Johnson Lallen T, Shreve Tayler
Department of Justice, Law & Criminology, American University, Kerwin 270, 4400 Massachusetts Av., NW, Washington, DC, 20016, USA.
Health Place. 2020 Nov;66:102430. doi: 10.1016/j.healthplace.2020.102430. Epub 2020 Sep 12.
Fatal drug overdose represents a significant public health threat in Philadelphia, but substantial variation exists across its communities. This study uses negative binomial longitudinal regression to model ZIP code overdose fatalities over a seven-year period. Model covariates indicate that structural inequality, police arrest activity, and features of the built environment are associated with increased mortality across ZIP codes. Additionally, fatalities are spatially concentrated in select geographies of the city. These findings emphasize the pertinence of community ecological features in the production of stratified within-city health outcomes, and inform the geographic distribution of harm reduction interventions.
药物过量致死对费城的公共卫生构成了重大威胁，但不同社区之间存在显著差异。本研究采用负二项纵向回归模型，对七年期间各邮政编码区域的药物过量致死情况进行建模。模型协变量表明，结构不平等、警方逮捕活动和建筑环境特征与各邮政编码区域死亡率的上升有关。此外，死亡在城市的特定地理区域呈空间集中分布。这些发现强调了社区生态特征在城市内部分层健康结果产生中的相关性，并为减少伤害干预措施的地理分布提供了依据。
