Regional differences in fatal drug overdose deaths among Black and White individuals in the United States, 2012-2021.

Regional differences in fatal drug overdose deaths among Black and White individuals in the United States, 2012-2021.
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2012-2021 年美国黑人和白人致命药物过量死亡的地区差异。

DOI:
10.1111/ajad.13536
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发表时间:
2024
期刊:
The American journal on addictions
影响因子:
--
通讯作者:
Santos-Lozada,AlexisR
Santos-Lozada,AlexisR
中科院分区:
--
文献类型:
--
作者:
Jones,AbenaaA;Waghmare,ShashimA;Segel,JoelE;Harrison,EricD;Apsley,HannahB;Santos-Lozada,AlexisR

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背景和目的本研究探讨了黑人/白色人致命药物过量的地区差异。方法黑人/白色人药物过量死亡率数据(2012 - 2021年; N = 537,085)来自CDC WONDER。我们使用的死亡人数和相应的人口普查局人口估计死者的年龄和种族/ethnicity计算死亡率ratios. ResultsFrom 2012年至2021年,有537,085报告过量死亡之间的白色(85%)和黑色(15%)个人在美国。在南方,黑人的致命药物过量死亡率低于同龄的白色人。在东北部、中西部和西部地区,黑人个体在年轻人(15 - 24岁、25 - 34岁、35 - 44岁)中过量用药的可能性降低约10%-60%,但在老年人(55 - 64岁)中过量用药的可能性增加约60%-300%。大流行期间(2020 - 2021年)过量死亡的增加导致黑人/白色过量死亡模式的变化,而中西部和西部地区所有年龄的黑人个体比同龄的白色人过量死亡的可能性高出约15%-425%。性别分层分析表明,南方黑人女性的过量死亡率比同龄白色女性低50%左右,中西部黑人和白色女性的过量死亡率相对相等,这在男性中未见。结论和科学意义研究结果表明,在COVID-19大流行后,所有地区和年龄组的黑人/白色过量死亡率差距发生了变化,各州和各地区的规模也各不相同。在受影响最严重的人群中,遏制药物过量死亡的行为干预和政策应考虑区域,性别和年龄相关的差异。
Background and ObjectivesThe current study examines regional differences in Black/White fatal drug overdoses.MethodsBlack/White overdose mortality data (2012–2021;N= 537,085) were retrieved from CDC WONDER. We used death counts and corresponding Census Bureau population estimates by the decedent's age and race/ethnicity to calculate mortality rate ratios.ResultsFrom 2012 to 2021, there were 537,085 reported overdose deaths among White (85%) and Black (15%) individuals in the United States. In the South, Black individuals had lower fatal drug overdose deaths than their same‐aged White counterparts. In the Northeast, Midwest, and West regions, Black individuals had around 10%–60% lower likelihood of overdoses among younger ages (15–24, 25–34, 35–44) but about 60%–300% higher likelihood of overdoses among older adults (55–64). Increases in overdose deaths during the pandemic (2020–2021) led to changes in Black/White overdose death patterns, whereas Black individuals of all ages in the Midwest and West regions had approximately 15%–425% higher likelihood of fatal overdoses than their same‐aged White counterparts. Sex‐stratified analysis suggests that Black females in the South had overdose death rates around 50% lower than same‐aged White females, and overdose deaths were relatively equal for Black and White females in the Midwest—patterns not seen among males.Conclusions and Scientific SignificanceThe findings indicate that the Black/White overdose mortality gap changed after the COVID‐19 pandemic across all regions and age cohorts, with state and regional variations in magnitude. Behavioral interventions and policies to curb drug overdose deaths among populations most impacted should consider regional, sex, and age‐related differences.
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DOI: 10.1016/j.drugpo.2023.103977
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期刊: The International journal on drug policy
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