Jiang Yongwen, McDonald James V, Goldschmidt Ariel, Koziol Jennifer, McCormick Meghan, Viner-Brown Samara, Alexander-Scott Nicole
Senior Public Health Epidemiologist in the Center for Health Data and Analysis at the Rhode Island Department of Health, and Assistant Professor of the Practice of Epidemiology, School of Public Health, Brown University.
Medical Director of the Division of Customer Services, Division of Policy, Information and Communications, and of the Drug Overdose Prevention Program, as well as Chief Administrative Officer of the Board of Medical Licensure and Discipline, Board Certified Pediatrics and Preventive Medicine, at the Rhode Island Department of Health.
R I Med J (2013). 2018 Sep 4;101(7):25-30.
Unintentional opioid overdoses are a growing public health epidemic in the United States. Rhode Island is also faced with a challenging crisis of drug overdose deaths. The State Unintentional Drug Overdose Reporting Surveillance (SUDORS) data from the second half of 2016 were used to present opioid overdose deaths and characteristics in Rhode Island. During July-December 2016, 142 individuals died of opioid overdose in Rhode Island. People who died by opioid overdose were more likely to be 25-65 years old, male, and non-Hispanic white. The most common precipitating circumstances were substance abuse (88%), current mental health problems (43%), and physical health problems (27.5%). Over 83% of decedents had 2 or more substances attribute to causing their death, with fentanyl (71.1%) as the most common substance. Only 36.6% of decedents had naloxone administered. Fatal opioid overdose data are important for understanding this public health crisis and can guide overdose intervention efforts.
在美国，意外阿片类药物过量服用正成为日益严重的公共卫生问题。罗德岛州也面临着药物过量致死的严峻危机。利用2016年下半年该州意外药物过量报告监测（SUDORS）的数据，呈现罗德岛州阿片类药物过量致死情况及特征。2016年7月至12月期间，罗德岛州有142人死于阿片类药物过量。死于阿片类药物过量的人更有可能年龄在25至65岁之间、为男性且是非西班牙裔白人。最常见的诱发情况是药物滥用（88%）、当前存在心理健康问题（43%）以及身体健康问题（27.5%）。超过83%的死者有2种或更多导致其死亡的物质，其中芬太尼（71.1%）是最常见的物质。仅有36.6%的死者接受了纳洛酮治疗。致命阿片类药物过量数据对于理解这一公共卫生危机很重要，并且能够指导过量用药干预工作。
