Prescription opioid mortality trends in New York City, 1990–2006: Examining the emergence of an epidemic☆
Published Date:Jan 26 2013
Source:Drug Alcohol Depend. 2013; 132(0):53-62.
Data Interpretation, Statistical
Hypnotics And Sedatives
New York City
Pubmed Central ID:PMC3748247
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
T32 DA007233/DA/NIDA NIH HHS/United States
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.
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.
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.
The distinct epidemiologic profiles exhibited by analgesic and methadone overdose fatalities highlight the need to define drug-specific public health prevention efforts.
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