Geospatial Variations and Neighborhood Deprivation in Drug-Related Admissions and Overdoses

J Urban Health. 2020 Dec;97(6):814-822. doi: 10.1007/s11524-020-00436-8.

Abstract

Drug overdoses are a national and global epidemic. However, while overdoses are inextricably linked to social, demographic, and geographical determinants, geospatial patterns of drug-related admissions and overdoses at the neighborhood level remain poorly studied. The objective of this paper is to investigate spatial distributions of patients admitted for drug-related admissions and overdoses from a large, urban, tertiary care center using electronic health record data. Additionally, these spatial distributions were adjusted for a validated socioeconomic index called the Area Deprivation Index (ADI). We showed spatial heterogeneity in patients admitted for opioid, amphetamine, and psychostimulant-related diagnoses and overdoses. While ADI was associated with drug-related admissions, it did not correct for spatial variations and could not account alone for this spatial heterogeneity.

Keywords: Area deprivation; Drug overdoses; Epidemiology; Opioid epidemic; Socioeconomics.

MeSH terms

  • Cohort Studies
  • Drug Overdose* / epidemiology
  • Female
  • Hospitalization* / statistics & numerical data
  • Humans
  • Male
  • Poverty Areas*
  • Residence Characteristics* / statistics & numerical data
  • Spatial Analysis
  • Substance-Related Disorders* / epidemiology
  • Substance-Related Disorders* / therapy