Details:

Alternative Title:
Drug Alcohol Depend
Publisher's site:
http://dx.doi.org/10.1016/j.drugalcdep.2012.12.027
Personal Author:
Cerdá, Magdalena ; Ransome, Yusuf ; Keyes, Katherine M. ; Koenen, Karestan C. ; Tracy, Melissa ; ... More +
Cerdá, Magdalena ; Ransome, Yusuf ; Keyes, Katherine M. ; Koenen, Karestan C. ; Tracy, Melissa ; Tardiff, Kenneth J. ; Vlahov, David ; Galea, Sandro Less -
Description:
Background

The drug overdose mortality rate tripled between 1990 and 2006; prescription opioids have driven this epidemic. We examined the period 1990–2006 to inform our understanding of how the current prescription opioid overdose epidemic emerged in urban areas.

Methods

We used data from the Office of the Chief Medical Examiner to examine changes in demographic and spatial patterns in overdose fatalities induced by prescription opioids (i.e., analgesics and methadone) in New York City (NYC) in 1990–2006, and what factors were associated with death from prescription opioids vs. heroin, historically the most prevalent form of opioid overdose in urban areas.

Results

Analgesic-induced overdose fatalities were the only types of overdose fatalities to increase in 1990–2006 in NYC; the fatality rate increased sevenfold from 0.39 in 1990 to 2.7 per 100,000 persons in 2006. Whites and Latinos were the only racial/ethnic groups to exhibit an increase in overdose-related mortality. Relative to heroin overdose decedents, analgesic and methadone overdose decedents were more likely to be female and to concurrently use psychotherapeutic drugs, but less likely to concurrently use alcohol or cocaine. Analgesic overdose decedents were less likely to be Black or Hispanic, while methadone overdose decedents were more likely to be Black or Hispanic in contrast to heroin overdose decedents.

Conclusions

The distinct epidemiologic profiles exhibited by analgesic and methadone overdose fatalities highlight the need to define drug-specific public health prevention efforts.


Subject:
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Adolescent
Adult
Age Factors
Analgesics, Opioid
Data Interpretation, Statistical
Drug Overdose
Epidemics
Ethnicity
Female
Heroin Dependence
Humans
Hypnotics And Sedatives
Male
Middle Aged
Narcotics
Prescription Drugs
Psychotropic Drugs
Sex Factors
Socioeconomic Factors
Substance-Related Disorders
Young Adult

Source:
Drug Alcohol Depend. 2013; 132(0):53-62.
Pubmed ID:
23357743
Pubmed Central ID:
PMC3748247
Document Type:
Journal Article
Funding:
1 R49 CE002096-01/CE/NCIPC CDC HHS/United States ; 1K01DA030449-01/DA/NIDA NIH HHS/United States ; DA06534/DA/NIDA NIH HHS/United States ; K01 DA030449/DA/NIDA NIH HHS/United States ; R01 DA006534/DA/NIDA NIH HHS/United States ; ... More +
1 R49 CE002096-01/CE/NCIPC CDC HHS/United States ; 1K01DA030449-01/DA/NIDA NIH HHS/United States ; DA06534/DA/NIDA NIH HHS/United States ; K01 DA030449/DA/NIDA NIH HHS/United States ; R01 DA006534/DA/NIDA NIH HHS/United States ; T32 DA007233/DA/NIDA NIH HHS/United States Less -
Place as Subject:
New York City, NY
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:faaf1cb275da8f4a86badaf407437631e8c43e46f5982290cdba90836bfae353
File Type:

Supporting Files

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