Evidence map›Paper›PMID 41290311›Full record

ArticleBMJ open2025

Incidence and trends of non-fatal overdoses among people with and without HIV: a population-based cohort study in British Columbia, Canada (2012-2020).

Katherine W Kooij, Megan Marziali, Michael Budu, Jason Trigg, Monica Ye, Wendy Zhang, Taylor McLinden, Scott D Emerson, Kate Salters, Silvia S Martins and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Katherine W KooijFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada kkooij@bccfe.ca.ORCID http://orcid.org/0000-0001-9530-5728
Megan MarzialiColumbia University Mailman School of Public Health, New York, New York, USA.
Michael BuduBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
Jason TriggBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0002-7815-0725
Monica YeBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
Wendy ZhangBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
Taylor McLindenFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Scott D EmersonBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
Kate SaltersBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
Silvia S MartinsColumbia University Mailman School of Public Health, New York, New York, USA.
Julio MontanerBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
Robert S HoggFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur study investigated the age-adjusted incidence rates of non-fatal overdoses by HIV status and sex, and examined trends over time.

designWe used data from the Comparative Outcomes and Service Utilization Trends study, a population-based cohort study that includes clinical and administrative health data on virtually all people with HIV (PWH) and a 10% random sample of people without HIV in the province.

settingBritish Columbia, Canada.

participantsBetween April 2012 and March 2020, 11 050 PWH (81.8% male) and 473 952 people without HIV (50.3% male) who were 19 years and older contributed 68 035 and 3 285 824 person years (PY) of follow-up, respectively. OUTCOME MEASURES: The primary outcome was age-adjusted incidence rates of non-fatal overdose events stratified by sex and HIV status. Trends over time were also assessed.

resultsAge-adjusted non-fatal overdose incidence rates among males with and without HIV were 36.4 and 3.12 per 1000 PY, respectively (incidence rate ratio (IRR) = 11.7, 95% CI 10.9 to 12.5). For females with and without HIV, the age-adjusted incidence rates were 61.4 and 2.33 per 1000 PY, respectively (IRR=26.3, 95% CI 24.0 to 28.7). Between 2013 and 2019 (calendar years with full-year data), the age-adjusted non-fatal overdose rate increased significantly among males and females without HIV but not among PWH.

conclusionsWe observed a significantly higher non-fatal overdose rate among PWH compared to people without HIV. The rate was highest among females with HIV. These findings underline the need for policies and programmes oriented towards PWH to mitigate overdoses, especially for females.

Indexed as

Drug OverdoseHIV InfectionsAdultBritish ColumbiaCohort StudiesFemaleHumansIncidenceMaleMiddle AgedYoung AdultEPIDEMIOLOGYHIV & AIDSPUBLIC HEALTHSexual and Gender MinoritiesSubstance misuse

Identifiers

PMID41290311
PMCPMC12645592

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