeless personsmortalityopiate overdosepoisoningunhousedunsheltered

Identifiers

PMID39141615
PMCPMC11498323

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LicenceCC BY
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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.