Socioeconomic and geographical disparities in prescription and illicit opioid-related overdose deaths in Orange County, California, from 2010-2014

Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse
John R MarshallBharath Chakravarthy

Abstract

Background: Reports indicate a geographic effect of socioeconomic inequalities on the occurrence of opioid-related fatal overdoses. This study aims to (1) estimate the rates of opioid-related overdoses, (2) estimate the association of benzodiazepine co-ingestion with opioid-related deaths, (3) estimate associations between socioeconomic indicators and opioid-related deaths, and (4) map the distribution of fatal overdoses, in Orange County (OC), California. Methods: An ecologic study was conducted of all opioid- related deaths (1205 total) from 2010 to 2014 obtained from the OC Coroner Division database (1065 OC residents, 55 nonresidents, 85 OC homeless) (analyzed 2016-2017). Rates of opioid overdose, benzodiazepine co-ingestion prevalence, and associations with socioeconomic status (SES; education, poverty, median income) using ZIP code analysis in the residential and homeless communities were calculated. Results: Of 1205 deaths, 904 involved prescription-type opioids, 223 involved heroin, 39 involved both, and 39 not stated; 973 were classified unintentional overdoses, 180 suicides, and 52 undetermined; 49% of cases involved benzodiazepines. Prescription-type opioid and heroin death rates for residents were 5.4/ 100,000 perso...Continue Reading

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Citations

Sep 20, 2019·JAMA Ophthalmology·Anton M KolomeyerBrian L VanderBeek
Aug 21, 2020·The American Surgeon·Maya Lakshmi SrinivasanCelia M Divino
Apr 2, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Rie Sakai-BizmarkLynne M Smith
Apr 29, 2021·Current Addiction Reports·Ralph FogliaNina A Cooperman
May 15, 2021·Drug and Alcohol Dependence·Matthew F McLaughlinAvik Chatterjee
Aug 28, 2020·Ophthalmic Plastic and Reconstructive Surgery·Priscilla Q VuJeremiah P Tao
Sep 28, 2021·Substance Abuse Treatment, Prevention, and Policy·Disa DahlmanKristina Sundquist

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