Neighborhood characteristics and opioid use disorder among older Medicare beneficiaries: An examination of the role of the COVID-19 pandemic

被引：2

作者：

Yang, Tse-Chuan ^{[1
,4
]}

Shoff, Carla ^{[2
]}

Shaw, Benjamin A. ^{[3
]}

Strully, Kate ^{[1
]}

机构：

[1] Univ Albany, State Univ New York, Dept Sociol, Albany, NY 12222 USA

[2] Independent Consultant, Baltimore, MD USA

[3] Univ Illinois, Sch Publ Hlth, Community Hlth Sci, Chicago, IL USA

[4] Univ Texas Med Branch, Dept Epidemiol, Galveston, TX USA

来源：

HEALTH & PLACE | 2023年 / 79卷

关键词：

Opioid use disorder; Older adults; Neighborhood effect; COVID-19; Medicare; DOUBLE-JEOPARDY; UNITED-STATES; SUBSTANCE USE; ADULTS; HEALTH; DISPARITIES; DISEASE; MISUSE; RISK;

D O I：

10.1016/j.healthplace.2022.102941

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This study investigates how the associations between residential characteristics and the risk of opioid user dis-order (OUD) among older Medicare beneficiaries (age >= 65) are altered by the COVID-19 pandemic. Applying matching techniques and multilevel modeling to the Medicare fee-for-service claims data, this study finds that county-level social isolation, concentrated disadvantage, and residential stability are significantly associated with OUD among older adults (N =1,080,350) and that those living in counties with low levels of social isolation and residential stability experienced a heightened risk of OUD during the pandemic. The results suggest that the COVID-19 pandemic has aggravated the impacts of residential features on OUD.

引用

页数：9

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