CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.
As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.
i
Prescription opioid mortality trends in New York City, 1990–2006: Examining the emergence of an epidemic☆
-
Jan 26 2013
-
-
Source: Drug Alcohol Depend. 2013; 132(0):53-62.
[PDF-2.45 MB]
Details:
-
Alternative Title:Drug Alcohol Depend
-
Personal Author:
-
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.
-
Subjects:
-
Source:
-
Pubmed ID:23357743
-
Pubmed Central ID:PMC3748247
-
Document Type:
-
Funding:
-
Place as Subject:
-
Volume:132
-
Issue:0
-
Collection(s):
-
Main Document Checksum:
-
Download URL:
-
File Type:
