Ball State University, Muncie, Indiana.
University of Delaware, Newark, Delaware.
J Ethn Subst Abuse. 2024 Jul-Sep;23(3):471-500. doi: 10.1080/15332640.2022.2109790. Epub 2022 Aug 16.
Recent upticks of stimulant presence in overdose deaths suggest the opioid epidemic is morphing, which raises questions about what drugs are involved and who is impacted. We investigate annual and growth rate trends in combined opioid-stimulant overdose toxicology between 2013 and 2019 for White, Black, and Hispanic male and female decedents in Delaware. During these years, toxicology shifted to illegal drugs for all with fentanyl leading the increase and opioid-cocaine combinations rising substantially. While combined opioid-cocaine toxicology grew among Black and Hispanic Delawareans, White males continue to report the highest rates overall. These findings depart from historical patterns and may challenge existing opioid epidemic policies.
最近过量死亡中兴奋剂的出现有所增加，这表明阿片类药物泛滥正在发生变化，这引发了人们对涉及哪些药物以及哪些人受到影响的问题的关注。我们调查了 2013 年至 2019 年期间特拉华州白种人、黑种人和西班牙裔男女死者中合并阿片类药物-兴奋剂过量的毒理学年度和增长率趋势。在这些年中，毒理学转向了所有非法药物，芬太尼是导致这一变化的主要原因，阿片类药物-可卡因的组合大幅上升。虽然黑人和西班牙裔特拉华州人的合并阿片类药物-可卡因毒理学有所增加，但白人男性的总体报告率仍最高。这些发现与历史模式不同，可能会对现有的阿片类药物泛滥政策提出挑战。
