Concept: Substance Use Disorders / Substance Abuse - Measuring Prevalence

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Concept Description

Last Updated: 2016-11-22

Introduction
    This concept defines substance use disorders / substance abuse and describes how this medical condition has been defined in MCHP research. This includes a list of databases where this information resides, the ICD diagnosis codes that are used to define it, and a list of MCHP research that has investigated substance use disorders / substance abuse, with links to the research results and findings in this research.

    Substance use disorders / substance abuse has been defined as the excess use of and reliance on a drug, alcohol, or other chemical that leads to severe negative effects on the individual's health and well-being or to the welfare of others.
Technical Definition of Substance Use Disorders / Substance Abuse
    The technical definition of substance use disorders / substance abuse using administrative data includes:
    • Data Sources:

    • Code Values and Conditions: - defined as Manitoba residents with:

      • one or more hospitalization with a diagnosis for alcohol or drug psychoses, alcohol or drug dependence, or nondependent abuse of drugs, using:

        • ICD-9-CM codes: 291 (alcoholic psychoses), 292 (drug psychoses), 303 (alcohol dependence), 304 (drug dependence), or 305 (nondependent abuse of drugs); OR
        • ICD-10-CA codes: F10-F19 (mental and behavioural disorders due to psychoactive substance use) and F55 (abuse of non-dependence-producing substances). NOTE: In Chartier et al. (2016) and Brownell et al. (2020), they included two additional ICD-10-CA diagnosis codes related to hospitalizations in their definition: Z50.2 (alcohol rehabilitation) and Z50.3 (drug rehabilitation); OR

      • one or more physician visits with a diagnosis for alcohol or drug psychoses, alcohol or drug dependence, or nondependent abuse of drugs using ICD-9-CM codes 291, 292, 303, 304 or 305.

      NOTE: In most MCHP research, analysis is restricted to those aged 10 and older. In Chartier et al. (2015), (2016) analysis was restricted to those aged 13 and older.
MCHP Research Investigating Substance Use Disorders / Substance Abuse

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References 

  • Brownell M, Nickel N, Turnbull L, Au W, Ekuma O, MacWilliam L, McCulloch S, Valdivia J, Boram Lee J, Wall-Wieler E, Enns J. The Overlap Between the Child Welfare and Youth Criminal Justice Systems: Documenting "Cross-Over Kids" in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2020. [Summary] [Full Report] [Data extras] (View)
  • Brownell M, Chartier M, Au W, Schultz J, Stevenson D, Mayer T, Young V, Thomson T, Towns D, Hong S, McCulloch S, Burchill S, Jarmasz J. The PAX Program in Manitoba: A Population-Based Analysis of Children's Outcomes. Winnipeg, MB: Manitoba Centre for Health Policy, 2018. [Summary] [Full Report] [Data extras] (View)
  • Chartier M, Dart A, Tangri N, Komenda P, Walld R, Bogdanovic B, Burchill C, Koseva I, McGowan K-L, Rajotte L. Care of Manitobans Living with Chronic Kidney Disease. Winnipeg, MB: Manitoba Centre for Health Policy, 2015. [Summary] [Full Report] [Errata] (View)
  • Chartier M, Finlayson G, Prior H, McGowan K, Chen H, de Rocquigny J, Walld R, Gousseau M. Health and Healthcare Utilization of Francophones in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2012. [Summary] [Full Report] (View)
  • Chartier M, Bolton J, Mota N, MacWilliam L, Ekuma O, Nie Y, McDougall C, Srisakuldee W, McCulloch S. Mental Illness Among Adult Manitobans. Winnipeg, MB: Manitoba Centre for Health Policy, 2018. [Summary] [Full Report] (View)
  • Chartier M, Brownell M, MacWilliam L, Valdivia J, Nie Y, Ekuma O, Burchill C, Hu M, Rajotte L, Kulbaba C. The Mental Health of Manitoba's Children. Winnipeg, MB: Manitoba Centre for Health Policy, 2016. [Summary] [Full Report] (View)
  • Doupe M, Kozyrskyj A, Soodeen R, Derksen S, Burchill C, Huq S. An Initial Analysis of Emergency Departments and Urgent Care in Winnipeg. Winnipeg, MB: Manitoba Centre for Health Policy, 2008. [Summary] [Full Report] [Data extras] (View)
  • Fransoo R, Martens P, Burland E, The Need to Know Team, Prior H, Burchill C. Manitoba RHA Indicators Atlas 2009. Winnipeg, MB: Manitoba Centre for Health Policy, 2009. [Summary] [Full Report] [Data extras] (View)
  • Fransoo R, Martens P, The Need to Know Team, Prior H, Burchill C, Koseva I, Bailly A, Allegro E. The 2013 RHA Indicators Atlas. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Summary] [Full Report] [Data extras] (View)
  • Heaman M, Kingston D, Helewa M, Brownell M, Derksen S, Bogdanovic B, McGowan K, Bailly A. Perinatal Services and Outcomes in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2012. [Summary] [Full Report] [Errata] (View)
  • Martens P, Brownell M, Au W, MacWiliam L, Prior H, Schultz J, Guenette W, Elliott L, Buchan S, Anderson M, Caetano P, Metge C, Santos R, Serwonka K. Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Winnipeg, MB: Manitoba Centre for Health Policy, 2010. [Summary] [Full Report] [Data extras] [Errata] (View)
  • Martens PJ, Fransoo R, McKeen N, The Need to Know Team, Burland E, Jebamani L, Burchill C, De Coster C, Ekuma O, Prior H, Chateau D, Robinson R, Metge C. Patterns of Regional Mental Illness Disorder Diagnoses and Service Use in Manitoba: A Population-Based Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2004. [Summary] [Full Report] [Data extras] (View)
  • Martens PJ, Bartlett J, Burland E, Prior H, Burchill C, Huq S, Romphf L, Sanguins J, Carter S, Bailly A. Profile of Metis Health Status and Healthcare Utilization in Manitoba: A Population-Based Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2010. [Summary] [Full Report] [Data extras] [Errata] (View)