Department of Epidemiology, Brown University School of Public Health.
Rhode Island Department of Health.
R I Med J (2013). 2022 Aug 1;105(6):46-51.
To compare the characteristics of individual overdose decedents in Rhode Island, 2016-2020 to the neighborhoods where fatal overdoses occurred over the same time period.
We conducted a retrospective analysis of fatal overdoses occurring between January 1, 2016 and June 30, 2020. Using individual- and neighborhood-level data, we conducted descriptive analyses to explore the characteristics of individuals and neighborhoods most affected by overdose.
Most overdose decedents during the study period were non-Hispanic White. Across increasingly more White and non-Hispanic neighborhoods, rates of fatal overdose per 100,000 person-years decreased. An opposite pattern was observed across quintiles of average neighborhood poverty.
Rates of fatal overdose were higher in less White, more Hispanic, and poorer neighborhoods, suggesting modest divergence between the characteristics of individuals and the neighborhoods most severely affected. These impacts may not be uniform across space and may accrue differentially to more disadvantaged and racially/ethnically diverse neighborhoods.
比较 2016 年至 2020 年罗德岛个别过量用药死亡者的特征与同期发生致命过量用药的社区。
我们对 2016 年 1 月 1 日至 2020 年 6 月 30 日期间发生的致命过量用药进行了回顾性分析。利用个体和社区层面的数据，我们进行了描述性分析，以探索受过量用药影响最大的个体和社区的特征。
在研究期间，大多数过量用药死亡者为非西班牙裔白人。在白人比例和非西班牙裔人口比例逐渐增加的社区中，每 10 万人年的致命过量用药率下降。在平均社区贫困程度的五分位数中观察到相反的模式。
致命过量用药率在白人比例较低、西班牙裔比例较高且贫困程度较高的社区中较高，表明个体特征和受影响最严重的社区之间存在适度的差异。这些影响在空间上可能并不均匀，可能会不成比例地积累在处于不利地位和种族/族裔多样化的社区中。
