Using administrative health data to estimate prevalence and mortality rates of alcohol and other substance‐related disorders for surveillance purposes

• DOI: 10.1111/dar.13235
• Publication Date: 2021-01-15T07:02:05Z
• Authors: Christophe Huỳnh; Steve Kisely; Louis Rochette; Éric Pelletier; Didier Jutras‐Aswad; Alexandre Larocque; Marie‐Josée Fleury; Alain Lesage
• Keywords: Prevalence; Disease Surveillance

Abstract Introduction Administrative health databases (AHD) are critical to guide service management and can inform the whole spectrum of substance‐related disorders (SRD). This study estimates prevalence mortality rates SRD in administrative databases. Methods The Quebec Integrated Chronic Disease Surveillance System consists linked AHD. Analyses were performed on data all residents aged 12 over eligible for health‐care coverage using International Classification Diseases (ninth or tenth revision) case identification. Mortality rate ratios stratified by causes death obtained calculate an excess mortality. Results Since 2001–2002, annual age‐adjusted diagnosed overall remained stable (8.6 per 1000 2017–2018). In any given year, was significantly higher males; adolescents had lowest rate, while adults 65 years older highest. 2017–2018 2.1 alcohol‐induced disorder, 1.9 other drug‐induced 0.7 alcohol intoxication 0.6 drug intoxications. Cumulative diagnosis related 32 females 53 males (2001–2018), 33 49 drugs. There all‐cause among individuals with compared general population. Discussion Conclusions AHD complement epidemiological surveys monitoring jurisdiction‐wide. services utilisation interventions, coupled outcomes like mortality, could be useful guiding planning.