Understanding Geographic and Neighborhood Variations in Overdose Death Rates
Understanding Geographic and Neighborhood Variations in Overdose Death Rates
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DOI：
10.1007/s10900-018-0583-0
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发表时间：
2019-04-01
影响因子：
5.9
通讯作者：
Anderson, Tammy L.
中科院分区：
文献类型：
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作者：
Wagner, Jascha;Neitzke-Spruill, Logan;Anderson, Tammy L.
目前的阿片类药物流行病继续以新的和潜在的令人不安的方式挑战我们。例如，今天的研究发现更多的过量死亡发生在农村，而不是城市，地理区域。然而，研究往往忽略了这些空间内的异质性和其中的邻里变化。使用地理人口分类，我们调查了地理区域过量死亡率的邻里差异，以进一步了解问题可能最集中的地方和群体。对于2013年至2016年之间的死亡，我们发现社区之间的死亡率存在显着差异，这是由其社会经济和人口统计特征定义的。例如，在地理区域内的社区之间，过量死亡率相差高达13倍。我们的研究结果总体上表明，虽然地理区域的农村或城市分类对于理解当前的过量问题很重要，但也需要通过社区的社会经济和人口构成进行更细分的分析。
The current opioid epidemic continues to challenge us in new and potentially troubling ways. For example, research today finds more overdose deaths occurring in rural, rather than urban, geographic areas. Yet, studies have often ignored heterogeneities within these spaces and the neighborhood variations therein. Using geodemographic classification, we investigate neighborhood differences in overdose death rates by geographical areas to further understand where and among what groups the problem might be most concentrated. For deaths between 2013 and 2016, we find significant variation in rates among neighborhoods, defined by their socio-economic and demographic characteristics. For example, overdose death rates vary up to 13-fold among neighborhoods within geographic areas. Our results overall show that while the rural or urban classification of a geographic area is important in understanding the current overdose problem, a more segmented analysis by neighborhood's socio-economic and demographic makeup is also necessary.