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. 2021 May 26;4(5):e2112865. doi: 10.1001/jamanetworkopen.2021.12865

Table. Demographic Characteristics of Individuals Who Died From an Opioid-Related Cause During the First 6 Months of the COVID-19 Pandemic vs the Two 6-Month Periods Prior in Ontario, Canada.

Characteristic Decedents, No. (%) P value
Period 1, March 16 to September 15, 2019 Period 2, September 14, 2019, to March 15, 2020 COVID-19 period, March 16, to September 15, 2020 Period 1 vs COVID-19 period Period 2 vs COVID-19 period
Opioid-related deaths, No. (rate per million individuals)a
Overall 766 (62.4) 771 (61.9) 1237 (99.3) <.001 <.001
Individuals aged 15-34 y 249 (63.1) 274 (68.3) 426 (106.2) <.001 <.001
Individuals aged 35-54 y 367 (96.3) 366 (95.9) 578 (151.5) <.001 <.001
Individuals aged ≥55 y 150 (33.2) 131 (28.3) 233 (50.3) <.001 <.001
Years of life lost (rate per 1000 individuals) 30 286 (2.5) 31 312 (2.5) 49 155 (3.9) NA NA
Sex
Men 561 (73.2) 528 (68.5) 948 (76.7) .08 <.001
Women 205 (26.8) 243 (31.5) 289 (23.3)
Age, mean (SD) 41.8 (12.7) 40.8 (12.4) 41.5 (12.6) .70 .11
Ruralityb
Rural areas 74 (9.7) 66 (8.6) 127 (10.5) .66 .21
Small urban center 84 (11.0) 80 (10.4) 100 (8.3) .03 .08
Medium urban center 115 (15.0) 122 (15.9) 194 (16.0) .69 .93
Large urban center 478 (62.4) 487 (63.5) 778 (64.2) .82 .90
Missing 15 (2.0) 12 (1.6) 13 (1.1) .09 .32
Substances detected
Fentanyl 587 (76.6) 586 (76.0) 1056 (85.4) <.001 <.001
Stimulantc 515 (67.2) 485 (62.9) 880 (71.1) .06 <.001
Benzodiazepine 205 (26.8) 273 (35.4) 450 (36.4) <.001 .66
Naloxone administered 183 (23.9) 186 (24.1) 264 (21.3) .18 .15

Abbreviation: NA, not applicable.

a

There were 0 suspected opioid-related deaths in period 1, 4 in period 2, and 25 in the COVID-19 period.

b

Data available among confirmed cases only.

c

Stimulants included cocaine, methamphetamine, and other stimulants.