The ecology of overdose mortality in Philadelphia
The ecology of overdose mortality in Philadelphia
复制标题
DOI：
10.1016/j.healthplace.2020.102430
复制
发表时间：
2020-11-01
期刊：
影响因子：
4.8
通讯作者：
Shreve, Tayler
中科院分区：
文献类型：
--
作者：
Johnson, Lallen T.;Shreve, Tayler
致命药物过量是费城的一个重大公共卫生威胁，但其社区之间存在很大差异。这项研究使用负二项纵向回归模型邮政编码过量死亡超过七年的时间。模型协变量表明，结构性不平等，警察逮捕活动和建筑环境的特点与各邮政编码的死亡率增加有关。此外，死亡人数在空间上集中在城市的特定地理区域。这些研究结果强调了社区生态特征在城市内分层健康结果生产中的相关性，并为减少危害干预措施的地理分布提供了信息。
Fatal drug overdose represents a significant public health threat in Philadelphia, but substantial variation exists across its communities. This study uses negative binomial longitudinal regression to model ZIP code overdose fatalities over a seven-year period. Model covariates indicate that structural inequality, police arrest activity, and features of the built environment are associated with increased mortality across ZIP codes. Additionally, fatalities are spatially concentrated in select geographies of the city. These findings emphasize the pertinence of community ecological features in the production of stratified within-city health outcomes, and inform the geographic distribution of harm reduction interventions.