Chicago Department of Public Health, Harvard University, Chicago, Illinois.
American Institute for Research, Washington, District of Columbia.
J Ethn Subst Abuse. 2022 Jan-Mar;21(1):22-35. doi: 10.1080/15332640.2019.1704335. Epub 2020 Jan 28.
Compared to national findings, Chicago has both a higher rate of opioid-related overdose death and a markedly different distribution by demographics. The Chicago Department of Public Health analyzed fatal overdoses by level of neighborhood economic hardship. The highest rate of opioid-related deaths occurred in neighborhoods with high economic hardship (36.9 per 100,000 population) compared to medium- (20.5) and low- (12.3) hardship neighborhoods. However, these patterns were not consistent across racial/Hispanic ethnicity subgroups. These data support the need to consider the role of racism and other structural, social, and economic factors when designing interventions to reduce opioid-related overdose deaths.
与全国的发现相比，芝加哥既有更高的阿片类药物相关过量死亡率，也有明显不同的人口统计学分布。芝加哥公共卫生部按社区经济困难程度分析了致命性过量用药。在经济困难程度较高的社区（每 10 万人中有 36.9 人），阿片类相关死亡人数最高，而在中（20.5）和低（12.3）困难程度社区则较低。然而，这些模式在不同种族/西班牙裔亚组之间并不一致。这些数据支持在设计减少阿片类药物相关过量死亡的干预措施时，需要考虑种族主义和其他结构性、社会性和经济因素的作用。
