{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:12:03Z","timestamp":1790273523433,"version":"4.1.0"},"reference-count":0,"publisher":"Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promot Chronic Dis Prev Can"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<sec>\t   \n         <title>Introduction<\/title>\n\t\t\t<p>Limited research exists on substance-related acute toxicity deaths (ATDs) in older adults (\u226560 years) in Canada. This study aims to examine and describe the sociodemographic characteristics, health histories and circumstances of death for accidental ATDs among older adults.<\/p>\n \t\t <\/sec>\n       <sec>\n         <title>Methods<\/title>\n\t\t\t<p>Following a retrospective descriptive analysis of all coroner and medical examiner files on accidental substance-related ATDs in older adults in Canada from 2016 to 2017, proportions and mortality rates for coroner and medical examiner data were compared with general population data on older adults from the 2016 Census. Chisquare tests were conducted for categorical variables where possible.<\/p>\n\t\t <\/sec>\n       <sec>\n         <title>Results<\/title>\n\t\t\t<p>From 2016 to 2017, there were 705 documented accidental ATDs in older adults. Multiple substances contributed to 61% of these deaths. Fentanyl, cocaine and ethanol (alcohol) were the most common substances contributing to death. Heart disease (33%), chronic pain (27%) and depression (26%) were commonly documented. Approximately 84% of older adults had contact with health care services in the year preceding their death. Only 14% were confirmed as having their deaths witnessed.<\/p>\n\t\t <\/sec>\n\t   <sec>\n         <title>Conclusion<\/title>\n\t\t\t<p>Findings provide insight into the demographic, contextual and medical history factors that may influence substance-related ATDs in older adults and suggest key areas for prevention.<\/p>\n         <\/sec>","DOI":"10.24095\/hpcdp.44.3.03","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T12:58:07Z","timestamp":1710161887000},"page":"89-100","source":"Crossref","is-referenced-by-count":6,"title":["Accidental substance-related acute toxicity deaths in older adults in 2016 and 2017: a national chart review study"],"prefix":"10.24095","volume":"44","author":[{"given":"Amanda","family":"VanSteelandt","sequence":"first","affiliation":[{"name":"Public Health Agency of Canada, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingru Helen","family":"Ha","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Burt","sequence":"additional","affiliation":[{"name":"Office of Drug Research and Surveillance, Health Canada, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Randell","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-44-no-3-2024\/accidental-substance-related-acute-toxicity-deaths-older-adults-2016-2017-national-chart-review.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T14:23:31Z","timestamp":1718202211000},"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-44-no-3-2024\/accidental-substance-related-acute-toxicity-deaths-older-adults-2016-2017-national-chart-review.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":0,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.24095\/hpcdp.44.3.03","archive":["Internet Archive"],"relation":{},"ISSN":["2368-738X"],"issn-type":[{"value":"2368-738X","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}