Overdose as a complex contagion: modelling the community spread of overdose events following law enforcement efforts to disrupt the drug market
Journal of Epidemiology & Community Health,
Journal Year:
2024,
Volume and Issue:
unknown, P. jech - 222263
Published: Oct. 10, 2024
The
opioid
overdose
mortality
crisis
in
the
USA
is
an
ongoing
public
health
epidemic.
Ongoing
law
enforcement
strategies
to
disrupt
local
unregulated
drug
markets
can
have
iatrogenic
effect
of
increasing
by
driving
consumers
towards
new
suppliers
with
unpredictable
products
unknown
potency.
Language: Английский
Examining the Relationship Between Local Governmental Expenditures on the Social Determinants of Health and County-Level Overdose Deaths, 2017-2020
Journal of Public Health Management and Practice,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 13, 2024
Context:
Prior
studies
have
examined
the
social
determinants
of
health
(SDOH)
characteristics
counties
with
elevated
rates
overdose
deaths.
However,
this
research
often
ignores
variation
in
upstream
governmental
investment
these
SDOH
categories.
Objective:
To
examine
association
local
investments
drug
mortality
at
county
level,
controlling
for
demographic
and
socioeconomic
characteristics.
Design:
Longitudinal
analysis
from
2017
to
2020.
Setting:
United
States
counties.
Participants:
3126
Main
Outcome
Measures:
The
primary
study
outcome
was
death
per
100
000
population
taken
Centers
Disease
Control
Prevention.
main
predictor
interest
capita
average
expenditures
public
health,
service,
education
drawn
U.S.
Census
Governments,
categorized
into
quartiles.
Covariates
included
county-level
as
well
SUD
services
AHRQ
Database.
Results:
In
longitudinal
multivariate
linear
regression
models
state
year
fixed
effects,
highest
3
quartiles
spending
had
significantly
lower
deaths
compared
lowest
quartile
spending;
particular,
2
an
9.09
fewer
(95%
CI:
−12.58,
−5.60),
13.18
−17.56;
−8.80),
4
13.92
−19.16,
−8.68).
Conclusions:
Our
findings
demonstrate
that
higher
levels
were
associated
after
Going
forward,
should
focus
on
determining
causality
relationship,
mechanisms
through
which
relationship
occurs,
assess
impact
allocated
toward
prevention
treatment
specifically
substance
use
outcomes
level.
Language: Английский
Drug Overdose Deaths Among Medicaid Beneficiaries
JAMA Health Forum,
Journal Year:
2024,
Volume and Issue:
5(12), P. e244365 - e244365
Published: Dec. 6, 2024
Importance
Medicaid
programs
have
expanded
coverage
of
substance
use
disorder
treatment
and
undertaken
many
other
initiatives
to
reduce
drug
overdoses
among
beneficiaries.
However,
date,
no
information
has
been
published
that
tracks
overdose
deaths
the
population.
Objective
To
determine
rate
Design,
Setting,
Participants
In
this
cross-sectional
study,
US
Centers
for
Medicare
&
Services
data
from
2016
2020
linked
enrollment
demographic
all
beneficiaries
in
with
Disease
Control
Prevention
National
Death
Index
were
used
death
The
population
rates
compared
those
total
population,
overall
by
age
sex.
Exposure
Participation
program.
Main
Outcome
a
overdose.
Results
2020,
was
54.6
per
100
000,
twice
as
high
residents
(27.9
000).
comprised
25.0%
but
48%
(44
277
91
783).
For
each
sex
group
older
than
15
years,
higher
greatest
difference
occurring
adults
ages
45
64
years.
From
increased
54%.
Conclusions
Relevance
results
study
suggest
more
research
is
needed
understand
why
residents.
Additionally,
how
best
prevent
federal
government
should
support
these
efforts
routinely
linking
claims
records.
Language: Английский