دورية أكاديمية
Characterizing opioid overdose hotspots for place-based overdose prevention and treatment interventions: A geo-spatial analysis of Rhode Island, USA.
| العنوان: | Characterizing opioid overdose hotspots for place-based overdose prevention and treatment interventions: A geo-spatial analysis of Rhode Island, USA. |
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| المؤلفون: | Samuels EA; Department of Emergency Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA; Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA. Electronic address: lizsamuels@ucla.edu., Goedel WC; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA., Jent V; Center for Opioid Epidemiology and Policy, Department of Population Health, NYU Grossman School of Medicine, New York University, New York City, NY, USA., Conkey L; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA., Hallowell BD; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA., Karim S; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA., Koziol J; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA., Becker S; Center for Dissemination and Implementation Science, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA., Yorlets RR; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA; Population Studies and Training Center, Brown University, Providence, RI, USA., Merchant R; Department of Emergency Medicine, Mount Sinai, New York City, NY, USA., Keeler LA; Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA., Reddy N; Department of Obstetrics and Gynecology, UChicago Medicine, Chicago, IL, USA., McDonald J; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA., Alexander-Scott N; Drug Overdose Prevention Program, Rhode Island Department of Health, Providence, RI, USA., Cerda M; Center for Opioid Epidemiology and Policy, Department of Population Health, NYU Grossman School of Medicine, New York University, New York City, NY, USA., Marshall BDL; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA. |
| المصدر: | The International journal on drug policy [Int J Drug Policy] 2024 Mar; Vol. 125, pp. 104322. Date of Electronic Publication: 2024 Jan 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 9014759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4758 (Electronic) Linking ISSN: 09553959 NLM ISO Abbreviation: Int J Drug Policy Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1998- : Amsterdam ; New York : Elsevier Original Publication: Liverpool, England : International Journal on Drug Policy, |
| مواضيع طبية MeSH: | Opiate Overdose*/epidemiology , Opiate Overdose*/prevention & control , Opiate Overdose*/drug therapy , Drug Overdose*/epidemiology , Drug Overdose*/prevention & control , Drug Overdose*/drug therapy, Humans ; Retrospective Studies ; Rhode Island/epidemiology ; Spatial Analysis ; Analgesics, Opioid |
| مستخلص: | Objective: Examine differences in neighborhood characteristics and services between overdose hotspot and non-hotspot neighborhoods and identify neighborhood-level population factors associated with increased overdose incidence. Methods: We conducted a population-based retrospective analysis of Rhode Island, USA residents who had a fatal or non-fatal overdose from 2016 to 2020 using an environmental scan and data from Rhode Island emergency medical services, State Unintentional Drug Overdose Reporting System, and the American Community Survey. We conducted a spatial scan via SaTScan to identify non-fatal and fatal overdose hotspots and compared the characteristics of hotspot and non-hotspot neighborhoods. We identified associations between census block group-level characteristics using a Besag-York-Mollié model specification with a conditional autoregressive spatial random effect. Results: We identified 7 non-fatal and 3 fatal overdose hotspots in Rhode Island during the study period. Hotspot neighborhoods had higher proportions of Black and Latino/a residents, renter-occupied housing, vacant housing, unemployment, and cost-burdened households. A higher proportion of hotspot neighborhoods had a religious organization, a health center, or a police station. Non-fatal overdose risk increased in a dose responsive manner with increasing proportions of residents living in poverty. There was increased relative risk of non-fatal and fatal overdoses in neighborhoods with crowded housing above the mean (RR 1.19 [95 % CI 1.05, 1.34]; RR 1.21 [95 % CI 1.18, 1.38], respectively). Conclusion: Neighborhoods with increased prevalence of housing instability and poverty are at highest risk of overdose. The high availability of social services in overdose hotspots presents an opportunity to work with established organizations to prevent overdose deaths. Competing Interests: Declaration of competing interest None. (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Geospatial analysis; Overdose surveillance; Social determinants of health |
| المشرفين على المادة: | 0 (Analgesics, Opioid) |
| تواريخ الأحداث: | Date Created: 20240121 Date Completed: 20240422 Latest Revision: 20240422 |
| رمز التحديث: | 20240422 |
| DOI: | 10.1016/j.drugpo.2024.104322 |
| PMID: | 38245914 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1873-4758 |
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| DOI: | 10.1016/j.drugpo.2024.104322 |