A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions
Abstract Opioid overdose related deaths have increased dramatically in recent years. Combating the opioid epidemic requires better understanding of the epidemiology of opioid poisoning (OP). To discover trends and patterns of opioid poisoning and the demographic and regional disparities, we analyzed...
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2021
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oai:doaj.org-article:187d1682ae0d49228658db5732a61e682021-12-02T13:20:03ZA large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions10.1038/s41598-021-84148-22045-2322https://doaj.org/article/187d1682ae0d49228658db5732a61e682021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84148-2https://doaj.org/toc/2045-2322Abstract Opioid overdose related deaths have increased dramatically in recent years. Combating the opioid epidemic requires better understanding of the epidemiology of opioid poisoning (OP). To discover trends and patterns of opioid poisoning and the demographic and regional disparities, we analyzed large scale patient visits data in New York State (NYS). Demographic, spatial, temporal and correlation analyses were performed for all OP patients extracted from the claims data in the New York Statewide Planning and Research Cooperative System (SPARCS) from 2010 to 2016, along with Decennial US Census and American Community Survey zip code level data. 58,481 patients with at least one OP diagnosis and a valid NYS zip code address were included. Main outcome and measures include OP patient counts and rates per 100,000 population, patient level factors (gender, age, race and ethnicity, residential zip code), and zip code level social demographic factors. The results showed that the OP rate increased by 364.6%, and by 741.5% for the age group > 65 years. There were wide disparities among groups by race and ethnicity on rates and age distributions of OP. Heroin and non-heroin based OP rates demonstrated distinct temporal trends as well as major geospatial variation. The findings highlighted strong demographic disparity of OP patients, evolving patterns and substantial geospatial variation.Xin ChenWei HouSina RashidianYu WangXia ZhaoGeorge Stuart LeibowitzRichard N. RosenthalMary SaltzJoel H. SaltzElinor Randi SchoenfeldFusheng WangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021) |
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Medicine R Science Q Xin Chen Wei Hou Sina Rashidian Yu Wang Xia Zhao George Stuart Leibowitz Richard N. Rosenthal Mary Saltz Joel H. Saltz Elinor Randi Schoenfeld Fusheng Wang A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions |
description |
Abstract Opioid overdose related deaths have increased dramatically in recent years. Combating the opioid epidemic requires better understanding of the epidemiology of opioid poisoning (OP). To discover trends and patterns of opioid poisoning and the demographic and regional disparities, we analyzed large scale patient visits data in New York State (NYS). Demographic, spatial, temporal and correlation analyses were performed for all OP patients extracted from the claims data in the New York Statewide Planning and Research Cooperative System (SPARCS) from 2010 to 2016, along with Decennial US Census and American Community Survey zip code level data. 58,481 patients with at least one OP diagnosis and a valid NYS zip code address were included. Main outcome and measures include OP patient counts and rates per 100,000 population, patient level factors (gender, age, race and ethnicity, residential zip code), and zip code level social demographic factors. The results showed that the OP rate increased by 364.6%, and by 741.5% for the age group > 65 years. There were wide disparities among groups by race and ethnicity on rates and age distributions of OP. Heroin and non-heroin based OP rates demonstrated distinct temporal trends as well as major geospatial variation. The findings highlighted strong demographic disparity of OP patients, evolving patterns and substantial geospatial variation. |
format |
article |
author |
Xin Chen Wei Hou Sina Rashidian Yu Wang Xia Zhao George Stuart Leibowitz Richard N. Rosenthal Mary Saltz Joel H. Saltz Elinor Randi Schoenfeld Fusheng Wang |
author_facet |
Xin Chen Wei Hou Sina Rashidian Yu Wang Xia Zhao George Stuart Leibowitz Richard N. Rosenthal Mary Saltz Joel H. Saltz Elinor Randi Schoenfeld Fusheng Wang |
author_sort |
Xin Chen |
title |
A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions |
title_short |
A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions |
title_full |
A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions |
title_fullStr |
A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions |
title_full_unstemmed |
A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions |
title_sort |
large-scale retrospective study of opioid poisoning in new york state with implications for targeted interventions |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/187d1682ae0d49228658db5732a61e68 |
work_keys_str_mv |
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