The substance use profiles of adults who sought mental health and addiction services through a centralized intake process in Nova Scotia (2020–2021)
2024

Substance Use Profiles in Nova Scotia's Mental Health Services

Sample size: 22500 publication 10 minutes Evidence: high

Author Information

Author(s): Soboka Matiwos, Tibbo Philip G., Stewart Sherry H., Simon Patryk, Wang JianLi

Primary Institution: Dalhousie University

Hypothesis

How does substance use vary based on gender, ethnicity, and income among clients seeking mental health and addiction services?

Conclusion

The study found a high prevalence of daily substance use among clients seeking mental health services, particularly among non-White men on social assistance.

Supporting Evidence

  • 36.1% of clients reported daily substance use.
  • 69.7% of homeless clients reported daily substance use.
  • Non-White men on social assistance had a 60.9% prevalence of daily substance use.
  • Polysubstance use was reported by 44.4% of clients.
  • Young adults aged 19-29 had higher rates of substance use.

Takeaway

Many people seeking help for mental health issues in Nova Scotia use substances daily, especially those who are non-White and have low income.

Methodology

Cross-sectional study analyzing data from 22,500 adults who contacted mental health and addiction services.

Potential Biases

Potential underreporting of illegal substance use due to social desirability.

Limitations

The cross-sectional design limits causal inferences, and there may be social desirability bias affecting self-reported substance use.

Participant Demographics

Clients aged 19-64, including 6451 men, 8798 women, and 186 non-binary individuals.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.64, 4.30

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fpsyt.2024.1476982

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