A5011918877- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Homelessness and Social Issues
- Substance Abuse Treatment and Outcomes
- Health disparities and outcomes
- Food Security and Health in Diverse Populations
- Prenatal Substance Exposure Effects
- Criminal Justice and Corrections Analysis
- Traffic and Road Safety
- Injury Epidemiology and Prevention
- COVID-19 and healthcare impacts
- Health Policy Implementation Science
- Urban Transport and Accessibility
- Emergency and Acute Care Studies
- Frailty in Older Adults
- Resilience and Mental Health
- Pain Management and Opioid Use
- Hip and Femur Fractures
- Mental Health and Patient Involvement
- Health Services Management and Policy
- Autopsy Techniques and Outcomes
- Cardiac Arrest and Resuscitation
- demographic modeling and climate adaptation
- Sex work and related issues
- Healthcare Policy and Management
Murdoch Children's Research Institute
2023-2025
Curtin University
2023-2025
Royal Children's Hospital
2023-2025
University of Sheffield
2023
AIDS Vancouver
2019-2022
The University of Melbourne
2020-2021
University of British Columbia
2019-2021
St. Paul's Hospital
2018-2020
Manchester Royal Infirmary
2017
Abstract Objective To compare the risk of mortality among people with opioid use disorder on and off agonist treatment (OAT) in a setting high prevalence illicitly manufactured fentanyl other potent synthetic opioids illicit drug supply. Design Population based retrospective cohort study. Setting Individual level linkage five health administrative datasets capturing dispensations, hospital admissions, physician billing records, ambulatory care reports, deaths British Columbia, Canada....
Abstract Background and Aims The ‘cascade of care’ framework, measuring attrition at various stages care engagement, has been proposed to guide the public health response opioid overdose emergency in British Columbia, Canada. We estimated cascade for use disorder identified factors associated with engagement people (PWOUD) provincially. Design Retrospective study using a provincial‐level linkage four administrative databases. Setting participants All PWOUD BC from 1 January 1996 30 November...
The use of administrative health data for research, monitoring, and quality improvement has proliferated in recent decades, leading to improvements across many disease areas the life course. However, not all populations are equally visible data, those that less may be excluded from benefits associated research. Socially -- including homeless, people with substance dependence, involved sex work, migrants or asylum seekers, a history incarceration typically characterised by inequity. Yet who...
Objectives Administrative data are increasingly being used for surveillance and monitoring of mental health substance use disorders (MHSUD) across Canada. However, the validity diagnostic codes specific to MHSUD is unknown in emergency departments (EDs). Our objective was determine concordance, individual-level hospital-level factors associated with between diagnosis assigned ED at discharge from hospital MHSUD-related conditions. Design Population-based retrospective cohort study. Setting...
To understand how the Take Home Naloxone (THN) program is implemented in two pilot correctional facilities British Columbia (BC), Canada, order to identify areas for improvement and inform expansion of other Canadian The paper aims discuss these issues.Two focus groups one interview were conducted with healthcare staff at facilities. Sessions audio recorded, transcribed verbatim divergent convergent experiences within between explored an iterative process. Key themes lessons learned...
Research about the sexual exploitation of homeless and street-involved boys is limited often combined with that girls. As aggregation can distort unique issues among genders which are exploited, this study provides information context for boys. Boys participated in anonymous, multi-city British Columbia (BC), Canada Homeless Street-Involved Youth Health paper surveys 2006 2014. Measures included questions trading sex money, shelter, or other consideration; age first exploited; whom; where...
BackgroundYoung people who have had contact with the criminal justice system are at increased risk of early death, especially from injuries. However, deaths due to non-communicable diseases (NCDs) in this population remain poorly described. We aimed estimate mortality NCDs a history involvement youth system, compare NCD rates those general population, and characterise demographic justice-related factors associated caused by system.MethodsIn retrospective, population-based cohort study (the...
IntroductionOpioid agonist treatment (OAT) is a safe and effective for opioid use disorder (OUD). However, people commonly stop start OAT their risk of death high immediately after stopping. The prevalence illicitly manufactured fentanyl other highly potent synthetic opioids have increased in the illicit drug supply globally. Yet, there limited evidence examining relationship between mortality when these contaminants are widely available supply.
 Objectives ApproachWe aimed to compare...
BackgroundA scarcity of evidence on the health and social needs justice-involved young people contributes to persistent inequities. Linking data from multiple sectors provides an opportunity improve health, justice, systems that this group interacts with, with a view reducing these MethodsWe established two population-level cohorts using multi-sectoral linkage: (1) we linked youth justice records in Queensland 1993-2014 for 48,670 adult correctional records, death coronial records; (2) all...
Abstract Background Opioid agonist treatment (OAT) supports adherence in medication regimens for other concurrent conditions. However, sparse evidence is available on its effect promoting retention to direct-acting antivirals (DAAs) people with opioid use disorder (PWOUD) hepatitis C virus (HCV). Our objective was determine the causal impact of OAT exposure DAA among HCV-positive PWOUD. Methods We executed a retrospective study using linked population-level data British Columbia, Canada...