Drug Overdose Deaths Among US Hispanics: Trends (2000-2017) and Recent Patterns
Drug Overdose Deaths Among US Hispanics: Trends (2000-2017) and Recent Patterns
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DOI：
10.1080/10826084.2020.1793367
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发表时间：
2020-07-20
影响因子：
2
通讯作者：
Cano, Manuel
中科院分区：
文献类型：
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作者：
Cano, Manuel
背景美国药物过量危机已经摧毁了全国各地的社区，但对不同的西班牙裔population.Purpose最近的影响知之甚少：本研究探讨了2017年美国西班牙裔过量死亡的人口统计学和药物模式，以及2000年至2017年西班牙裔药物过量死亡率的长期趋势。方法：死亡证明数据来自国家卫生统计中心。双变量分析研究了2017年西班牙裔5，988例药物过量死亡的人口统计学和药物特征。2017年的数据还用于计算西班牙裔整体，特定西班牙裔遗产群体和非西班牙裔白人（作为参考框架）的年龄调整药物过量死亡率。使用Joinpoint回归来描述2000年至2017年美国西班牙裔男性和女性药物过量死亡率的趋势。结果：2017年西班牙裔药物过量死亡者中大多数为男性（76.1%）和美国出生的（70.0%）。在所有西班牙裔遗产中，合成阿片类药物的死亡比例最高，但墨西哥遗产组除外，其中最常见的是精神兴奋剂。2017年西班牙裔的年龄调整药物过量死亡率总体上低于非西班牙裔白人的死亡率，但波多黎各裔西班牙裔的死亡率（29.0，95% CI 27.6-30.4）比非西班牙裔白人高6%（27.4，95% CI 27.2-27.6）。结果突出了西班牙裔药物过量死亡率的实质性变化，表明西班牙裔的全国发病率掩盖了高风险亚组。西班牙裔药物过量死者的不同人口统计学特征强调了文化定制干预的必要性。
Background The US drug overdose crisis has devastated communities across the nation, yet relatively little is known about recent impacts in diverse Hispanic populations.Purpose:This study explored demographic and drug patterns in overdose deaths among US Hispanics in 2017, as well as longer-term time trends in drug overdose mortality among Hispanics from 2000 to 2017.Methods:Death certificate data were obtained from the National Center for Health Statistics. Bivariate analyses examined demographic and drug characteristics of the 5,988 drug overdose deaths among Hispanics in 2017. Data from 2017 were also utilized to compute age-adjusted drug overdose mortality rates for Hispanics overall, for specific Hispanic heritage groups, and for Non-Hispanic Whites (as a frame of reference). Joinpoint Regression was used to characterize trends in drug overdose mortality among US Hispanic men and women between 2000 and 2017.Results:The majority of Hispanic drug overdose decedents in 2017 were male (76.1%) and US-born (70.0%). Synthetic opioids were involved in the highest proportion of deaths in all Hispanic heritages, except the Mexican heritage group, in which psychostimulants were most commonly involved. The 2017 age-adjusted drug overdose mortality rate for Hispanics overall was lower than the rate among Non-Hispanic Whites, yet the rate among Puerto Rican-heritage Hispanics (29.0, 95% CI 27.6-30.4) was 6% higher than among Non-Hispanic Whites (27.4, 95% CI 27.2-27.6).Conclusions:Results highlight substantial variation in Hispanic drug overdose mortality rates, indicating that national rates for Hispanics obscure higher-risk subgroups. The diverse demographic profiles of Hispanic drug overdose decedents underscore the need for culturally tailored interventions.