Disparities in Opioid Overdose Death Trends by Race/Ethnicity, 2018–2019, From the HEALing Communities Study
- 1 October 2021
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 111 (10), 1851-1854
- https://doi.org/10.2105/ajph.2021.306431
Abstract
Objectives. To examine trends in opioid overdose deaths by race/ethnicity from 2018 to 2019 across 67 HEALing Communities Study (HCS) communities in Kentucky, New York, Massachusetts, and Ohio. Methods. We used state death certificate records to calculate opioid overdose death rates per 100 000 adult residents of the 67 HCS communities for 2018 and 2019. We used Poisson regression to calculate the ratio of 2019 to 2018 rates. We compared changes by race/ethnicity by calculating a ratio of rate ratios (RRR) for each racial/ethnic group compared with non-Hispanic White individuals. Results. Opioid overdose death rates were 38.3 and 39.5 per 100 000 for 2018 and 2019, respectively, without a significant change from 2018 to 2019 (rate ratio = 1.03; 95% confidence interval [CI] = 0.98, 1.08). We estimated a 40% increase in opioid overdose death rate for non-Hispanic Black individuals (RRR = 1.40; 95% CI = 1.22, 1.62) relative to non-Hispanic White individuals but no change among other race/ethnicities. Conclusions. Overall opioid overdose death rates have leveled off but have increased among non-Hispanic Black individuals. Public Health Implications. An antiracist public health approach is needed to address the crisis of opioid-related harms.Keywords
This publication has 10 references indexed in Scilit:
- To end the opioid crisis, we must address painful social disparitiesDrug and Alcohol Dependence, 2021
- Trends and Geographic Patterns in Drug and Synthetic Opioid Overdose Deaths — United States, 2013–2019Morbidity and Mortality Weekly Report (MMWR), 2021
- Differences in Opioid Overdose Mortality Rates Among Middle-Aged Adults by Race/Ethnicity and Sex, 1999-2018Public Health Reports, 2020
- The HEALing (Helping to End Addiction Long-term SM) Communities Study: Protocol for a cluster randomized trial at the community level to reduce opioid overdose deaths through implementation of an integrated set of evidence-based practicesDrug and Alcohol Dependence, 2020
- Operationalizing and selecting outcome measures for the HEALing Communities StudyDrug and Alcohol Dependence, 2020
- African Americans now outpace whites in opioid‐involved overdose deaths: a comparison of temporal trends from 1999 to 2018Addiction, 2020
- Racial Disparities in Overdose Prevention among People Who Inject DrugsJournal of Urban Health, 2020
- Structural Racism and the Opioid Overdose Epidemic: The Need for Antiracist Public Health PracticeJournal of Public Health Management & Practice, 2020
- Association of Racial/Ethnic Segregation With Treatment Capacity for Opioid Use Disorder in Counties in the United StatesJAMA Network Open, 2020
- Deaths: injuries, 2001.2004