{"id":1680,"date":"2022-02-07T00:00:00","date_gmt":"2022-02-07T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/drug-overdoses-during-the-covid-19-pandemic-among-recently-homeless-individuals\/"},"modified":"2023-06-14T19:43:29","modified_gmt":"2023-06-14T23:43:29","slug":"drug-overdoses-during-the-covid-19-pandemic-among-recently-homeless-individuals","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/drug-overdoses-during-the-covid-19-pandemic-among-recently-homeless-individuals\/","title":{"rendered":"Drug overdoses during the COVID-19 pandemic among recently homeless individuals"},"content":{"rendered":"<p><strong>Aims<\/strong> &#x2014; To examine how weekly rates of emergency department (ED) visits for drug overdoses changed among individuals with a recent history of homelessness (IRHH) and their housed counterparts during the pre-pandemic, peak, and re-opening periods of the first wave of the COVID-19 pandemic, using corresponding weeks in 2019 as a historical control.<\/p>\n<p><strong>Design<\/strong> &#x2014; Population-based retrospective cohort study conducted between September 30, 2018 and September 26, 2020.<\/p>\n<p><strong>Setting<\/strong> &#x2014; Ontario, Canada<\/p>\n<p><strong>Participants<\/strong> &#x2014; 38,617 IRHH, 15,022,369 housed individuals, and 186,858 low-income housed individuals matched on age, sex, rurality, and comorbidity burden.<\/p>\n<p><strong>Measurements<\/strong> &#x2014; ED visits for drug overdoses of accidental and undetermined intent.<\/p>\n<p><strong>Findings<\/strong> Average rates of ED visits for drug overdoses between January and September 2020 were higher among IRHH compared with housed individuals (rate ratio [RR]: 148.0, 95% confidence interval [CI]: 142.7-153.5) and matched housed individuals (RR: 22.3, 95% CI: 20.7-24.0). ED visits for drug overdoses decreased across all groups by approximately 20% during the peak period (March 17 to June 16, 2020) compared with corresponding weeks in 2019. During the re-opening period (June 17 to September 26, 2020), rates of ED visits for drug overdoses were significantly higher among IRHH (RR: 1.56, 95% CI: 1.44-1.69), matched housed individuals (RR: 1.25, 95% CI: 1.08-1.46), and housed individuals relative to equivalent weeks in 2019 (RR: 1.07: 95% CI: 1.02-1.11). The relative increase in drug overdose ED visits among IRHH was larger compared with both matched housed individuals (p=0.01 for interaction between group and year) and housed individuals (<em>p<\/em>&lt;0.001) during this period.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Recently homeless individuals in Ontario, Canada experienced disproportionate increases in emergency department visits for drug overdoses during the re-opening period of the COVID-19 pandemic compared with housed people.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aims &#x2014; To examine how weekly rates of emergency department (ED) visits for drug overdoses changed among individuals with a recent history of homelessness (IRHH) and their housed counterparts during the pre-pandemic, peak, and re-opening periods of the first wave of the COVID-19 pandemic, using corresponding weeks in 2019 as a historical control. Design &#x2014; [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1680","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Liu M, Richard L, Campitelli MA, Nisenbaum R, Dosani N, Dhalla IA, Wadhera RK, Shariff SZ, Hwang SW. <em>Addiction<\/em>. 2022; 117(6):1692-701. Epub 2022 Feb 7.","source_url":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/add.15823","ices_scientist":[1207,1359,1271,1213],"site":[6733],"research_program":[6740],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"C3222211-C115-4F95-B93A-740054110F43","sitecore_item_name":"Drug-overdoses-during-the-COVID-19-pandemic-among-recently-homeless-individuals","sitecore_field_values":"{\n  \"Title\": \"Drug overdoses during the COVID-19 pandemic among recently homeless individuals\",\n  \"Short title\": \"Drug overdoses during the COVID-19\",\n  \"Summary\": \"Recently homeless individuals in Ontario experienced disproportionate increases in ED visits for drug overdoses during the re-opening period of the COVID-19 pandemic compared with housed people.\",\n  \"Citation\": \"<p>Liu M, Richard L, Campitelli MA, Nisenbaum R, Dosani N, Dhalla IA, Wadhera RK, Shariff SZ, Hwang SW. <em>Addiction<\/em>. 2022; 117(6):1692-701. Epub 2022 Feb 7. DOI: <a href=\"https:\/\/doi.org\/10.1111\/add.15823\" title=\"opens external link\">https:\/\/doi.org\/10.1111\/add.15823<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Aims<\/strong> &mdash; To examine how weekly rates of emergency department (ED) visits for drug overdoses changed among individuals with a recent history of homelessness (IRHH) and their housed counterparts during the pre-pandemic, peak, and re-opening periods of the first wave of the COVID-19 pandemic, using corresponding weeks in 2019 as a historical control.<\/p>n<p><strong>Design<\/strong> &mdash; Population-based retrospective cohort study conducted between September 30, 2018 and September 26, 2020.<\/p>n<p><strong>Setting<\/strong> &mdash; Ontario, Canada<\/p>n<p><strong>Participants<\/strong> &mdash; 38,617 IRHH, 15,022,369 housed individuals, and 186,858 low-income housed individuals matched on age, sex, rurality, and comorbidity burden.<\/p>n<p><strong>Measurements<\/strong> &mdash; ED visits for drug overdoses of accidental and undetermined intent.<\/p>n<p><strong>Findings<\/strong> Average rates of ED visits for drug overdoses between January and September 2020 were higher among IRHH compared with housed individuals (rate ratio [RR]: 148.0, 95% confidence interval [CI]: 142.7-153.5) and matched housed individuals (RR: 22.3, 95% CI: 20.7-24.0). ED visits for drug overdoses decreased across all groups by approximately 20% during the peak period (March 17 to June 16, 2020) compared with corresponding weeks in 2019. During the re-opening period (June 17 to September 26, 2020), rates of ED visits for drug overdoses were significantly higher among IRHH (RR: 1.56, 95% CI: 1.44-1.69), matched housed individuals (RR: 1.25, 95% CI: 1.08-1.46), and housed individuals relative to equivalent weeks in 2019 (RR: 1.07: 95% CI: 1.02-1.11). The relative increase in drug overdose ED visits among IRHH was larger compared with both matched housed individuals (p=0.01 for interaction between group and year) and housed individuals (<em>p<\/em>&lt;0.001) during this period.<\/p>n<p><strong>Conclusions<\/strong> &mdash; Recently homeless individuals in Ontario, Canada experienced disproportionate increases in emergency department visits for drug overdoses during the re-opening period of the COVID-19 pandemic compared with housed people.<\/p>n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/add.15823\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{A63E52B6-A1CB-4479-9F43-492E65695C5B}|{E8DA0CD3-1341-4EA5-846D-D3FCFCEB3137}|{0C9AB207-93FF-44DC-91F0-579DF3D39255}|{C3A1DE68-838D-4F81-AA49-35368583A9A8}\",\n  \"Posted Date\": \"20220207T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/February\/Drug-overdoses-during-the-COVID-19-pandemic-among-recently-homeless-individuals"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Drug overdoses during the COVID-19 pandemic among recently homeless individuals<\/title>\n<meta name=\"description\" content=\"Aims &#x2014; 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