Multivariate spatiotemporal modeling of drug- and alcohol-poisoning deaths in New York City, 2009-2014

Publication date: Available online 11 November 2019Source: Spatial and Spatio-temporal EpidemiologyAuthor(s): Yusuf Ransome, S.V. Subramanian, Dustin T. Duncan, Daivid Vlahov, Joshua WarrenAbstractDrug- and alcohol-poisoning deaths remain current public health problems. Studies to date have typically focused on individual-level predictors of drug overdose deaths, and there remains a limited understanding of the spatiotemporal patterns and predictors of the joint outcomes. We use a hierarchical Bayesian spatiotemporal multivariate Poisson regression model on data from (N=167) ZIP-codes between 2009 and 2014 in New York City to examine the spatiotemporal patterns of the joint occurrence of drug (opioids) and alcohol-poisoning deaths, and the covariates associated with each outcome. Results indicate that rates of both outcomes were highly positively correlated across ZIP-codes (cross-correlation: 0.57, 95% credible interval (CrI): 0.29, 0.77). ZIP-codes with a higher prevalence of heavy drinking had higher alcohol-poisoning deaths (relative risk (RR):1.63, 95% CrI: 1.26, 2.05) and drug-poisoning deaths (RR: 1.29, 95% CrI: 1.03, 1.59). These spatial patterns may guide public health planners to target specific areas to address these co-occurring epidemics.
Source: Spatial and Spatio-temporal Epidemiology - Category: Epidemiology Source Type: research

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Publication date: February 2020Source: Spatial and Spatio-temporal Epidemiology, Volume 32Author(s): Yusuf Ransome, S.V. Subramanian, Dustin T. Duncan, Daivid Vlahov, Joshua WarrenAbstractDrug- and alcohol-poisoning deaths remain current public health problems. Studies to date have typically focused on individual-level predictors of drug overdose deaths, and there remains a limited understanding of the spatiotemporal patterns and predictors of the joint outcomes. We use a hierarchical Bayesian spatiotemporal multivariate Poisson regression model on data from (N = 167) ZIP-codes between 2009 and 2014 in New York City to...
Source: Spatial and Spatio-temporal Epidemiology - Category: Epidemiology Source Type: research
CONCLUSIONS: Posterior distributions from these models enabled the identification of locations most vulnerable to problems related to the opioid epidemic in Pennsylvania. Understanding spatial patterns of OUD and poisonings can enhance the development and implementation of effective prevention programs. PMID: 30573021 [PubMed - in process]
Source: Journal of Studies on Alcohol and Drugs - Category: Addiction Tags: J Stud Alcohol Drugs Source Type: research
​The atomizer is a handy tool to instill life-saving medication into the nose, and you should consider stocking them if you don't already. An atomizer can be used to administer naloxone and countless other drugs as well as for moderate sedation and pain control. Pediatric and adult patients alike can benefit from intranasal fentanyl or Versed. Studies on intranasal epinephrine for anaphylaxis also look promising, but it does require a higher dose—5 mg instead of 0.3 mg. (Asian Pac J Allergy Immunol 2016;34[1]:38; http://bit.ly/2Prpjhb.)The atomizer is easy to use and can be attached to any syringe. Each spray creat...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
See something of interest? Please share our postings with colleagues in your institutions! Spotlight The MAReport: read the Summer/Fall 2018 issue of the MAReport newsletter! This quarter, Health Professions Coordinator Erin Seger wrote about her experiences at the 17th annual Philadelphia Trans Wellness Conference, and LGBT health information needs in her article, “LGBT Health Information Resources.” Member Highlights: Stony Brook University, Southampton, NY – learn about how the Applied Health Informatics Program at Stony Brook used NNLM MAR funding to conduct a Wellness Fair for seniors, and later...
Source: NN/LM Middle Atlantic Region Blog - Category: Databases & Libraries Authors: Tags: Weekly Postings Source Type: news
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Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
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Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue General Review buphernorphin heroin methadone opiate opiate addiction treatment withdrawal Source Type: research
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The authors of a recent Health Affairs Blog post argue that 42 CFR Part 2, the law designed to protect confidentiality of patients with substance use disorders, is outdated and unnecessary. We could not disagree more. 42 CFR Part 2 provides bedrock protections for people with substance use disorders that are as critical now as they were in the 1970s when the law was first enacted. The purpose of the confidentiality law is to ensure that a person with a substance use disorder is not made more vulnerable to discriminatory practices and legal consequences as a result of seeking treatment. Unfortunately, patients with sub...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Featured Population Health Public Health Quality 42 CFR Part 2 HIPAA opioid epidemic patient discrimination patient privacy substance use treatment Source Type: blogs
McLean Hospital Guest Blogger Hilary Smith Connery, MD, PhD Self-inflicted injury is now the 8th leading cause of mortality, while suicide is the 10th leading cause of death in the United States. That's a stunning number of people dying by their own hand in one form or another, and in addition to galvanizing public health prevention efforts, these statistics pose an urgent need to identify root causes and more effective treatment systems. Treatment works, but beyond having access to appropriate medical and psychological help, the social environment is critical to creating successful recovery opportunities for those suff...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
At the heart of all policymaking of the AMA is the mission to promote the betterment of public health. Physicians at the 2016 AMA Annual Meeting adopted a variety of policies that will help improve consumer safety and reduce harm—they range from preventing drug overdose to delaying school start times and supporting paid sick leave. 1. Medication disposal programs could help prevent overdose, improve health An unprecedented drug overdose epidemic in the United State could be addressed in part by stronger medication return programs that treat unused medications as hazardous waste. The AMA called for support of medi...
Source: AMA Wire - Category: Journals (General) Authors: Source Type: news
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