Drug and alcohol

Substance-Related Disorders: Mortality Surveillance

The mortality rate in the population with SRDs (substancerelated disorders) decreased significantly over a 15-year period, from 32.4 per 1,000 in 2001-2002 to 21.6 per 1,000 in 2016-2017. A similar, but less pronounced, trend is also observable in the general population with no SRD, with the mortality rate dropping from 9.0 per 1,000 in 2001-2002 to 6.8 per 1,000 in 2016-2017.

Temporal trends in the mortality rate ratios of the population with an SRD versus the general population…

Monitoring report

Perinatal Psychoactive Substance Use Among Indigenous Women: Social Determinants

Because of its impact on the health of families and future generations, psychoactive substance use during the perinatal period is a public health concern for the entire population. Understanding the factors that influence psychoactive substance use among Indigenous women in the perinatal period is essential to targeting prevention and health and wellness promotion strategies for First Nations and Inuit people. This synthesis analyzes the factors that emerge from the scientific literature…

Knowledge review

The non-medical cannabis regime in Québec: A public health analysis

This document examines, from a public health perspective, the regulatory regime governing the production, distribution, use and possession of cannabis for non-medical purposes in Québec. The analysis describes the main characteristics of this regime and examines the main public health issues it raises. Thus, the analysis identifies elements that could inform the legislative review process planned for 2021.

Research report, study and analysis

Substance-Related Disorders – Prevalence of Cases Identified Using Administrative Databases, 2001-2016

This report presents the annual and cumulative prevalence of substance-related disorders (SRDs). It demonstrates the ability of the Québec Integrated Chronic Disease Surveillance System (QICDSS) to allow for the study of SRDs based on health administrative databases. Prevalences were determined based on administrative data from April 1, 2001 to March 31, 2016, for all persons eligible for coverage by the Régie de l'assurance maladie du Québec and aged 12 and older. To be identified as having…

Monitoring report

Medical competencies directory in non-cancer pain management and opioid prescribing– Update

The prescription and use of opioid drugs has increased significantly in Québec in recent years. According to studies recently published by the Institut national de santé publique du Québec – INSPQ (Gagné et al., 2013; Gagné, Dubé, Légaré and Perron, 2015), an increase in the number of deaths and the mortality rate attributable to opioid overdose was also reported in the province between 2000 and 2012, among the population aged 20 and over.

As part of an agreement with Health…

Repertory

Acute Alcohol Poisoning and Sweetened Alcoholic Beverages

Acute alcohol poisoning occurs frequently in Québec. Between January 1 and November 26, 2017, provincial emergency rooms admitted 2,332 young people age 12–24 for acute alcohol poisoning. That is equivalent to 214 cases per month, 49 cases per week, or 7 cases per day.

These cases are serious. One quarter of young people age 12–24 admitted to the emergency room at the Centre hospitalier de l’Université de Sherbrooke for alcohol-related problems had a priority level…

Scientific advisory

Presence of Psychoactive Substances in Biological Samples From Drivers Fatally Injured in Québec From 2002 to 2013

Since 2002, the number of road traffic deaths in Québec has been falling steadily, even though the number of motor vehicles on the road – automobiles, in particular – has increased considerably. Nevertheless, the use of alcohol, drugs and medications is frequently cited as a cause of road traffic accidents by public authorities, since these psychoactive substances have the potential to impair driving.

The aim of this study is to present a profile of the psychoactive substances (i.e…

Research report, study and analysis

Innovative Courses of Action Pertaining to “Illicit” Psychoactive Substances

This report is the result of a mandate from the Ministère de la Santé et des Services sociaux (MSSS) [Québec’s ministry of health and social services] to produce a knowledge synthesis focused on nine courses of action which pertain to “illicit” psychoactive substances and which have not been implemented, or have been implemented only on a limited scale or as a pilot project in Québec.

The nine courses of action are:

Education programs for overdose prevention and management…
Research report, study and analysis

Preventing Intentional OTC Drug Overdoses

Each year in Québec, approximately 174 people commit suicide by drug overdose, of which at least 15 are the result of over-the-counter (OTC) drug overdoses. A substantial number of suicides and suicide attempts by overdose involve more than one substance. The number of suicides by OTC medication is under-estimated, since in cases where several drugs have been ingested, only the substance that is presumed to have caused the death is considered when determining the most likely cause of death…
Scientific advisory