Disparities in Opioid Overdose Death Trends by Race/Ethnicity, 2018-2019, From the HEALing Communities Study
Disparities in Opioid Overdose Death Trends by Race/Ethnicity, 2018-2019, From the HEALing Communities Study
复制标题
DOI：
10.2105/ajph.2021.306431
复制
发表时间：
2021-10-01
影响因子：
12.7
通讯作者：
Samet, Jeffrey H.
中科院分区：
文献类型：
--
作者：
Larochelle, Marc R.;Slavova, Svetla;Samet, Jeffrey H.
目标.检查2018年至2019年肯塔基州、纽约、马萨诸塞州和俄亥俄州67个治疗社区研究（HCS）社区中按种族/种族列出的阿片类药物过量死亡趋势。我们使用州死亡证明记录来计算2018年和2019年67个HCS社区每10万名成年居民的阿片类药物过量死亡率。我们使用泊松回归计算2019年与2018年的比率。我们通过计算每个种族/民族组与非西班牙裔白色个体的率比（RRR）来比较种族/民族的变化。2018年和2019年阿片类药物过量死亡率分别为每10万人38.3人和39.5人，2018年至2019年无显著变化（率比= 1.03; 95%置信区间[CI] = 0.98，1.08）。我们估计非西班牙裔黑人个体的阿片类药物过量死亡率相对于非西班牙裔白色个体增加40%（RRR = 1.40; 95% CI = 1.22，1.62），但其他种族/种族之间没有变化。总体阿片类药物过量死亡率已经趋于平稳，但在非西班牙裔黑人个体中有所增加。需要采取反种族主义的公共卫生方法来解决阿片类药物相关危害的危机。
Objectives. To examine trends in opioid overdose deaths by race/ethnicity from 2018 to 2019 across 67 HEALing Communities Study (HCS) communities in Kentucky, New York, Massachusetts, and Ohio.Methods. We used state death certificate records to calculate opioid overdose death rates per 100 000 adult residents of the 67 HCS communities for 2018 and 2019. We used Poisson regression to calculate the ratio of 2019 to 2018 rates. We compared changes by race/ethnicity by calculating a ratio of rate ratios (RRR) for each racial/ethnic group compared with non-Hispanic White individuals.Results. Opioid overdose death rates were 38.3 and 39.5 per 100 000 for 2018 and 2019, respectively, without a significant change from 2018 to 2019 (rate ratio = 1.03; 95% confidence interval [CI] = 0.98, 1.08). We estimated a 40% increase in opioid overdose death rate for non-Hispanic Black individuals (RRR = 1.40; 95% CI = 1.22, 1.62) relative to non-Hispanic White individuals but no change among other race/ethnicities.Conclusions. Overall opioid overdose death rates have leveled off but have increased among non-Hispanic Black individuals.Public Health Implications. An antiracist public health approach is needed to address the crisis of opioid-related harms.