Racial disparities in the treatment of acute overdose in the emergency department

Wilder, Marceé E.; Richardson, Lynne D.; Hoffman, Robert S.; Winkel, Gary; Manini, Alex F.

doi:10.1080/15563650.2018.1478425

Cited by 6 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, treatment differences contribute significantly to disparities in overdose mortality. Compared to white patients, black and Hispanic patients are significantly less likely to receive antidotes for acute overdose when presenting to the emergency department 52. Thus, researchers highlight the importance of more extensive and comprehensive research being performed regarding the connection between social determinants and opioid use and the most appropriate method for training providers on treatment options 22.…”

Section: Key Findings For Reviewsmentioning

confidence: 99%

“…In the 1990s, rates of overdose deaths in New York City were consistently higher among blacks/African-Americans and Hispanics/Latinos compared to whites,57 while our analysis showed higher mortality rates among whites than blacks and Hispanics nationally during 2002-2017 2. Disparities in overdose mortality may be related to differences in treatment, as Wilder et al found that compared to white patients, black and Hispanic patients are significantly less likely to receive antidotes for acute overdose when presenting to the emergency department 52. Thus, instead of simply reducing opioid prescribing, policymakers addressing the opioid epidemic should focus on upstream structural factors, including economic opportunity, social cohesion, racial disadvantage, and life satisfaction 24…”

Section: Summary Conclusion and Global Health Implicationsmentioning

confidence: 99%

See 1 more Smart Citation

Opioid Epidemic in the United States: Empirical Trends, and A Literature Review of Social Determinants and Epidemiological, Pain Management, and Treatment Patterns

et al. 2019

View full text Add to dashboard Cite

Objectives:Dramatic increases in opioid and drug overdose mortality have occurred in the United States (US) over the past two decades. To address this national public health crisis and identify gaps in the literature, we analyzed recent empirical trends in US drug overdose mortality by key social determinants and conducted a selective review of the recent literature on the magnitude of the opioid crisis facing different racial/ethnic, socioeconomic, and rural-urban segments of the US population.Methods:We used the 1999-2017 mortality data from the US National Vital Statistics System to analyze trends in drug overdose mortality by race/ethnicity, age, and geographic area. Log-linear regression was used to model mortality trends. Using various key words and their combinations, we searched PubMed and Google Scholar for select peer-reviewed journal articles and government reports published on the opioid epidemic between 2010 and 2018.Results:Our original analysis and review indicate marked increases in drug overdose mortality overall and by race/ethnicity and geographic regions, with adolescents and young adults experiencing steep increases in mortality between 1999 and 2017. Our selective search yielded 405 articles, of which 39 publications were selected for detailed review. Suicide mortality from drug overdose among teens aged 12-19 increased consistently between 2009 and 2017, particularly among teen girls. The rise of efficient global supply chains has increased opioid prescription use and undoubtedly contributed to the opioid epidemic. Many other important contributing factors to the epidemic include lack of education and economic opportunities, poor working conditions, and low social capital in disadvantaged communities.Conclusions and Global Health Implications:Our analysis and review indicate substantial disparities in drug overdoses and related mortality, pain management, and treatment outcomes according to social determinants. Increases in drug overdoses and resultant mortality are not only unique to the US, but have also been observed in other industrialized countries. Healthcare systems, community leaders, and policymakers addressing the opioid epidemic should focus on upstream structural factors including education, economic opportunity, social cohesion, racial/ethnic disadvantage, geographic isolation, and life satisfaction.

show abstract

Section: Key Findings For Reviewsmentioning

confidence: 99%

Section: Summary Conclusion and Global Health Implicationsmentioning

confidence: 99%

Opioid Epidemic in the United States: Empirical Trends, and A Literature Review of Social Determinants and Epidemiological, Pain Management, and Treatment Patterns

et al. 2019

View full text Add to dashboard Cite

show abstract

“…On a related note, our group recently published the first data [1] in the toxicology literature that used race as an independent predictor variable for treatment. We found that both non-Hispanic Black and Hispanic patients were less likely to receive any antidote when presenting with acute drug overdose.…”

mentioning

confidence: 99%