State-Level History of Overdose Deaths Involving Stimulants in the United States, 1999‒2020.
Objectives. To examine the state-level history of US overdose deaths involving stimulants with and without opioids from 1999 to 2020. Methods. We used death certificate data from the National Center for Health Statistics to categorize deaths into 4 groups of interest: cocaine with and without opioid...
| Published in: | American Journal of Public Health Vol. 113; no. 9; pp. 991 - 1000 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Published: |
American Public Health Association
Sep2023
|
| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=169852302&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 169852302 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Sep2023 vid: 113 iid: 9 pid: 44 pub: American Public Health Association artinfo: ui: 169852302 10.2105/AJPH.2023.307337 ppf: 991 ppct: 9 formats: tig: atl: State-Level History of Overdose Deaths Involving Stimulants in the United States, 1999‒2020. aug: au: Kline, David Bunting, Amanda M. Hepler, Staci A. Rivera-Aguirre, Ariadne Krawczyk, Noa Cerda, Magdalena su: New England Atlantic Coast (Middle Atlantic States) Middle Atlantic States Appalachian Region United States Narcotics Population geography Central nervous system stimulants Drug overdose Death certificates sug: subj: Narcotics Population geography New England Atlantic Coast (Middle Atlantic States) Middle Atlantic States Appalachian Region United States Pharmaceuticals and pharmacy supplies merchant wholesalers Pharmaceutical and medicine manufacturing Central nervous system stimulants Drug overdose Death certificates ab: Objectives. To examine the state-level history of US overdose deaths involving stimulants with and without opioids from 1999 to 2020. Methods. We used death certificate data from the National Center for Health Statistics to categorize deaths into 4 groups of interest: cocaine with and without opioids, and psychostimulants with and without opioids. We used a Bayesian multiple change point model to describe the timing and magnitude of changes in overdose death rates involving stimulants for each state and year. Results. There was little change in the death rates of cocaine without opioids. Death rates involving cocaine and opioids sharply increased around 2015, particularly in the Northeast and Mid-Atlantic. We also observed steady increases in deaths involving psychostimulants without opioids just before 2010, particularly in states in the West and South. Deaths involving psychostimulants with opioids increased around 2015 with largest increases concentrated in Appalachian states. Conclusions. There is significant geographic heterogeneity in the co-involvement of stimulants in the US overdose crisis. Results can inform public health efforts to inform state-level overdose efforts such as naloxone distribution. (Am J Public Health. 2023;113(9):991–999. https://doi.org/10.2105/AJPH.2023.307337) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|