Journal of Urban Health-Bulletin of the New York Academy of Medicine最新文献

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The Promises and Potential Pitfalls of Highway Reclamation for Population Health: A Research Framework. 公路填海对人口健康的承诺和潜在隐患:研究框架。
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-25 DOI: 10.1007/s11524-024-00933-0
Mary D Willis, Fintan Mooney, Jennifer Weuve, Perry Hystad, Heyden Walker, Addie Walker, Amy Stelly, Stacy Fox, Loretta Lees
{"title":"The Promises and Potential Pitfalls of Highway Reclamation for Population Health: A Research Framework.","authors":"Mary D Willis, Fintan Mooney, Jennifer Weuve, Perry Hystad, Heyden Walker, Addie Walker, Amy Stelly, Stacy Fox, Loretta Lees","doi":"10.1007/s11524-024-00933-0","DOIUrl":"https://doi.org/10.1007/s11524-024-00933-0","url":null,"abstract":"<p><p>Highway reclamation (i.e., the removal of highways or placing existing highways underground to create mixed-use urban areas) is being implemented around the United States, often touting co-benefits for population health. As part of the Bipartisan Infrastructure Law and the Inflation Reduction Act, the Reconnecting Communities and Neighborhoods grant program is a first-of-its-kind investment in launching even more highway reclamation projects. Depending on how the projects are implemented, these projects may create gentrification (i.e., the displacement of poor long-time residents by wealthier new people), thereby displacing the populations these projects are designed to protect. However, little work has systematically examined the extent to which highway reclamation projects provide the promised benefits for neighborhood environments (e.g., reduced air pollution), minimize gentrification, and improve health outcomes. This commentary proposes a framework by which the multidimensional impacts of highway reclamation can be evaluated, unlocking potential new structural pathways toward urban health equity.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Makes a Liveable Neighborhood? Role of Socio-Demographic, Dwelling, and Environmental Factors and Participation in Finnish Urban and Suburban Areas. 是什么造就了宜居社区?芬兰城市和郊区的社会人口、居住和环境因素及参与度的作用。
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-24 DOI: 10.1007/s11524-024-00927-y
Tytti P Pasanen, Timo Lanki, Taina Siponen, Anu W Turunen, Pekka Tiittanen, Vuokko Heikinheimo, Maija Tiitu, Arto Viinikka, Jaana I Halonen
{"title":"What Makes a Liveable Neighborhood? Role of Socio-Demographic, Dwelling, and Environmental Factors and Participation in Finnish Urban and Suburban Areas.","authors":"Tytti P Pasanen, Timo Lanki, Taina Siponen, Anu W Turunen, Pekka Tiittanen, Vuokko Heikinheimo, Maija Tiitu, Arto Viinikka, Jaana I Halonen","doi":"10.1007/s11524-024-00927-y","DOIUrl":"https://doi.org/10.1007/s11524-024-00927-y","url":null,"abstract":"<p><p>Quality of residential area, or neighborhood, is one determinant of overall quality of life and associated with health and health behavior. Ensuring that urban and suburban neighborhoods remain liveable and comfortable to reside in is a challenge amidst growing urbanization. Neighborhood quality has been associated with socio-demographic, dwelling-related, and subjective and objective neighborhood factors. However, only a few studies have additionally included participation in neighborhood decision-making and examined whether these associations are stronger among residents who are more settled in the neighborhood. We examined whether subjectively and objectively measured environmental factors and participation are associated with perception of neighborhood liveability and possible effect moderators. We analyzed survey data collected in 2021 among adults (aged 18-97) living in suburbs and urban centers in five Finnish cities (n = 2057; response rate 34%) with logistic regression models. Almost 80% of the respondents perceived their neighborhood as liveable or very liveable. The following factors were most strongly associated with perceiving the neighborhood as liveable: low area-level socioeconomic deprivation; central urban zone; green view from home; satisfaction with neighborhood safety, green areas, blue areas, and maintenance of traffic routes; and good or very good possibilities to influence decisions regarding the neighborhood. Only a few interactions between indicators of being more settled in the neighborhood (e.g., age group and dwelling ownership) modified these associations. In all, our study suggests that to maintain liveability, urban or community planning should consider local residents' favorable perceptions of safety, recreational areas, and engagement in decision-making.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Progress in Maternal, Newborn, and Child Health in Cities in Sub-Saharan Africa: Are Wide Inequities Holding Back Cities? 撒哈拉以南非洲城市在孕产妇、新生儿和儿童健康方面取得的进展:广泛的不平等是否阻碍了城市的发展?
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-23 DOI: 10.1007/s11524-024-00936-x
Cheikh Mbacké Faye, Blessing Mberu, Ties Boerma
{"title":"Progress in Maternal, Newborn, and Child Health in Cities in Sub-Saharan Africa: Are Wide Inequities Holding Back Cities?","authors":"Cheikh Mbacké Faye, Blessing Mberu, Ties Boerma","doi":"10.1007/s11524-024-00936-x","DOIUrl":"https://doi.org/10.1007/s11524-024-00936-x","url":null,"abstract":"","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Involuntary Displacement of People Experiencing Homelessness and Crime in Denver, CO: A Spatiotemporal Analysis. 科罗拉多州丹佛市无家可归者非自愿流离失所与犯罪的关联:时空分析
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-16 DOI: 10.1007/s11524-024-00924-1
Pranav Padmanabhan, Cole Jurecka, Samantha K Nall, Jesse L Goldshear, Joshua A Barocas
{"title":"Association of Involuntary Displacement of People Experiencing Homelessness and Crime in Denver, CO: A Spatiotemporal Analysis.","authors":"Pranav Padmanabhan, Cole Jurecka, Samantha K Nall, Jesse L Goldshear, Joshua A Barocas","doi":"10.1007/s11524-024-00924-1","DOIUrl":"https://doi.org/10.1007/s11524-024-00924-1","url":null,"abstract":"<p><p>In 2022, approximately 580,000 people experienced homelessness in the United States. In response, many cities have implemented \"camping ban\" policies enforced by involuntary displacement of homeless encampments. Displacement has been cited as a strategy to protect public health and safety. However, there is mixed evidence that displacement is effective in reducing crime, while it is associated with other adverse health outcomes. To evaluate the neighborhood-level association between displacement and crime, we performed a retrospective (November 2019 to July 2023) pre-post spatiotemporal analysis using administrative data from Denver, CO. We used the Knox test statistic to detect excess clustering and change in total crime, as well as crime stratified by the National Incident-Based Reporting System (NIBRS) category, within spatiotemporal proximity to displacement events. We found that, on average, clustering of crime is high both before and after displacement. Within a 0.25-mile radius, displacement is associated with a statistically significant but modest decrease in crime, between - 9.3% within 7 days (p < 0.001) and - 3.9% within 21 days (p = 0.002). We found no consistent change in composite crime at a 0.5- or 0.75-mile radius. Hyperlocal decreases were driven by significant decreases in public disorder and auto theft, while crimes against persons increased and displayed high clustering post-displacement. There were no changes in any other offense type. Involuntary displacement is not consistently associated with changes in clustering of crime and may exacerbate violence in nearby areas.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Area-Level Factors of Dental Caries in Children and Adolescents in European Neighborhoods - a Systematic Review. 欧洲社区儿童和青少年龋齿的地区因素--系统回顾。
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-08 DOI: 10.1007/s11524-024-00916-1
Zacharias Joel Schulze, Franziska Schubert, Christian Ralf Gernhardt, Nele Krayl, Anna Peters, Susanne Unverzagt, Karoline Wagner, Andreas Wienke, Amand Führer
{"title":"Area-Level Factors of Dental Caries in Children and Adolescents in European Neighborhoods - a Systematic Review.","authors":"Zacharias Joel Schulze, Franziska Schubert, Christian Ralf Gernhardt, Nele Krayl, Anna Peters, Susanne Unverzagt, Karoline Wagner, Andreas Wienke, Amand Führer","doi":"10.1007/s11524-024-00916-1","DOIUrl":"https://doi.org/10.1007/s11524-024-00916-1","url":null,"abstract":"<p><p>The WHO emphasizes the importance of taking area-level factors into account when formulating public health interventions. The aim of this systematic review was to identify which area-level factors are associated with children's dental caries in Europe and might therefore be a suitable starting point for public health interventions. We conducted a systematic review based on a search in PubMed, Web of Science, and Cochrane Library including all European studies on caries in children and their area-level factors published since the year 2000 in English or German. We included 39 studies and identified 13 area-level factors investigated in the literature: degree of urbanization, deprivation, mean housing price, gross-national product, mean level of education, unemployment proportion and income, density of supermarkets, snack bars and dental offices, health, diet, and crime. Rural residency and higher unemployment were weakly associated with poorer oral health regarding dental caries. Deprivation showed a stronger (inverse) association. For income, findings were ambiguous; studies showed associations in both directions. For the other determinants, the included studies found no association. Many studies reported associations between place of residence and children's dental caries, but the mediators on this causal path are still not clearly established. The area-level factors analyzed in this review seem to play a role, but more studies with designs that allow causal interpretation of findings are needed to establish solid robust evidence that can be used in the formulation of future health policies.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analyzing and Optimizing the Distribution of Blood Lead Level Testing for Children in New York City: A Data-Driven Approach. 分析并优化纽约市儿童血铅含量检测的分布:数据驱动法。
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-07 DOI: 10.1007/s11524-024-00920-5
Khalifa Afane, Juntao Chen
{"title":"Analyzing and Optimizing the Distribution of Blood Lead Level Testing for Children in New York City: A Data-Driven Approach.","authors":"Khalifa Afane, Juntao Chen","doi":"10.1007/s11524-024-00920-5","DOIUrl":"https://doi.org/10.1007/s11524-024-00920-5","url":null,"abstract":"<p><p>This study investigates blood lead level (BLL) rates and testing among children under 6 years of age across the 42 neighborhoods in New York City from 2005 to 2021. Despite a citywide general decline in BLL rates, disparities at the neighborhood level persist and are not addressed in the official reports, highlighting the need for this comprehensive analysis. In this paper, we analyze the current BLL testing distribution and cluster the neighborhoods using a k-medoids clustering algorithm. We propose an optimized approach that improves resource allocation efficiency by accounting for case incidences and neighborhood risk profiles using a grid search algorithm. Our findings demonstrate statistically significant improvements in case detection and enhanced fairness by focusing on under-served and high-risk groups. Additionally, we propose actionable recommendations to raise awareness among parents, including outreach at local daycare centers and kindergartens, among other venues.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers and Facilitators to Trust in the COVID-19 New York City Test and Trace Program. COVID-19 纽约市测试和跟踪计划中的信任障碍和促进因素。
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-16 DOI: 10.1007/s11524-024-00911-6
Michelle M Chau, Rita Larson, Margaret M Paul, Rachel E Massar, Lorraine Kwok, Carolyn A Berry, Lorna E Thorpe, Stefanie Bendik, Anna Bershteyn, Nadia S Islam
{"title":"Barriers and Facilitators to Trust in the COVID-19 New York City Test and Trace Program.","authors":"Michelle M Chau, Rita Larson, Margaret M Paul, Rachel E Massar, Lorraine Kwok, Carolyn A Berry, Lorna E Thorpe, Stefanie Bendik, Anna Bershteyn, Nadia S Islam","doi":"10.1007/s11524-024-00911-6","DOIUrl":"10.1007/s11524-024-00911-6","url":null,"abstract":"","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"879-887"},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11461413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Victimization by Sex among Public Facing Bus and Subway Transit Workers, New York City. 纽约市面对公众的巴士和地铁运输工人的性别受害关联。
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-21 DOI: 10.1007/s11524-024-00912-5
David Vlahov, Daniel Hagen, Michael Cziner, Alexis Merdjanoff, Martin F Sherman, Robyn R Gershon
{"title":"Association of Victimization by Sex among Public Facing Bus and Subway Transit Workers, New York City.","authors":"David Vlahov, Daniel Hagen, Michael Cziner, Alexis Merdjanoff, Martin F Sherman, Robyn R Gershon","doi":"10.1007/s11524-024-00912-5","DOIUrl":"10.1007/s11524-024-00912-5","url":null,"abstract":"<p><p>Federal data indicate that assaults on transit workers resulting in fatalities or hospitalizations tripled between 2008 and 2022. The data indicated a peri-pandemic surge of assault-related fatalities and hospitalizations, but assaults with less dire outcomes were not recorded. In collaboration with the Transport Workers Union, Local 100, we conducted an online survey in late 2023 through early 2024 of New York City public-facing bus and subway workers that focused on their work experiences during the 2020-2023 period of the COVID-19 pandemic. Items for this analysis on victimization included measures of physical and sexual assault/harassment, verbal harassment/intimidation, theft, and demographic characteristics (e.g., sex, race, work division). We estimated separate modified Poisson models for each of the four outcomes, yielding prevalence ratios (PRs) and 95% confidence intervals (CIs). Potential interactions between variables with strong main effects in the adjusted model were further examined using product terms. Among 1297 respondents, 89.0% reported any victimization; respondents also reported physical assault (48.6%), sexual assault/harassment (6.3%), verbal harassment/intimidation (48.7%), and theft on the transit system (20.6%). Physical assault was significantly more common among women in the bus division compared to female subway workers, male bus workers, and male subway workers (adjusted PR (aPR) = 3.54; reference = male subway workers; Wald test p < .001). With the same reference group, sexual assault/harassment was more frequently reported among female subway workers (aPR = 5.15; Wald test, p < .001), but verbal assault/intimidation and experiencing theft were least common among women in the bus division (aPR = 0.22 and 0.13, respectively; Wald tests, p < .001). These data point to the need for greater attention to record and report on victimization against workers in both buses and subway.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"934-941"},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11461377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Historical Bias in Mortgage Lending, Redlining, and Implications for the Uncertain Geographic Context Problem: A Study of Structural Housing Discrimination in Dallas and Boston. 按揭贷款中的历史偏差、再限制以及对不确定地理背景问题的影响:达拉斯和波士顿结构性住房歧视研究》(Historical Bias in Mortgage Lending, Redlining, and Implications for the Uncertain Geographic Context Problem: A Study of Structural Housing Discrimination in Dallas and Boston.
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-21 DOI: 10.1007/s11524-024-00887-3
Alaina M Beauchamp, Jasmin A Tiro, Jennifer S Haas, Sarah C Kobrin, Margarita Alegria, Amy E Hughes
{"title":"Historical Bias in Mortgage Lending, Redlining, and Implications for the Uncertain Geographic Context Problem: A Study of Structural Housing Discrimination in Dallas and Boston.","authors":"Alaina M Beauchamp, Jasmin A Tiro, Jennifer S Haas, Sarah C Kobrin, Margarita Alegria, Amy E Hughes","doi":"10.1007/s11524-024-00887-3","DOIUrl":"10.1007/s11524-024-00887-3","url":null,"abstract":"<p><p>According to the uncertain geographic context problem, a lack of temporal information can hinder measures of bias in mortgage lending. This study extends previous methods to: (1) measure the persistence of racial bias in mortgage lending for Black Americans by adding temporal trends and credit scores, and (2) evaluate the continuity of bias in discriminatory areas from 1990 to 2020. These additions create an indicator of persistent structural housing discrimination. We studied the Boston-Cambridge-Newton and Dallas-Fort Worth metropolitan statistical areas to examine distinct historical trajectories and urban development. We estimated the odds of mortgage denial for census tracts. Overall, all tracts in Boston-Cambridge-Newton (N = 1003) and Dallas-Fort Worth (N = 1312) displayed significant change, with greater odds of bias over time in Dallas-Fort Worth and lower odds in Boston-Cambridge-Newton. Historically redlined areas displayed the strongest persistence of bias. Results suggest that temporal data can identify persistence and improve sensitivity in measuring neighborhood bias. Understanding the temporality of residential exposure can increase research rigor and inform policy to reduce the health effects of racial bias.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"1037-1044"},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11461407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drug Overdose Death Following Substance Use Disorder Treatment Termination in New York City: A Retrospective Longitudinal Cohort Study. 纽约市药物使用失调治疗终止后的吸毒过量死亡:一项回顾性纵向队列研究。
IF 4.3 2区 医学
Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1007/s11524-024-00893-5
Ashly E Jordan, Gail Jette, Jason K Graham, Constance Burke, Chinazo O Cunningham
{"title":"Drug Overdose Death Following Substance Use Disorder Treatment Termination in New York City: A Retrospective Longitudinal Cohort Study.","authors":"Ashly E Jordan, Gail Jette, Jason K Graham, Constance Burke, Chinazo O Cunningham","doi":"10.1007/s11524-024-00893-5","DOIUrl":"10.1007/s11524-024-00893-5","url":null,"abstract":"<p><p>Drug overdose death rates are the highest recorded in New York City (NYC). Substance use disorder (SUD) treatment termination can confer increased risk of drug overdose death. Our objective was to determine the probability of, and factors associated with, drug overdose death following SUD treatment termination. Using a retrospective longitudinal cohort design, we identified those who had NYC-based SUD treatment terminated (01/2016-06/2019) using Chief Medical Examiner and SUD treatment data. Using survival analyses, we examined drug overdose deaths ≤ 14 and ≤ 90 days following SUD treatment termination, respectively. Of 51,171 patients with SUD treatment termination, 140 and 342 had a drug overdose death < 14 and ≤ 90 days, respectively. The crude drug overdose death rate was 26.7 per 1000 person-years at-risk in the ≤ 90-day period and was 71.6 per 1000 person-years at-risk in the ≤ 14-day period. In adjusted Cox proportional hazard model examining death ≤ 14 days, those unemployed (compared to employed) and those terminated from residential treatment (compared to medically supervised withdrawal, opioid treatment programs, and outpatient treatment) were more likely to have had a drug overdose death (all p-values < 0.01). In adjusted Cox proportional hazard model examining death ≤ 90 days, non-Hispanic White people (compared to non-Hispanic Black people), those not stably housed (compared to stably housed), those unemployed and those terminated from residential treatment were more likely to have had a drug overdose death (all p-values < 0.01). Strategies to improve retention including the reassessment of program treatment termination criteria along with strategies to promote ongoing OUD treatment, engagement in harm reduction, and distribution of naloxone are needed.</p>","PeriodicalId":49964,"journal":{"name":"Journal of Urban Health-Bulletin of the New York Academy of Medicine","volume":" ","pages":"1045-1057"},"PeriodicalIF":4.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11461374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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