University of Texas at San Antonio, 501 W. César E. Chávez Blvd., San Antonio, TX, 78207, USA.
LaGuardia Community College, City University of New York, 31-10 Thomson Avenue, Long Island City, NY, 11101, USA.
Int J Drug Policy. 2021 Apr;90:103079. doi: 10.1016/j.drugpo.2020.103079. Epub 2020 Dec 18.
This study compared drug overdose mortality rates in Puerto Rican-heritage and Non-Hispanic (NH) White individuals in the United States (US), examining time trends and recent variation by age, sex, state of residence, and drugs involved in overdose.
Death certificate data from the National Center for Health Statistics, as well as American Community Survey population estimates, were used to calculate age-specific and age-adjusted drug overdose mortality rates for Puerto Rican-heritage and NH White residents of the 50 United States or District of Columbia (DC). Rates for 2018 were compared between Puerto Rican-heritage and NH White individuals, overall and by sex, age, state, and specific drug involved in overdose. Joinpoint Regression was used to examine trends in drug overdose mortality rates from 2009 to 2018.
From 2009 to 2018, the age-adjusted drug overdose mortality rate in stateside Puerto Ricans doubled among women (from 6.0 to 12.5 per 100,000) and nearly tripled among men (from 15.3 to 45.2 per 100,000). In 2018, the age-adjusted drug overdose mortality rate was significantly higher in Puerto Rican-heritage than NH White individuals (28.7 vs. 26.2 per 100,000, respectively). The 2018 drug overdose mortality rate was highest among Puerto Rican-heritage men ages 45-54 (104.1 per 100,000).
Findings emphasize the necessity of policies, programs, and interventions to mitigate risk of fatal overdose in stateside Puerto Rican communities.
本研究比较了波多黎各裔和非西班牙裔（NH）白种人在美国的药物过量死亡率，考察了年龄、性别、居住州和药物过量涉及的药物等因素的时间趋势和近期变化。
使用来自国家卫生统计中心的死亡证明数据以及美国社区调查的人口估计数，计算了波多黎各裔和 50 个州或哥伦比亚特区（DC）的 NH 白种人居民的特定年龄和年龄调整后的药物过量死亡率。比较了波多黎各裔和 NH 白种人在 2018 年的总体和按性别、年龄、州和药物过量涉及的特定药物的死亡率。使用 Joinpoint 回归分析了 2009 年至 2018 年药物过量死亡率的趋势。
从 2009 年到 2018 年，波多黎各裔女性的药物过量死亡率调整后翻了一番（从每 10 万人 6.0 人增加到 12.5 人），男性增加了近两倍（从每 10 万人 15.3 人增加到 45.2 人）。2018 年，波多黎各裔的药物过量死亡率明显高于 NH 白人（分别为每 10 万人 28.7 人和 26.2 人）。2018 年，45-54 岁的波多黎各裔男性药物过量死亡率最高（每 10 万人 104.1 人）。
研究结果强调了在波多黎各裔社区制定政策、方案和干预措施以减轻致命药物过量风险的必要性。
