{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T16:35:34Z","timestamp":1780677334793,"version":"3.54.1"},"reference-count":0,"publisher":"Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promot Chronic Dis Prev Can"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<sec>\n         <title>Introduction<\/title>\n         <p>The opioid epidemic is currently a major public health problem in\nCanada. As such, knowledge of upstream risk factors associated with opioid use is\nneeded to inform injury prevention, health promotion and harm reduction efforts.<\/p>\n       <\/sec>\n       <sec>\n         <title>Methods<\/title>\n         <p>We analyzed data extracted from 11 pediatric and 6 general hospital emergency\ndepartments (EDs) as part of the electronic Canadian Hospitals Injury Reporting\nand Prevention Program (eCHIRPP) from March 2011 to June 2017. We identified suspected\nopioid-related injuries using search strings and manually verified them. We computed\nage-adjusted and sex-stratified proportionate injury ratios (PIRs) and 95%\nconfidence intervals (CIs) to compare opioid-related injuries to all injuries in eCHIRPP.\nNegative binomial regression was used to determine trends over time. We conducted\nqualitative analyses of narratives to identify common themes across life stages.<\/p>\n       <\/sec>\n       <sec>\n         <title>Results<\/title>\n         <p>Between March 2011 and June 2017, 583 suspected opioid-related poisoning\/\ninjury cases were identified from eCHIRPP. Most of the cases were females (55%). Many\nof the injuries occurred in patients\u2019 own homes (51%). Forty-five percent of the injuries\nwere intentional self-harm. Among children (aged 1\u20139 years), most injuries were caused\nby inadvertent consumption of opioids left unattended. Among youth (aged 10\u201319 years)\nand adults (aged 20\u201349 years), opioid use was associated with underlying mental illness.\nOverall, the average annual percent change (AAPC) in the rate of injuries (per\n100 000 eCHIRPP cases) has been increasing since 2012 (AAPC = 11.9%, p $lt; .05). The\nincrease is particularly evident for males (AAPC = 16.3%, p $lt; .05). Compared to other\ninjuries, people with suspected opioid-related injuries were more likely to be admitted\nto hospital (PIR = 5.3, 95% CI: 4.6\u20136.2).<\/p>\n       <\/sec>\n\t   <sec>\n         <title>Conclusion<\/title>\n         <p>The upstream determinants of opioid-related injuries are complex and\nlikely vary by subpopulations. Therefore, continued monitoring of risk factors is important\nin providing the evidence necessary to prevent future overdoses and deaths.<\/p>\n       <\/sec>","DOI":"10.24095\/hpcdp.38.9.03","type":"journal-article","created":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T19:52:51Z","timestamp":1536695571000},"page":"317-327","source":"Crossref","is-referenced-by-count":6,"title":["Sentinel surveillance of suspected opioid-related poisonings and injuries: trends and context derived from the electronic\nCanadian Hospitals Injury Reporting and Prevention Program, March 2011 to June 2017"],"prefix":"10.24095","volume":"38","author":[{"given":"Minh T.","family":"Do","sequence":"first","affiliation":[{"name":"Public Health Agency of Canada, Ottawa, Ontario, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"},{"name":"Department of Health Sciences, Carleton University, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicky C.","family":"Chang","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada, Ottawa, Ontario, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Semra","family":"Tibebu","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada, Ottawa, Ontario, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Thompson","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Marie","family":"Ugnat","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10188","container-title":["Health Promotion and Chronic Disease Prevention in Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-38-no-9-2018\/sentinel-surveillance-suspected-opioid-related-poisonings-injuries-electronic-canadian-hospitals-injury-reporting-prevention-program-march-2011-june-2017.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,9,11]],"date-time":"2018-09-11T19:52:54Z","timestamp":1536695574000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-38-no-9-2018\/sentinel-surveillance-suspected-opioid-related-poisonings-injuries-electronic-canadian-hospitals-injury-reporting-prevention-program-march-2011-june-2017.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":0,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.24095\/hpcdp.38.9.03","archive":["Internet Archive"],"relation":{},"ISSN":["2368-738X"],"issn-type":[{"value":"2368-738X","type":"print"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}