Characterizing opioid overdose hotspots for place-based overdose prevention and treatment interventions : A geo-spatial analysis of Rhode Island, USA
Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved..
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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:125 |
|---|---|
| Enthalten in: |
The International journal on drug policy - 125(2024) vom: 20. März, Seite 104322 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Samuels, Elizabeth A [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Analgesics, Opioid |
|---|
| Anmerkungen: |
Date Completed 22.04.2024 Date Revised 22.04.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.drugpo.2024.104322 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM367364085 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM367364085 | ||
| 003 | DE-627 | ||
| 005 | 20240422232044.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240122s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.drugpo.2024.104322 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1383.xml |
| 035 | |a (DE-627)NLM367364085 | ||
| 035 | |a (NLM)38245914 | ||
| 035 | |a (PII)S0955-3959(24)00007-0 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Samuels, Elizabeth A |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Characterizing opioid overdose hotspots for place-based overdose prevention and treatment interventions |b A geo-spatial analysis of Rhode Island, USA |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 22.04.2024 | ||
| 500 | |a Date Revised 22.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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) | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Geospatial analysis | |
| 650 | 4 | |a Overdose surveillance | |
| 650 | 4 | |a Social determinants of health | |
| 650 | 7 | |a Analgesics, Opioid |2 NLM | |
| 700 | 1 | |a Goedel, William C |e verfasserin |4 aut | |
| 700 | 1 | |a Jent, Victoria |e verfasserin |4 aut | |
| 700 | 1 | |a Conkey, Lauren |e verfasserin |4 aut | |
| 700 | 1 | |a Hallowell, Benjamin D |e verfasserin |4 aut | |
| 700 | 1 | |a Karim, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Koziol, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Becker, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Yorlets, Rachel R |e verfasserin |4 aut | |
| 700 | 1 | |a Merchant, Roland |e verfasserin |4 aut | |
| 700 | 1 | |a Keeler, Lee Ann |e verfasserin |4 aut | |
| 700 | 1 | |a Reddy, Neha |e verfasserin |4 aut | |
| 700 | 1 | |a McDonald, James |e verfasserin |4 aut | |
| 700 | 1 | |a Alexander-Scott, Nicole |e verfasserin |4 aut | |
| 700 | 1 | |a Cerda, Magdalena |e verfasserin |4 aut | |
| 700 | 1 | |a Marshall, Brandon D L |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t The International journal on drug policy |d 1996 |g 125(2024) vom: 20. März, Seite 104322 |w (DE-627)NLM089798821 |x 1873-4758 |7 nnns |
| 773 | 1 | 8 | |g volume:125 |g year:2024 |g day:20 |g month:03 |g pages:104322 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.drugpo.2024.104322 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 125 |j 2024 |b 20 |c 03 |h 104322 | ||