Assessment of Changes in the Geographical Distribution of Opioid-Related Mortality Across the United States by Opioid Type, 1999-2016

JAMA Network Open
Mathew V KiangMonica J Alexander

Abstract

As the opioid epidemic evolves, it is vital to identify changes in the geographical distribution of opioid-related deaths, and the specific opioids to which those deaths are attributed, to ensure that federal and state public health interventions remain appropriately targeted. To identify changes in the geographical distribution of opioid-related mortality across the United States by opioid type. Cross-sectional study using joinpoint modeling and life table analysis of individual-level data from the National Center for Health Statistics on 351 630 US residents who died from opioid-related causes from January 1, 1999, to December 31, 2016, for all of the United States and the District of Columbia. The analysis was conducted from September 6 to November 23, 2018. Deaths involving any opioid, heroin, synthetic opioids, and natural and semisynthetic opioids. Opioid-related mortality rate, annual percent change in the opioid-related mortality rate, and life expectancy lost at age 15 years by state and opioid type. From 1999 to 2016, a total of 231 264 men and 120 366 women died from opioid-related causes across the whole United States. Sixty-six observations were removed owing to missing data on age; therefore, 351 564 US residents ...Continue Reading

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Citations

Nov 23, 2018·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Abby E RudolphJennifer R Havens
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Software Mentioned

Joinpoint Regression Program
R

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