San Francisco Department of Public Health, 25 Van Ness Avenue, Suite 500, San Francisco, CA, 94102, United States; University of California, Berkeley, 2121 Berkeley Way, 5th Floor, Berkeley, CA, 94702, United States.
University of California, San Francisco, 500 Parnassus Avenue, San Francisco, CA, 94143, United States.
Drug Alcohol Depend. 2019 Nov 1;204:107571. doi: 10.1016/j.drugalcdep.2019.107571. Epub 2019 Sep 21.
Single room occupancy (SRO) buildings, also known as residential hotels, are a form of affordable housing common to cities in North America, and residents of these buildings face elevated rates of substance use, physical and mental multimorbidity, and mortality. Identifying distinct populations at greater risk of overdose death is crucial to the planning of interventions aiming to reduce drug-related mortality, yet no studies have assessed the population burden of overdose mortality among SRO residents. The present study quantifies and characterizes drug overdose mortality among residents of SRO buildings in a large U.S. city.
We used mortality records and a database of SRO buildings to calculate rate ratios comparing overdose mortality due to opioids, cocaine, and methamphetamine among SRO residents and non-SRO residents in San Francisco, CA 2010-2017 and assessed bivariate differences in decedent and death location characteristics between SRO resident and other overdose decedents.
There were 1,551 overdose deaths during the study period, with an overall rate of 21.3 per 100,000 residents (95%CI = 20.2-22.6). The rate among SRO residents (278.7, 95%CI = 252.9-306.5) was 19.3 (95%CI = 17.1-21.7) times that of non-SRO residents (21.3, 95%CI = 20.2-22.6). An additional 79 (5%) deaths among non-residents occurred in SRO buildings, and 86% of SRO resident decedents died at home compared to 64% of non-SRO residents (p < 0.05).
Overdose mortality was substantially higher among SRO residents, who were also more likely to die from overdose at home, which highlights the need for resources and targeted interventions directed towards residents of SRO buildings.
单间出租（SRO）建筑，也被称为住宅酒店，是北美城市常见的一种经济适用房形式，居住在这些建筑中的人有更高的物质使用、身体和精神合并症以及死亡率。确定有更高过量死亡风险的特定人群，对于规划旨在降低与药物相关的死亡率的干预措施至关重要，但目前尚无研究评估 SRO 居民的过量死亡的人群负担。本研究量化并描述了美国一个大城市 SRO 居民的药物过量死亡情况。
我们使用死亡率记录和 SRO 建筑数据库，计算了 2010 年至 2017 年期间，旧金山 SRO 居民与非 SRO 居民因阿片类药物、可卡因和甲基苯丙胺导致的过量死亡率的率比，并评估了 SRO 居民和其他过量死亡死者的死亡地点特征的双变量差异。
研究期间有 1551 例过量死亡，总体死亡率为每 10 万人 21.3 例（95%CI=20.2-22.6）。SRO 居民的死亡率（278.7，95%CI=252.9-306.5）是 21.3（95%CI=20.2-22.6）的 19.3 倍（95%CI=17.1-21.7）。非居民中有 79 例（5%）死亡发生在 SRO 建筑中，而 86%的 SRO 居民死者死在家中，而非 SRO 居民的这一比例为 64%（p<0.05）。
SRO 居民的过量死亡率明显更高，他们也更有可能在家中死于过量，这凸显了需要针对 SRO 建筑居民提供资源和有针对性的干预措施。
