Trends in racial/ethnic and geographic disparities in substance use disorders mortality in the United States, 2000-2019.

IF 2.5 4区 医学 Q2 SUBSTANCE ABUSE
Akshaya S Bhagavathula, Theodoros Daglis, Yoshito Nishimura
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引用次数: 0

Abstract

Background and objectives: Substance use disorders (SUD) are a major public health concern in the United States. This study examined racial/ethnic and state-level disparities in SUD mortality in the United States from 2000 to 2019.

Methods: Age-standardized mortality rates for SUD were obtained for 5 racial/ethnic groups (White respondents, Black respondents, Latino, Asian-Pacific Islander [API], American Indian/Alaska Native [AIAN]) by state and sex from 2000 to 2019. Joinpoint regression analysis was used to model temporal trends overall and by demographic factors.

Results: From 2000 to 2019, the overall mortality rate increased from 8.0 to 28.8 deaths per 100,000 population across all groups. AIANs had the highest mortality in 2019 (57.8 per 100,000), followed by Black respondents, White respondents, Latinos, and APIs. Significant increases occurred across all racial/ethnic groups, with the greatest average annual percentage change (AAPC2000-2019) among White respondents (6.7%; 95% confidence interval [CI]: 6.2%-7.3%), APIs (6.0%, 95% CI: 5.6%-6.2%), and AIANs (5.9%, 95% CI: 5.6%-6.2%). Mortality rates increased more rapidly for females than males among White respondents, AIANs, Black respondents, and Latinos. Substantial state-level variation emerged, with the highest mortality rates in 2019 seen in West Virginia, the District of Columbia, Delaware, Ohio, and Pennsylvania.

Discussion and conclusions: Racial/ethnic and geographic disparities in SUD mortality have widened significantly from 2000 to 2019, highlighting priority areas for prevention efforts.

Scientific significance: This study provides detailed insights into long-term trends in racial, ethnic, and geographic disparities in SUD mortality across the United States, informing targeted prevention and intervention strategies.

2000-2019 年美国药物使用障碍死亡率的种族/民族和地域差异趋势。
背景和目标:药物使用失调症(SUD)是美国的一大公共卫生问题。本研究调查了 2000 年至 2019 年美国各种族/族裔和各州在 SUD 死亡率方面的差异:获得了 2000 年至 2019 年按州和性别划分的 5 个种族/族裔群体(白人受访者、黑人受访者、拉丁裔、亚太岛民 [API]、美国印第安人/阿拉斯加原住民 [AIAN])的 SUD 年龄标准化死亡率。采用连接点回归分析来模拟总体和人口因素的时间趋势:从 2000 年到 2019 年,所有群体的总死亡率从每 10 万人 8.0 例增加到 28.8 例。2019 年,亚裔美国人的死亡率最高(每 10 万人中有 57.8 人死亡),其次是黑人受访者、白人受访者、拉美裔美国人和亚太裔美国人。所有种族/族裔群体的死亡率都有显著上升,其中白人受访者(6.7%;95% 置信区间 [CI]:6.2%-7.3%)、亚太裔(6.0%,95% CI:5.6%-6.2%)和亚裔(5.9%,95% CI:5.6%-6.2%)的年均百分比变化最大(AAPC2000-2019)。在白人受访者、亚裔美国人、黑人受访者和拉美裔受访者中,女性死亡率的增长速度高于男性。各州之间存在很大差异,2019 年死亡率最高的是西弗吉尼亚州、哥伦比亚特区、特拉华州、俄亥俄州和宾夕法尼亚州:从 2000 年到 2019 年,SUD 死亡率的种族/族裔和地域差异显著扩大,突出了预防工作的优先领域:这项研究详细揭示了全美 SUD 死亡率中种族、民族和地域差异的长期趋势,为有针对性的预防和干预策略提供了信息。
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来源期刊
CiteScore
5.00
自引率
0.00%
发文量
118
期刊介绍: The American Journal on Addictions is the official journal of the American Academy of Addiction Psychiatry. The Academy encourages research on the etiology, prevention, identification, and treatment of substance abuse; thus, the journal provides a forum for the dissemination of information in the extensive field of addiction. Each issue of this publication covers a wide variety of topics ranging from codependence to genetics, epidemiology to dual diagnostics, etiology to neuroscience, and much more. Features of the journal, all written by experts in the field, include special overview articles, clinical or basic research papers, clinical updates, and book reviews within the area of addictions.
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