Social and economic determinants of drug overdose deaths: a systematic review of spatial relationships.

Autor: Fink DS; New York State Psychiatric Institute, New York, NY, USA. David.fink@nyspi.columbia.edu.; Columbia University Mailman School of Public Health, New York, NY, USA. David.fink@nyspi.columbia.edu., Schleimer JP; Violence Prevention Research Program, Department of Emergency Medicine, University of California Davis, Sacramento, CA, USA.; Department of Epidemiology, University of Washington, Seattle, WA, USA., Keyes KM; Columbia University Mailman School of Public Health, New York, NY, USA., Branas CC; Columbia University Mailman School of Public Health, New York, NY, USA., Cerdá M; Department of Population Health, New York University, New York, NY, USA., Gruenwald P; Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA, USA., Hasin D; New York State Psychiatric Institute, New York, NY, USA.; Columbia University Mailman School of Public Health, New York, NY, USA.
Jazyk: angličtina
Zdroj: Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2024 Jul; Vol. 59 (7), pp. 1087-1112. Date of Electronic Publication: 2024 Feb 14.
DOI: 10.1007/s00127-024-02622-4
Abstrakt: Purpose: To synthesize the available evidence on the extent to which area-level socioeconomic conditions are associated with drug overdose deaths in the United States.
Methods: We performed a systematic review (in MEDLINE, EMBASE, PsychINFO, Web of Science, EconLit) for papers published prior to July 2022. Eligible studies quantitatively estimated the association between an area-level measure of socioeconomic conditions and drug overdose deaths in the US, and were published in English. We assessed study quality using the Effective Public Health Practice Project Quality Assessment Tool. The protocol was preregistered at Prospero (CRD42019121317).
Results: We identified 28 studies that estimated area-level effects of socioeconomic conditions on drug overdose deaths in the US. Studies were scored as having moderate to serious risk of bias attributed to both confounding and in analysis. Socioeconomic conditions and drug overdose death rates were moderately associated, and this was a consistent finding across a large number of measures and differences in study designs (e.g., cross-sectional versus longitudinal), years of data analyzed, and primary unit of analysis (e.g., ZIP code, county, state).
Conclusions: This review highlights the evidence for area-level socioeconomic conditions are an important factor underlying the geospatial distribution of drug overdose deaths in the US and the need to understand the mechanisms underlying these associations to inform future policy recommendations. The current evidence base suggests that, at least in the United States, employment, income, and poverty interventions may be effective targets for preventing drug overdose mortality rates.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
Externí odkaz: