ArticleThe International journal on drug policy2023
Age-specific disparities in fatal drug overdoses highest among older black adults and American Indian/Alaska native individuals of all ages in the United States, 2015-2020.
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 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Higher drug overdose mortality among non-hispanic black adults aged 55 and older in the U.S.: Analysis of national death records from CDC's WONDER database (1999-2023).Drug and alcohol dependence reports · 2026Article
- Spatial-Structural Mechanisms of Racialized Disparities in Overdose Mortality: A Spatiotemporal Analysis.Journal of racial and ethnic health disparities · 2026Article
- Examining trends in polydrug overdose deaths across rural Midwest counties in the United States, 2022 through 2024.Drug and alcohol dependence · 2025Article
- Identifying the Changing Landscape of Younger Adult Mortality in the United States from 1999 to 2021.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Observational
- Systematic Review of Cocaine-Treatment Interventions for Black Americans.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Naloxone administration and survival in overdoses involving opioids and stimulants: An analysis of law enforcement data from 63 Pennsylvania counties.The International journal on drug policy · 2025Article
- The intersection of aging, pain, and opioid use disorder: a retrospective chart review from an outpatient opioid treatment clinic.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Article
- Naloxone Administration and Survival in Overdoses Involving Opioids and Stimulants: An Analysis of Law Enforcement Data from 63 Pennsylvania Counties.medRxiv : the preprint server for health sciences · 2024Article
- Regional differences in fatal drug overdose deaths among Black and White individuals in the United States, 2012-2021.The American journal on addictions · 2024Article
- Trends in Fatal Opioid-Related Overdose in American Indian and Alaska Native Communities, 1999-2021.American journal of preventive medicine · 2024Observational
- Association of globalization with the burden of opioid use disorders 2019. A country-level analysis using targeted maximum likelihood estimation.Globalization and health · 2023Article
- Overdose deaths involving synthetic opioids: Racial/ethnic and educational disparities in the eastern and western US.Drug and alcohol dependence · 2023Article
- Opioid and stimulant attributed treatment admissions and fatal overdoses: Using national surveillance data to examine the intersection of race, sex, and polysubstance use, 1992-2020.Drug and alcohol dependence · 2023Article
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
Abstract
introductionIncreasing disparities within and between racial/ethnic groups in overdose deaths underscore the need to identify drivers and patterns to optimize overdose prevention strategies. We assess age-specific mortality rates (ASMR) in drug overdose deaths by race/ethnicity in 2015-2019 and 2020.
methodsData were from the CDC Wonder, and included information for N = 411,451 deceased individuals in the United States (2015-2020) with a drug overdose-attributed cause of death (ICD-10 codes: X40-X44, X60-X64, X85, Y10-Y14). We compiled overdose death counts by age, race/ethnicity, and population estimates to derive ASMRs, mortality rate ratios (MRR), and cohort effects.
resultsThe ASMRs for Non-Hispanic Black adults (2015-2019) followed a different pattern than other racial/ethnic groups-low ASMRs among young individuals and peaking between 55-64 years-a pattern exacerbated in 2020. Younger Non-Hispanic Black individuals had lower MRRs than young Non-Hispanic White individuals, yet, older Non-Hispanic Black adults had much higher MRRs than older Non-Hispanic White adults (45-54yrs:126%, 55-64yrs:197%; 65-74yrs:314%; 75-84:148%) in 2020. American Indian/Alaska Native adults had higher MRRs than Non-Hispanic White adults in death counts compiled from pre-pandemic years (2015-2019); however, MRRs increased in 2020 (15-24yrs:134%, 25-34yrs:132%, 35-44yrs:124%, 45-54yrs:134%, 55-64yrs:118%). Cohort analyses suggested a bimodal distribution of increasing fatal overdose rates among Non-Hispanic Black individuals aged 15-24 and 65-74. CONCLUSIONS AND RELEVANCE: Overdose fatalities unprecedently impact older Non-Hispanic Black adults and American Indian/Alaska Native populations of all ages, deviating from the pattern found for Non-Hispanic White individuals. Findings highlight the need for targeted naloxone and low-threshold buprenorphine programs to reduce racial disparities.
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