Evidence map›Paper›PMID 31586805›Full record

ArticleDrug and alcohol dependence2019

The epidemiology of opioid overdose in Flint and Genesee County, Michigan: Implications for public health practice and intervention.

Richard C Sadler, Debra Furr-Holden

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

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  8. geoPIPE: Geospatial Pipeline for Enhancing Open Data for Substance Use Disorders Research.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article
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  13. Seasonal Variation in the Brain μ-Opioid Receptor Availability.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Richard C SadlerMichigan State University, College of Human Medicine, Division of Public Health, United States; Michigan State University, College of Human Medicine, Department of Family Medicine, United States; Michigan State University, College of Social Science, Department of Geography, Environment, and Spatial Sciences, United States. Electronic address: sadlerr@msu.edu.
Debra Furr-HoldenMichigan State University, College of Human Medicine, Division of Public Health, United States; Michigan State University, College of Human Medicine, Department of Family Medicine, United States; Michigan State University, College of Human Medicine, Department of Epidemiology and Biostatistics, United States.
Michigan State University · US

Funding

The Flint Center for Health Equity SolutionsU54MD011227 · NIMHD · MICHIGAN STATE UNIVERSITY · PI SADLER, RICHARD CASEY · 2016 to 2020
$10.7M
NIMHD NIH HHS U54 MD011227
6 · The paper itself

Abstract

As the opioid epidemic continues to worsen throughout the United States, researchers and practitioners require additional tools to help in efforts to address use and prevent overdose. Although opioids are increasingly of concern to all racial and socioeconomic groups, specific geographic regions and sub-populations remain more burdened by overdoses than others. The example of Flint, Michigan, is used to contextualize the landscape of opioid overdose death and understand geographic and demographic variation in risk. Kernel density analysis and spatial joins in ArcGIS were used to map opioid overdose death clusters, treatment availability, and neighborhood-level conditions to uncover factors related to overdose death. Spatial analysis revealed three geographic clusters in opioid overdose death in Flint. These neighborhoods tended to be somewhat poorer but also significantly Whiter than the average Flint neighborhood. Alternatively, opioid overdose death clusters did not occur in predominately African-American neighborhoods. As well, treatment sites were not coincident with the location of overdose death clusters, suggesting a potential need for geographically-targeted interventions. Of the 47 treatment sites, only 29 offered medication-assisted treatment, and expansion of these programs may therefore be warranted. This work is of great importance to ongoing prevention and treatment efforts in Flint, but also to other communities with a need for better tools to monitor and intervene in the opioid epidemic.

Indexed as

Public Health PracticeAnalgesics, OpioidBlack or African AmericanDrug OverdoseFemaleHumansMaleMichiganRacial GroupsResidence CharacteristicsSeasonsSocioeconomic FactorsSpatial AnalysisSubstance-Related DisordersTime FactorsUnited StatesAnalgesics, OpioidGeographic information systems (GIS)OpioidsOverdosePrevention

Identifiers

PMID31586805
PMCPMC6884144
OpenAlexW2975431552

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.