Abstract：
:In Canada, opioid-related overdose mortality has steeply increased in recent years; as a substantial number of opioid-related deaths are related to fentanyl products, this phenomenon has widely been described as the 'fentanyl epidemic', also implying that these deaths are largely caused by clandestinely produced illicit fentanyl products. We examined numbers and rates of opioid- and fentanyl-related deaths in six pan-Canadian provinces with respective (coroner-based) data available from 2010 to 2016. While fentanyl-related deaths are clearly increasing from relatively low levels in all provinces, those increases are strongest in the two Western provinces (e.g., British Columbia, where fentanyl accounts for the majority of opioid deaths in 2016 and Alberta), and, to some extent, Ontario. However, fentanyl-related deaths remain a minority of deaths in Ontario (40%) and the remaining provinces (<25%). Furthermore, it is uncertain what proportion of fentanyl-related deaths is actually related to illicit fentanyl products. We conclude that fentanyl-related overdose deaths have risen - most strongly in the West - due to both a high availability of medical fentanyl products, as well as an influx of illegal fentanyl products. In most provinces, the majority of opioid deaths remain associated with other (non-fentanyl) products. Appropriate (prevention, treatment and policy) interventions need to be targeted at the full range of opioid deaths from different sources. Overall, a realistic framing of the social (e.g., media) discourse about the nature of the 'opioid overdose death crisis' is required, which is not exclusively an 'illicit fentanyl death crisis' even though this may be a socio-politically appealing image.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Fischer B,Vojtila L,Rehm Jdoi
10.1016/j.ypmed.2017.11.001subject
Has Abstractpub_date
2018-02-01 00:00:00pages
109-113eissn
0091-7435issn
1096-0260pii
S0091-7435(17)30425-5journal_volume
107pub_type
杂志文章abstract：:Research has identified physical activity and sedentary behaviours as independent predictors of successful aging; however, few studies have explored interactions between these constructs in relation to older adult health. The present study utilized data from the General Social Survey (Cycle 24) to calculate proportion...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.05.020
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:Factors associated with participation in breast and cervix cancer screening among elderly black women of low socioeconomic status were determined. METHODS:Data from a baseline cross-sectional random survey were used together with data on whether screening was subsequently completed or refused. The subjects ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1993.1002
更新日期：1993-01-01 00:00:00
abstract：:The effects of diet and exercise on serum triglycerides (Trig), total cholesterol (TC), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), and the HDL to TC ratio (HDL/TC) were evaluated in 45 men training continuously for a duration of 6 months. Body mass index (BMI), percentage bo...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90237-2
更新日期：1983-03-01 00:00:00
abstract：:An international collaborative group examined the relation between asymptomatic hyperglycemia and coronary heart disease (CHD). After excluding clinically diagnosed diabetes and treated hypertensives, there were 48,912 men aged 35-64 in the study population. Post-load circulating glucose correlated with age, relative ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90173-1
更新日期：1983-01-01 00:00:00
abstract：:Patterns of cigarette smoking in Switzerland were analyzed on the basis of sales data (available since 1924) and national health surveys conducted in the last decade. There was a steady and substantial increase in cigarettes sales up to the early 1970s. Thereafter, the curve tended to level off around an average value...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(88)90090-4
更新日期：1988-11-01 00:00:00
abstract：:Although socioeconomic, behavioural, psychological, and biological factors have been individually linked to multimorbidity, data on the importance of these factors are limited. Our study aimed to determine the leading predictors for multimorbidity of chronic conditions in middle-aged Australian adults using machine le...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2020.106260
更新日期：2020-12-01 00:00:00
abstract：:During the last 25 years a remarkable change has occurred in the ranking of the causes of death in Japan. In particular, stroke, the leading cause of death in Japan for a long period of time, has been declining from its peak in 1965. Although ischemic heart disease increased about fourfold, it is not yet as prominent ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90198-6
更新日期：1983-01-01 00:00:00
abstract：BACKGROUND:Physical activity (PA) is a modifiable lifestyle factor for many chronic diseases with established health benefits. PA outcomes are measured and assessed in many longitudinal studies, but their analyses often pose difficulties due to the presence of many zeros, extreme skewness, and lack of independence, whi...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.09.012
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Despite the cost-effectiveness of physician smoking cessation counseling, many physicians do not adhere to current clinical practice guidelines. METHODS:A cross-sectional mail survey was conducted in a random sample of general practitioners in Montreal to document cessation-counseling practices and identify...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0937
更新日期：2001-12-01 00:00:00
abstract：BACKGROUND:: Little is known of the preventive effects of physical activity in leisure time on neck and upper limb symptoms. METHODS:: A cohort of 1742 employees was selected from a prospective cohort study with a follow-up period of 3 years. Independent variables were sporting activities and physically active commuti...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.11.006
更新日期：2005-07-01 00:00:00
abstract：BACKGROUND:In a population-based sample of smokers in early motivational stages, we found a high acceptance of smoking cessation groups. METHODS:Inter99 is a randomized population-based intervention study, in Copenhagen, Denmark. Smokers in all motivational stages were included. All participants underwent a lifestyle ...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.ypmed.2004.06.011
更新日期：2005-03-01 00:00:00
abstract：BACKGROUND:Muscle-strengthening activity (MSA) (e.g. weight training), confers unique health benefits. While socioeconomic status (SES) correlates with leisure time physical activity, little is known about its relation with MSA. METHODS:Cross-sectional study of a representative sample of 8993 Australian adults (>18yea...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.06.020
更新日期：2017-09-01 00:00:00
abstract：:Three studies were conducted to evaluate the effectiveness of competition as a method of weight loss at the worksite. Study 1 found team competitions more effective than either cooperation or individual competition for men, and more effective than individual competition for women. Study 2 replicated the effectiveness ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(89)90006-6
更新日期：1989-07-01 00:00:00
abstract：:Measures of well-being have proliferated over the past decades. Very little guidance has been available as to which measures to use in what contexts. This paper provides a series of recommendations, based on the present state of knowledge and the existing measures available, of what measures might be preferred in whic...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2020.106004
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to investigate the association between self-efficacy, enjoyment, and volitional control with active commuting, as well as to analyze the impact of social support from parents, friends, and teachers with active commuting to school. METHODS:Participants in this cross-sectional study w...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.02.019
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:This study was undertaken to determine the effects of month-long whole grain oat and wheat cereal supplementation on endothelial function following a fatty meal as measured by brachial artery reactivity studies. METHODS:Fifty healthy adult subjects underwent brachial artery reactivity studies before and aft...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0918
更新日期：2001-11-01 00:00:00
abstract：BACKGROUND:The aim of the current study was to examine the interrelationship between certain cardiovascular disease (CVD) risk factors and overweight, as well as to provide some indication on the prevalence of underweight, overweight and obesity in primary schoolchildren in urban Turkey. METHODS:1044 randomly selected...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.11.029
更新日期：2005-08-01 00:00:00
abstract：:Mental health has been recognized as a public health priority for nearly a century. Little is known, however, about what local health departments (LHDs) do to address the mental health needs of the populations they serve. Using data from the 2013 National Profile of Local Health Departments - a nationally representati...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.11.007
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Reliable mortality data are sparse for developing countries. Furthermore, risk factor prevalence information is hardly available and thus not taken into consideration when estimating mortality. METHODS:The authors used a validated, statistical model combined with representative smoking prevalence from WHO S...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.08.022
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:Chronic Obstructive Pulmonary Disease (COPD) forms an increasing health problem. Despite smoking cessation improving the prognosis of the disease, many patients persist smoking. The present study presents the results of a smoking cessation counseling protocol in general practice (Smoking Cessation in patient...
journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ypmed.2005.08.003
更新日期：2005-11-01 00:00:00
abstract：OBJECTIVE:To determine whether formulating specific plans with regard to sunscreen use can influence parental sun protection behavior (i.e., applying sunscreen to their child). METHOD:In the spring of 2005, an electronic survey on sun protection behavior was performed among 436 parents in the Netherlands. Participants...
journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ypmed.2008.02.025
更新日期：2008-07-01 00:00:00
abstract：OBJECTIVES:To measure community-level changes in the methods youth use to obtain cigarettes over time and to relate these methods to the progression of smoking. METHODS:We analyzed 2000-2003 data from the Minnesota Adolescent Community Cohort study, where youth (beginning at age 12), who were living in Minnesota at ba...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.07.016
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:Inflammatory processes contribute to disease pathways and may be affected by behavioral lifestyle factors. The relative contributions of fatness and cardiorespiratory fitness to inflammatory factors remain unclear. The present review examines the hypothesis that the association between fitness and inflammator...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2006.09.005
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVE:The objective of this study is to examine depressive symptom trajectories during adolescence as predictors of physical activity (PA) in young adulthood. METHODS:Adolescents residing in Montreal, Canada (n=860) reported their depressive symptoms every 3-4 months during high school in 20 data collections. Thre...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.11.013
更新日期：2013-02-01 00:00:00
abstract：BACKGROUND:Associations are examined between parental smoking and smoking onset by their children. Smoking parents are more likely to have children who start smoking in their teenage years; however, less is known about whether parental quitting is related to adolescent smoking. METHODS:A cross-sectional national sampl...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2003.11.008
更新日期：2004-03-01 00:00:00
abstract：BACKGROUND:The relationship between smoking regulations at the workplace and smoking habits was assessed among public-sector employees in southern Germany. METHODS:A cross-sectional study was conducted among 931 employees who were working under three different, long-existing types of smoking regulations: (a) no restri...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1994.1031
更新日期：1994-03-01 00:00:00
abstract：:Ergothioneine (ET) is a natural compound which humans and other vertebrates cannot synthesize themselves; it must be absorbed from food in which it is distributed very unevenly. In general, ET is considered an intracellular antioxidant. However, the precise physiological purpose of ET and the consequences of ET defici...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2011.12.001
更新日期：2012-05-01 00:00:00
abstract：:This study investigated the effects of the price of tobacco on smoking behaviors in Korean adult smokers using a population-based survey. Current smokers or former smokers who quit smoking <1 year prior to the survey were selected from the data of 2015 Korea Community Health Survey (N = 45,686). The effects of the pri...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.01.010
更新日期：2019-03-01 00:00:00
abstract：:A meta-analysis on Active Video Games (AVG) as a rehabilitative tool does not appear to be available. This meta-analytic review synthesizes the effectiveness of AVGs on patients' rehabilitative outcomes. Ninety-eight published studies on AVGs and rehabilitation were obtained in late 2015 with 14 meeting the following ...
journal_title：Preventive medicine
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.ypmed.2016.12.003
更新日期：2017-02-01 00:00:00
abstract：INTRODUCTION:The Canadian Physical Activity Levels Among Youth (CANPLAY) study collected pedometer data from eight surveys between 2005 and 2014, making it a unique database of objective population physical activity surveillance. The purpose of this study was to describe secular physical activity trends for 5-19year ol...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.12.020
更新日期：2016-05-01 00:00:00
