Groot Emily
NOSM University, Sudbury, ON, Canada.
Can J Public Health. 2025 Jun;116(3):418-421. doi: 10.17269/s41997-025-01019-3. Epub 2025 Mar 18.
Northern Ontario is the largest and least populated region of the Canadian province of Ontario. Like other rural, remote, and northern regions, Northern Ontario has been disproportionately impacted by the opioid crisis, with an opioid-related mortality rate more than twice that of the province as a whole. Social exclusion is a predictor of drug use, and the urban core-hinterland periphery socioeconomic relationship that undergirds Northern Ontario's economy results in social degradation and economic marginalization. Along with deindustrialization and increased employment precarity, lack of access to health services, and higher rates of work-related pain, the exclusion inherent to the core-hinterland relationship increases risk of opioid-related mortality. Although the inequities in both the determinants and outcomes of substance use in Northern Ontario are stark, research, policy, and intervention continue to focus on Southern Ontario.
安大略省北部是加拿大安大略省面积最大、人口最少的地区。与其他农村、偏远和北部地区一样，安大略省北部受到阿片类药物危机的影响尤为严重，与阿片类药物相关的死亡率是全省总体水平的两倍多。社会排斥是药物使用的一个预测因素，支撑安大略省北部经济的城市核心-腹地边缘社会经济关系导致了社会退化和经济边缘化。除了去工业化、就业不稳定加剧、缺乏医疗服务可及性以及与工作相关的疼痛发生率较高之外，核心-腹地关系中固有的排斥增加了与阿片类药物相关的死亡风险。尽管安大略省北部在物质使用的决定因素和结果方面的不平等现象十分明显，但研究、政策和干预措施仍继续侧重于安大略省南部。
