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Health Promotion and Chronic Disease Prevention in Canada

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https://www.readbyqxmd.com/read/30226729/at-a-glance-the-role-of-opioid-toxicity-in-suicide-deaths-in-alberta-2000-to-2016
#1
Elaine Y L Chan, Bruce M McDonald, Elizabeth Brooks-Lim, Graham R Jones, Kristin B Klein, Lawrence W Svenson
Given the current opioid crisis in Canada, there is interest in the role of opioid toxicity in suicide deaths, particularly in whether any observed patterns are similar to those of unintentional deaths. The present analysis examined characteristics of opioid-toxicity suicide, and its role in relation to other suicide methods, from 2000 to 2016 in Alberta. It does not appear that the opioid crisis has resulted in a disproportionately higher number of suicides in Alberta. Individuals who die from unintentional opioid toxicity and those who die by opioid-toxicity suicide are likely distinct populations, requiring nuanced public health responses for prevention...
September 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30226728/at-a-glance-what-can-paramedic-data-tell-us-about-the-opioid-crisis-in-canada
#2
Minh T Do, Greg Furlong, Micah Rietschlin, Matthew Leyenaar, Michael Nolan, Pierre Poirier, Brian Field, Wendy Thompson
The nature of Canada's opioid crisis necessitates additional data sources that can provide a more comprehensive picture of the epidemic, in order to provide public health officials and decision-makers with a robust evidence base. Paramedic data provide a conduit into the community where overdoses occur. Prehospital events and circumstances surrounding opioid-related overdoses provide unique opportunities to collect evidence that can contribute to prevention, harm reduction and health promotion efforts. Using data extracted from the Ottawa Paramedic Service (OPS), this proof-of-concept study demonstrated that paramedic response data were useful in providing near real-time epidemiological information (person, time and place) on the opioid epidemic and in assessing trends and opportunities to develop alert triggers...
September 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30226727/at-a-glance-concurrent-monitoring-of-opioid-prescribing-practices-and-opioid-related-deaths-the-context-in-nova-scotia-canada
#3
Emily Schleihauf, Kirstin Crabtree, Carolyn Dohoo, Sarah Fleming, Heather McPeake, Matthew Bowes
Timely public health surveillance is required to understand trends in opioid use and harms. Here, opioid dispensing data from the Nova Scotia Prescription Monitoring Program are presented alongside fatality data from the Nova Scotia Medical Examiner Service. Concurrent monitoring of trends in these data sources is essential to detect population-level effects (whether intended or unintended) of interventions related to opioid prescribing.
September 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30226726/patterns-of-health-care-utilization-among-people-who-overdosed-from-illegal-drugs-a-descriptive-analysis-using-the-bc-provincial-overdose-cohort
#4
Michael C Otterstatter, Alexis Crabtree, Sabina Dobrer, Brooke Kinniburgh, Salman Klar, Anthony Leamon, Jennifer May-Hadford, Christopher Mill, Mina Park, Andrew W Tu, Lu Zheng
INTRODUCTION: British Columbia (BC) declared a public health emergency in April 2016 in response to a rapid rise in overdose deaths. Further understanding of health care utilization is needed to inform prevention strategies for individuals who overdose from illegal drugs. METHODS: The Provincial Overdose Cohort includes linked administrative data on health care utilization by individuals who experienced an illegal drug overdose event in BC between 1 January 2015 and 30 November 2016...
September 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30226725/sentinel-surveillance-of-suspected-opioid-related-poisonings-and-injuries-trends-and-context-derived-from-the-electronic-canadian-hospitals-injury-reporting-and-prevention-program-march-2011-to-june-2017
#5
Minh T Do, Vicky C Chang, Semra Tibebu, Wendy Thompson, Anne-Marie Ugnat
INTRODUCTION: The opioid epidemic is currently a major public health problem in Canada. As such, knowledge of upstream risk factors associated with opioid use is needed to inform injury prevention, health promotion and harm reduction efforts. METHODS: We analyzed data extracted from 11 pediatric and 6 general hospital emergency departments (EDs) as part of the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) from March 2011 to June 2017...
September 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30226724/at-a-glance-opioid-surveillance-monitoring-and-responding-to-the-evolving-crisis
#6
Kahina Abdesselam, Matthew James Dann, Ramona Alwis, Julie Laroche, Samuel Ileka-Priouzeau
The incidence of opioid-related overdoses is increasing at an alarming pace, largely driven by the increased use of fentanyl and its analogues. The need for sound and reliable sources of data on opioid use is crucial in order to make decisions on implementing efficient interventions, and develop appropriate policies and guidelines to mitigate the burden of opioid use. This article highlights initiatives undertaken by federal partners to address the opioid crisis in Canada. The need for novel surveillance approaches that improve the collection and harmonization of drug-related data is also discussed...
September 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30226723/commentary-broadening-our-understanding-of-canada-s-epidemics-of-pharmaceutical-and-contaminated-street-drug-opioid-related-overdoses
#7
EDITORIAL
Robert Strang
No abstract text is available yet for this article.
September 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30129719/release-notice-canadian-cancer-statistics
#8
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30129718/release-notice-strengthening-the-evidence-base-on-health-inequalities-in-canada
#9
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30129717/individual-programmatic-and-systemic-indicators-of-the-quality-of-mental-health-care-using-a-large-health-administrative-database-an-avenue-for-preventing-suicide-mortality
#10
Lise Thibodeau, Elham Rahme, James Lachaud, √Čric Pelletier, Louis Rochette, Ann John, Anne Reneflot, Keith Lloyd, Alain Lesage
Suicide is a major public health issue in Canada. The quality of health care services, in addition to other individual and population factors, has been shown to affect suicide rates. In publicly managed care systems, such as systems in Canada and the United Kingdom, the quality of health care is manifested at the individual, program and system levels. Suicide audits are used to assess health care services in relation to the deaths by suicide at individual level and when aggregated at the program and system levels...
July 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30129716/effectiveness-of-the-canrisk-tool-in-the-identification-of-dysglycemia-in-a-canadian-south-asian-population
#11
Gina Agarwal, Ying Jiang, Chantal Lemieux, Susan Rogers Van Katwyk, Yang Mao, Heather Orpana, Maylene Fong, Howard Morrison
INTRODUCTION: South Asians have a higher than average risk of developing type 2 diabetes. We ascertained the effectiveness of CANRISK, an existing diabetes risk assessment tool, examining its sensitivity and specificity at two different predetermined scoring cut-off points comparing those participants under the age of 40 and those 40 and over. We examined the predictive ability of a model based on CANRISK variables, comparing ethno-specific body mass index (BMI) and waist circumference (WC) cut-off points with the original BMI and WC cut-off points to see if predictive ability could be improved for this population...
July 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30129715/indicators-to-guide-health-equity-work-in-local-public-health-agencies-a-locally-driven-collaborative-project-in-ontario
#12
Benita Cohen, Katherine Salter, Anita Kothari, Marlene Janzen Le Ber, Suzanne Lemieux, Kathy Moran, Caroline Wai, Deborah Antonello, Jordan Robson, Rosana Salvaterra
INTRODUCTION: Funded by a Public Health Ontario 'Locally Driven Collaborative Project' grant, a team led by public health practitioners set out to develop and test a comprehensive set of indicators to guide health equity work in local public health agencies (LPHAs). METHODS: The project began with a scoping review, consultation with content experts, and development of a face-validated set of indicators aligned with the four public health roles to address health inequities (NCCDH, 2014), plus a fifth set of indicators related to an organizational and system development role...
July 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30129714/mental-health-indicators-among-pregnant-aboriginal-women-in-canada-results-from-the-maternity-experiences-survey
#13
Chantal Nelson, Karen M Lawford, Victoria Otterman, Elizabeth K Darling
INTRODUCTION: There is little research done on mental health among pregnant Aboriginal women. Therefore, the purpose of the study was to examine the prevalence of postpartum depression (PPD) and its determinants, including pre-existing depression among non-Aboriginal and Aboriginal women in Canada. METHODS: The Maternity Experiences Survey (MES) is a national survey of Canadian women's experiences and practices before conception, up to the early months of parenthood...
July 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29911824/at-a-glance-what-can-social-media-tell-us-about-the-opioid-crisis-in-canada
#14
Semra Tibebu, Vicky C Chang, Charles-Antoine Drouin, Wendy Thompson, Minh T Do
We explored social media as a potential data source for acquiring realtime information on opioid use and perceptions in Canada. Twitter messages were collected through a social media analytics platform between June 15, 2017, and July 13, 2017, and analyzed to identify recurring topics mentioned in the messages. Messages concerning the medical use of opioids as well as commentary on the Canadian government's current response efforts to the opioid crisis were common. The findings of this study may help to inform public health practice and community stakeholders in their efforts to address the opioid crisis...
June 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29911823/evaluating-the-early-impacts-of-delisting-high-strength-opioids-on-patterns-of-prescribing-in-ontario
#15
Qi Guan, Wayne Khuu, Diana Martins, Mina Tadrous, Maria Chiu, Minh T Do, Tara Gomes
INTRODUCTION: Ontario delisted high-strength fentanyl, hydromorphone and morphine from the public drug formulary for non-palliative care prescribers on 31 January, 2017. Our aim is to assess the early impact of this policy on prescribing patterns and to examine whether this impact varied by prescriber type, opioid type and opioid strength. METHODS: We conducted a population-based, cross-sectional study on palliative and non-palliative care patients dispensed fentanyl, hydromorphone or morphine through the Ontario public drug program between 1 January, 2014, and 31 July, 2017...
June 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29911822/at-a-glance-lessons-learned-from-launching-the-manitoba-take-home-naloxone-program
#16
Songul Bozat-Emre, Shelley G Marshall, Colin Zhong, Joss Reimer
The Government of Manitoba launched the provincial Take-Home Naloxone Program in January 2017. By the end of September 2017, there were over 60 sites operating in Manitoba. These sites distributed 765 kits to people at risk of opioid overdose, and 93 of these kits were replacement kits used in overdose events. Most of these events occurred among males (60.2%) and in a private residence (72.0%). Fentanyl and carfentanil were the most common substances reported during overdose events. Take-Home Naloxone Program data provide important information about the unique context of the opioid crisis in Manitoba...
June 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29911821/at-a-glance-impact-of-drug-overdose-related-deaths-on-life-expectancy-at-birth-in-british-columbia
#17
Xibiao Ye, Jenny Sutherland, Bonnie Henry, Mark Tyndall, Perry Robert William Kendall
We quantified the contributions of leading causes of death and drug overdose to changes in life expectancy at birth over time and inequalities by sex and socioeconomic status in British Columbia. From 2014 to 2016, life expectancy at birth declined by 0.38 years and drug overdose deaths (mainly opioid-involved) contributed a loss of 0.12 years of the decrease. The analysis also demonstrated that the higher drug overdose mortality among males and among those in lower socioeconomic status communities contributed to a differential decrease in life expectancy at birth for males and for those in the latter category...
June 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29911820/at-a-glance-hospitalizations-and-emergency-department-visits-due-to-opioid-poisoning-in-canada
#18
Shannon O'Connor, Vera Grywacheski, Krista Louie
The rise in opioid-related harms is an issue of increasing public health importance in Canada. This analysis used data from the Hospital Morbidity Database and the National Ambulatory Care Reporting System to determine the number of opioid poisoning hospitalizations and emergency department visits in Canada. Opioid poisoning hospitalizations have increased over the past 10 years, reaching 15.6 per 100 000 population in 2016/17. Emergency department visits due to opioid poisoning have also increased in Alberta and Ontario, the two provinces that collect emergency department data at the level of detail required for this analysis...
June 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29911819/canadian-trends-in-opioid-related-mortality-and-disability-from-opioid-use-disorder-from-1990-to-2014-through-the-lens-of-the-global-burden-of-disease-study
#19
Heather M Orpana, Justin J Lang, Maulik Baxi, Jessica Halverson, Nicole Kozloff, Leah Cahill, Samiah Alam, Scott Patten, Howard Morrison
No abstract text is available yet for this article.
June 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29911818/the-opioid-crisis-in-canada-a-national-perspective
#20
REVIEW
Lisa Belzak, Jessica Halverson
INTRODUCTION: This review provides a national summary of what is currently known about the Canadian opioid crisis with respect to opioid-related deaths and harms and potential risk factors as of December 2017. METHODS: We reviewed all public-facing opioid-related surveillance or epidemiological reports published by provincial and territorial ministries of health and chief coroners' or medical examiners' offices. In addition, we reviewed publications from federal partners and reports and articles published prior to December 2017...
June 2018: Health Promotion and Chronic Disease Prevention in Canada
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