Impact of the COVID-19 Pandemic on Opioid Overdose Deaths: a Spatiotemporal Analysis

被引：85
作者：
Ghose, Rina [1 ]
Forati, Amir M. [1 ]
Mantsch, John R. [2 ,3 ]
机构：
[1] Univ Wisconsin, Dept Geog, Milwaukee, WI 53211 USA
[2] Med Coll Wisconsin, Dept Pharmacol & Therapeut, Milwaukee, WI 53206 USA
[3] Med Coll Wisconsin, Inst Hlth & Equ, Milwaukee, WI 53206 USA
来源：
JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE | 2022年 / 99卷 / 02期
关键词：
HARM REDUCTION; DRUG OVERDOSE;
D O I：
10.1007/s11524-022-00610-0
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
The effects of the opioid crisis have varied across diverse and socioeconomically defined urban communities, due in part to widening health disparities. The onset of the COVID-19 pandemic has coincided with a spike in drug overdose deaths in the USA. However, the extent to which the impact of the pandemic on overdose deaths has varied across different demographics in urban neighborhoods is unclear. We examine the influence of COVID-19 pandemic on opioid overdose deaths through spatiotemporal analysis techniques. Using Milwaukee County, Wisconsin as a study site, we used georeferenced opioid overdose data to examine the locational and demographic differences in overdose deaths over time (2017-2020). We find that the pandemic significantly increased the monthly overdose deaths. The worst effects were seen in the poor, urban neighborhoods, affecting Black and Hispanic communities. However, more affluent, suburban White communities also experienced a rise in overdose deaths. A better understanding of contributing factors is needed to guide interventions at the local, regional, and national scales.
引用
收藏
页码：316 / 327
页数：12
相关论文
共 44 条
[1]   Opioid-related overdose mortality in the era of fentanyl: Monitoring a shifting epidemic by person, place, and time [J].
Althoff, Keri N. ;
Leifheit, Kathryn M. ;
Park, Ju Nyeong ;
Chandran, Aruna ;
Sherman, Susan G. .
DRUG AND ALCOHOL DEPENDENCE, 2020, 216
[2]   Drug Overdose Deaths Before and After Shelter-in-Place Orders During the COVID-19 Pandemic in San Francisco [J].
Appa, Ayesha ;
Rodda, Luke N. ;
Cawley, Caroline ;
Zevin, Barry ;
Coffin, Phillip O. ;
Gandhi, Monica ;
Imbert, Elizabeth .
JAMA NETWORK OPEN, 2021, 4 (05)
[3]   The use of controls in interrupted time series studies of public health interventions [J].
Bernal, James Lopez ;
Cummins, Steven ;
Gasparrini, Antonio .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2018, 47 (06) :2082-2093
[4]   INFERRING CAUSAL IMPACT USING BAYESIAN STRUCTURAL TIME-SERIES MODELS [J].
Brodersen, Kay H. ;
Gallusser, Fabian ;
Koehler, Jim ;
Remy, Nicolas ;
Scott, Steven L. .
ANNALS OF APPLIED STATISTICS, 2015, 9 (01) :247-274
[5]  
CausalImpact BK., 2015, An R Package for Causal Inference Using Bayesian Structural Time-Series Models
[6]   Implementing harm reduction in non-urban communities affected by opioids and polysubstance use: A qualitative study exploring challenges and mitigating strategies [J].
Childs, E. ;
Biello, K. B. ;
Valente, P. K. ;
Salhaney, P. ;
Biancarelli, D. L. ;
Olson, J. ;
Earlywine, J. J. ;
Marshall, B. D. L. ;
Bazzi, A. R. .
INTERNATIONAL JOURNAL OF DRUG POLICY, 2021, 90
[7]   Trends in Drug Overdose Mortality in Ohio During the First 7 Months of the COVID-19 Pandemic [J].
Currie, Janet M. ;
Schnell, Molly K. ;
Schwandt, Hannes ;
Zhang, Jonathan .
JAMA NETWORK OPEN, 2021, 4 (04)
[8]   Changes in characteristics of drug overdose death trends during the COVID-19 pandemic [J].
DiGennaro, Catherine ;
Garcia, Gian-Gabriel P. ;
Stringfellow, Erin J. ;
Wakeman, Sarah ;
Jalali, Mohammad S. .
INTERNATIONAL JOURNAL OF DRUG POLICY, 2021, 98
[9]  
Donnelly E.A., 2020, Criminal Justice Policy Review, DOI DOI 10.1177/0887403420911415
[10]   The effectiveness of telemedicine-delivered opioid agonist therapy in a supervised clinical setting [J].
Eibl, Joseph K. ;
Gauthier, Graham ;
Pellegrini, David ;
Daiter, Jeffery ;
Varenbut, Michael ;
Hogenbirk, John C. ;
Marsh, David C. .
DRUG AND ALCOHOL DEPENDENCE, 2017, 176 :133-138
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