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Urban–Rural Differences in Drug Overdose Death Rates, 1999–2019

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    Data from the NationalVital Statistics System, Mortality

    • From 1999 through 2019, the rate of drug overdose deaths increased from 6.4

    per 100,000 to 22.0 in urban counties and from 4.0 to 19.6 in rural counties.

    • In 2019, rates in rural counties were higher than in urban counties in California, Connecticut, North Carolina, Vermont, and Virginia.

    • Rates of drug overdose deaths involving natural

    and semisynthetic opioids (drugs such as oxycodone, hydrocodone, and codeine) were higher in rural than in urban counties from 2004 through 2017 but were similar in 2018 and 2019.

    • In 2019, the rate of drug overdose deaths involving psychostimulants with abuse potential (drugs such as methamphetamine) was 1.4 times higher in rural counties (6.7 per 100,000) than in urban counties (4.8).

    Drug overdose death rates continue to rise in the United States (1–3), with significant urban–rural differences in rates by sex, age, and types of drugs involved (4). This report uses the most recent mortality data from the NationalVital Statistics System (NVSS) to examine urban–rural differences in drug overdose death rates for all drugs and by selected types of opioids and stimulants.

    Suggested citation: Hedegaard H, Spencer MR. Urban–rural differences in drug overdose death rates, 1999–2019. NCHS Data Brief, no 403. Hyattsville, MD: National Center for Health Statistics. 2021. DOI: https://dx.doi. org/10.15620/cdc:102891.

    CS322824

    db403-H.pdf

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    National Vital Statistics System
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    403
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    urn:sha-512:c062f929572456fc508c8f62feceb065696c58ef16dfa7a6d57bbda4918644dd5a5a058b5baa0b41b4449f1026738270fd23c629642821b331ec5c4df16eb19b
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