ArticleJournal of the American Medical Informatics Association : JAMIA2019
Unclassified drug overdose deaths in the opioid crisis: emerging patterns of inequity.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Trends in fatal and non-fatal injuries in the United States: analyzing incidence and costs from 2015 to 2022.BMC public health · 2026Article
- Xylazine co-occurrence with illicit fentanyl is a growing threat in the Deep South: a retrospective study of decedent data.Harm reduction journal · 2024Article
- Xylazine in Overdose Deaths and Forensic Drug Reports in US States, 2019-2022.JAMA network open · 2024Article
- Educational Attainment and US Drug Overdose Deaths.JAMA health forum · 2023Article
- Xylazine in Drug Seizure Reports and Overdose Deaths in the US, 2018-2022.medRxiv : the preprint server for health sciences · 2023Article
- Using set visualisation to find and explain patterns of missing values: a case study with NHS hospital episode statistics data.BMJ open · 2022Article
- Socioeconomic inequalities and Black/White disparities in US cocaine-involved overdose mortality risk.Social psychiatry and psychiatric epidemiology · 2022Article
- Mortality during Resource Booms and Busts.Journal of environmental economics and management · 2022Article
- Postmortem screening of opioids, benzodiazepines, and alcohol among rural and urban suicide decedents.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Association between county-level sociodemographic characteristics and county-level differences in opioid dispensing.Preventive medicine reports · 2021Article
- Fatal opioid overdoses in the U.S. declined more than reported between 2017 and 2018.The American journal of drug and alcohol abuse · 2021Article
- Untargeted Metabolomics in Forensic Toxicology: A New Approach for the Detection of Fentanyl Intake in Urine Samples.Molecules (Basel, Switzerland) · 2021Article
- Evaluation of Policy Effectiveness by Mathematical Modeling for the Opioid Crisis with Spatial Study and Trend Analysis.Healthcare (Basel, Switzerland) · 2021Article
- An Update on Postoperative Opioid Use and Alternative Pain Control Following Spine Surgery.Orthopedic reviews · 2021Review
- Rural risk environments, opioid-related overdose, and infectious diseases: A multidimensional, spatial perspective.The International journal on drug policy · 2020Article
- Perioperative Serum 25-Hydroxyvitamin D Levels as a Predictor of Postoperative Opioid Use and Opioid Use Disorder: a Cohort Study.Journal of general internal medicine · 2020Article
- Using contributing causes of death improves prediction of opioid involvement in unclassified drug overdoses in US death records.Addiction (Abingdon, England) · 2020Article
- Acceptability of smartphone applications for facilitating layperson naloxone administration during opioid overdoses.JAMIA open · 2020Article
- Health informatics and health equity: improving our reach and impact.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Are Increasing Trends in Opioid-Related Hospitalizations Attributable to Increases in Diagnosis Recordability? Evidence from 2 Large States.Health services insights · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveExamine whether individual, geographic, and economic phenotypes predict missing data on specific drug involvement in overdose deaths, manifesting inequities in overdose mortality data, which is a key data source used in measuring the opioid epidemic. MATERIALS AND
methodsWe combined national data sources (mortality, demographic, economic, and geographic) from 2014-2016 in a multi-method analysis of missing drug classification in the overdose mortality records (as defined by the use of ICD-10 T50.9 on death certificates). We examined individual disparities in decedent-level multivariate logistic regression models, geographic disparities in spatial analysis (heat maps), and economic disparities in a combination of temporal trend analyses (descriptive statistics) and both decedent- and county-level multivariate logistic regression models.
resultsOur analyses consistently found higher rates of unclassified overdoses in decedents of female gender, White race, non-Hispanic ethnicity, with college education, aged 30-59 and those from poorer counties. Despite the fact that unclassified drug overdose death rates have reduced over time, gaps persist between the richest and poorest counties. There are also striking geographic differences both across and within states. DISCUSSION: Given the essential role of mortality data in measuring the scale of the opioid epidemic, it is important to understand the individual and community inequities underlying the missing data on specific drug involvements. Knowledge of these inequities could enhance our understanding of the opioid crisis and inform data-driven interventions and policies with more equitable resource allocations.
conclusionMultiple individual, geographic, and economic disparities underlie unclassified overdose deaths, with important implications for public health informatics and addressing the opioid crisis.
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