Age-Based Trends in Opioid Overdose-Related Emergency Medical Services Encounters, 2017-2023.

IF 1.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Management and Practice Pub Date : 2025-07-28 DOI:10.1097/PHH.0000000000002199

Ashlyn Burns, Leslie Hulvershorn, Matthew C Aalsma, Zachary W Adams

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Abstract

This repeated cross-sectional analysis uses 2017-2023 National Emergency Medical Services Information System (NEMSIS) data to characterize age-based trends in overdose-related EMS encounters. We calculated the annual rate of opioid overdose-related EMS encounters per 10 000 total EMS encounters across six age-groups. Among all age-groups, the annual rate of opioid overdose-related EMS encounters increased from 2019 to 2020. The largest increase was seen among adolescents under age 18, which increased by 70% (7.7-13.1 per 10 000 EMS encounters). From 2022 to 2023, the annual rate of opioid overdose-related EMS encounters decreased among all age-groups. Among those ages 18-24 and 25-34, overdose-related EMS encounters resemble pre-pandemic levels. In contrast, the annual rate among the under 18 group remained 62% higher (12.5 per 10 000 EMS encounters) than pre-pandemic levels. Given inaccurate beliefs that opioid overdoses only affect adults, system-level interventions are needed to expand access to youth-focused prevention, harm reduction, and treatment services.

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2017-2023年阿片类药物过量相关紧急医疗服务遭遇的年龄趋势

这项重复的横断面分析使用2017-2023年国家紧急医疗服务信息系统（NEMSIS）数据来表征与过量用药相关的EMS遭遇的基于年龄的趋势。我们计算了六个年龄组中每10,000次总EMS就诊中阿片类药物过量相关的EMS就诊的年发生率。在所有年龄组中，阿片类药物过量相关的EMS遭遇的年增长率从2019年到2020年有所增加。增幅最大的是18岁以下的青少年，增加了70%（每10000次急诊就诊7.7-13.1次）。从2022年到2023年，所有年龄组中阿片类药物过量相关的EMS遭遇的年发生率都有所下降。在18-24岁和25-34岁的人群中，与过量相关的EMS遭遇与大流行前的水平相似。相比之下，18岁以下人群的年发病率仍比大流行前高62%（每1万次急诊中有12.5例）。鉴于阿片类药物过量只影响成年人的错误观念，需要系统层面的干预措施，以扩大获得以青年为重点的预防、减少伤害和治疗服务。

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

Journal of Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.40

自引率

9.10%

发文量

287

期刊介绍： Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.