Evidence map›Paper›PMID 37327697›Full record

ArticleThe International journal on drug policy2023

Rethinking urban-rural designations in public health surveillance of the overdose crisis and crafting an agenda for future monitoring.

Lauren Textor, Joseph Friedman, Philippe Bourgois, Shoshana Aronowitz, Caty Simon, Marie Jauffret-Roustide, Sarah Namirembe, Sarah Brothers, Ryan McNeil, Kelly Ray Knight and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The International journal on drug policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Lauren TextorUniversity of California Los Angeles, Medical Scientist Training Program; UCLA Department of Anthropology; Center for Social Medicine, Department of Psychiatry, UCLA, 760 Westwood Plaza Suite B7-435, Los Angeles, CA, 90095-1759. Electronic address: laurentextor@gmail.com.
Joseph FriedmanUniversity of California Los Angeles, Medical Scientist Training Program.
Philippe BourgoisCenter for Social Medicine, Department of Psychiatry, UCLA, 760 Westwood Plaza Suite B7-435, Los Angeles, CA, 90095-1759.
Shoshana AronowitzUniversity of Pennsylvania School of Nursing.
Caty SimonNational Survivors Union, 1116 Grove St., Greensboro, NC, 27403; Whose Corner Is It Anyway, 1187 Northampton St., Holyoke, MA, 01040; NC Survivors Union, 1116 Grove St., Greensboro, NC, 27403.
Marie Jauffret-RoustideCentre d'Étude des Mouvements Sociaux (Inserm U1276/CNRS UMR 8044/EHESS), Paris, France.
Sarah NamirembeDepartment of Mental Health Faculty of Medicine Gulu University, P.o.Box 166, Gulu, Uganda.
Sarah BrothersThe Pennsylvania State University, 316 Oswald Tower University Park, PA, 16802.
Ryan McNeilProgram in Addiction Medicine at Yale University.
Kelly Ray KnightDepartment of Humanities and Social Sciences University of California, San Francisco.
Helena HansenProfessor of Psychiatry and Chair of Research Theme in Translational Social Science and Health Equity at David Geffen School of Medicine, UCLA; Interim Chair, Department of Psychiatry and Biobehavioral Sciences, UCLA; Interim Director, UCLA Semel Institute for Neuroscience and Human Behavior at DGSOM; Interim Physician-in-Chief, Resnick Neuropsychiatric Hospital, UCLA.

Funding

An ethno-epidemiological study of the implementation and effectiveness of an innovative and comprehensive response to the opioid epidemicR01DA044181 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI Thomas Kerr, Ryan McNeil · 2017 to 2026
$4.0M
A Longitudinal Qualitative Study of Fentanyl-Stimulant Polysubstance Use Among People Experiencing Homelessness (Administrative supplement)R01DA057672 · NIDA · YALE UNIVERSITY · PI KNIGHT, KELLY RAY, MCNEIL, RYAN · 2022 to 2023
$2.7M
DEFINING THE MECHANISM OF DELAYED XENOGRAFT REJECTIONR01AI043631 · NIAID · UNIVERSITY OF CHICAGO · PI CHONG, ANITA S. · 1999 to 2003
$1.1M
Pain Management in the Clinic & CommunityR01DA034625 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KNIGHT, KELLY RAY · 2013 to 2015
$893k
NIAID NIH HHS R01 AI043631NIDA NIH HHS R01 DA034625NIDA NIH HHS R01 DA044181NIDA NIH HHS R01 DA057672
6 · The paper itself

Abstract

Rurality has served as a key concept in popular and scientific understandings of the US overdose crisis, with White, rural, and low-income areas thought to be most heavily affected. However, we observe that overdose trends have risen nearly uniformly across the urban-rural designations employed in most research, implying that their importance has likely been overstated or incorrectly conceptualized. Nevertheless, urbanicity/rurality does serve as a key axis to understand inequalities in overdose mortality when assessed with more nuanced modalities-employing a more granular analysis of geography at the sub-county level, and intersecting rurality sociodemographic indices such as race/ethnicity. Using national overdose data from 1999-2021, we illustrate the intersectional importance of rurality for overdose surveillance. Finally, we offer recommendations for integrating these insights into drug overdose surveillance moving forward.

Indexed as

Drug OverdosePublic Health SurveillanceHumansRural PopulationUrban PopulationEthnographyInequalityOpioidsOverdoseRural urban categoriesSurveillance

Identifiers

PMID37327697
PMCPMC10916393

What OpenQuestion holds

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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.