Higher Rates Of Homelessness Are Associated With Increases In Mortality From Accidental Drug And Alcohol Poisonings.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
W David Bradford, Felipe Lozano-Rojas
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引用次数: 0

Abstract

Alcohol and drug overdoses have multiple complex causes. In this article we contribute to the literature that links homelessness, the most extreme form of housing disruption, to accidental SUD-related poisonings. Using plausibly exogenous variation from a state's landlord-tenant policies that influence evictions, we estimated the causal impact of homelessness on SUD-related mortality. We found large effects of homelessness on SUD-related poisonings (for example, a 10 percent increase in homelessness led to a 3.2 percent increase in opioid poisonings in metropolitan areas). Our findings indicate that reducing local homelessness rates from the seventy-fifth to the fiftieth percentile levels could have saved more than 1,900 lives from opioid overdoses across all metropolitan localities in the final year of our study data. We conclude that strengthening the social safety net in terms of housing security could help curb the ongoing SUD-related poisoning epidemic in the US.

更高的无家可归率与意外药物和酒精中毒死亡率的增加有关。
酗酒和吸毒过量有多种复杂的原因。在这篇文章中,我们对将无家可归这种最极端的住房中断形式与意外的 SUD 相关中毒联系起来的文献做出了贡献。我们利用一个州影响驱逐的房东-租户政策中看似外生的变化,估算了无家可归对 SUD 相关死亡率的因果影响。我们发现,无家可归对与药物滥用相关的中毒事件有很大影响(例如,无家可归者增加 10%,大都会地区的阿片类药物中毒事件就会增加 3.2%)。我们的研究结果表明,如果将当地的无家可归率从第 75 位百分位数降低到第 50 位百分位数,那么在我们研究数据的最后一年,所有大都市地区的阿片类药物过量中毒人数将减少 1900 多人。我们的结论是,加强住房保障方面的社会安全网有助于遏制美国目前与药物滥用相关的中毒疫情。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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