ArticleBMJ open2020
Place, poverty and prescriptions: a cross-sectional study using Area Deprivation Index to assess opioid use and drug-poisoning mortality in the USA from 2012 to 2017.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed.
- Young adult polysubstance use trajectories and later non-prescribed opioid use and drug use disorder symptoms: A propensity score-matched analysis.Drug and alcohol dependence reports · 2026Article
- Higher Area Deprivation Index scores predict incomplete pre-operative high-resolution manometry in Achalasia patients undergoing peroral endoscopic myotomy.Surgical endoscopy · 2026Article
- Spatial Patterns of Opioid Overdose Mortality Risk Across Urban, Transitional, and Rural Communities Using Satellite-Derived and Socioeconomic Indicators.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Examining the association between county racialised economic segregation and fatal overdose in US counties, 2018-2022.Journal of epidemiology and community health · 2026Article
- Prescribing GLPs for Obesity Treatment for Adults at a University Based Health Maintenance Organization by Race, Ethnicity, and Socioeconomic Status.Journal of general internal medicine · 2026Article
- Clinical and social determinants of survivorship clinic attendance in head and neck cancer.Journal of cancer survivorship : research and practice · 2025Article
- Income-Based Disparities in Opioid Prescription Dispensing Among Public Drug Plan Beneficiaries in Canada from 2010 to 2018: A Population-Based and Sex-Stratified Retrospective Study.Drugs - real world outcomes · 2025Article
- Rurality and Area Deprivation and Outcomes After Out-of-Hospital Cardiac Arrest.JAMA network open · 2025Article
- Article
- Neighborhood Disadvantage and Knee Osteoarthritis Pain: Do Sleep and Catastrophizing Play a Role?Arthritis care & research · 2025Article
- Opioid Prescriptions for US Patients Undergoing Long-Term Dialysis or with Kidney Transplant from 2011 to 2020.Journal of the American Society of Nephrology : JASN · 2025Article
- The Interplay Between Health Disparities and Acceptability of Virtual Reality: A Survey Study.Cyberpsychology, behavior and social networking · 2024Article
- Veterans' use of inpatient and outpatient palliative care: The national landscape.Journal of the American Geriatrics Society · 2024Article
- Social Determinants of Long-Term Opioid Use Following Total Knee Arthroplasty.The journal of knee surgery · 2024Article
- Risk factors for persistent fatal opioid-involved overdose clusters in Massachusetts 2011-2021: a spatial statistical analysis with socio-economic, accessibility, and prescription factors.BMC public health · 2024Article
- Factors Associated With New Analgesic Requirements Following Critical Illness.Journal of intensive care medicine · 2024Observational
- Social Deprivation is Associated with Increased Pain in Patients Presenting with Neuropathic Pain.Plastic and reconstructive surgery. Global open · 2024Article
- Use of prescription opioids in Israel and socio-economic correlations between 2010 and 2020.Israel journal of health policy research · 2024Article
- Accessibility of Opioid Treatment Programs Based on Conventional vs Perceived Travel Time Measures.JAMA network open · 2024Article
- Development and Validation of an Individual Socioeconomic Deprivation Index (ISDI) in the NIH'sAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo identify the relationships between county-level area deprivation and patterns of both opioid prescriptions and drug-poisoning mortality. DESIGN, SETTING AND
participantsFor this retrospective cross-sectional study, we used the IQVIA Xponent data to capture opioid prescriptions and Centres for Disease Control and Prevention National Vital Statistics System to assess drug-poisoning mortality. The Area Deprivation Index (ADI) is a composite measure of social determinants of health comprised of 17 US census indicators, spanning four socioeconomic domains. For all US counties with available opioid prescription (2712 counties) and drug-poisoning mortality (3133 counties) data between 2012 and 2017, we used negative binomial regression to examine the association between quintiles of county-level ADI and the rates of opioid prescriptions and drug-poisoning mortality adjusted for year, age, race and sex. PRIMARY OUTCOME MEASURES: County-level opioid prescription fills and drug-poisoning mortality.
resultsBetween 2012 and 2017, overall rates of opioid prescriptions decreased from 96.6 to 72.2 per 100 people, while the rates of drug-poisoning mortality increased from 14.3 to 22.8 per 100 000 people. Opioid prescription and drug-poisoning mortality rates were consistently higher with greater levels of deprivation. The risk of filling an opioid prescription was 72% higher, and the risk of drug-poisoning mortality was 36% higher, for most deprived compared with the least deprived counties (both p<0.001). DISCUSSION: Counties with greater area-level deprivation have higher rates of filled opioid prescriptions and drug-poisoning mortality. Although opioid prescription rates declined across all ADI quintiles, the rates of drug-poisoning mortality continued to rise proportionately in each ADI quintile. This underscores the need for individualised and targeted interventions that consider the deprivation of communities where people live.
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