Patrones de desempleo y muerte por sobredosis de opioides en Estados Unidos de 2017 a 2019

Autores/as

DOI:

https://doi.org/10.18041/2665-427X/ijeph.1.10941

Palabras clave:

opioides, mortalidad, sobredosis, daños relacionados con opioides, desempleo, determinantes sociales de la salud

Resumen

Introducción: El desempleo se relaciona al incrementó de los efectos negativos de opioides, como muerte por sobredosis. Identificar puntos críticos en EE.UU. puede ser crucial para redireccionar recursos de salud y mejorar estrategias, políticas y programas para reducir la carga de daños relacionados con los opioides.

Objetivo: Determinar la asociación entre el desempleo y la muerte por sobredosis de opioides.

Métodos: Utilizando datos de la Oficina de Estadísticas Laborales de EE.UU. y los CDC entre 2017 a 2019, describimos la correlación del desempleo con las muertes por sobredosis de opioides. Se realizaron análisis de agrupamiento espacial para generar valores globales del índice I de Moran y crear mapas de puntos críticos para identificar agrupaciones y tendencias.

Resultados: Se observó una autocorrelación de las tasas de mortalidad por sobredosis de opioides con las de los estados circundantes, en particular en el Medio Oeste, el Noreste y el Sureste en 2017 y 2019. En contraste, solo ciertos estados del Noreste mostraron una mayor agrupación en 2018. Un modelo de regresión de Poisson mostró asociación positiva entre el desempleo y muertes por sobredosis de opioides en 2017 y 2019. En general, 2018 no siguió patrones similares a los observados en 2017 y 2019 en la correlación entre el desempleo y las tasas de muerte por sobredosis.

Conclusiones: Las muertes relacionadas con opioides parecen estar asociadas con las tasas de desempleo en EE. UU. durante 2017 y 2019, pero en menor medida en 2018.

Descargas

Los datos de descarga aún no están disponibles.

Biografía del autor/a

  • Rana Khafagy, The Hospital for Sick Children

    Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

    Departments of Pharmacy and Critical Care Medicine, The Hospital for Sick Children, Toronto, Canada

  • Saranya Naraentheraraja, Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

    Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

  • Aranee Sathiyamoorthy, Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

    Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

Referencias

1. Chang HY, Kharrazi H, Bodycombe D, Weiner JP, Alexander GC. Healthcare costs and utilization associated with high-risk prescription opioid use: a retrospective cohort study. BMC medicine. 2018;16(1):1-1. doi: 10.1186/s12916-018-1058-y.

2. National Institute on Drug Abuse. Prescription Opioids DrugFacts; 2021. Cited 2024 Apr. Available from:

https://www.drugabuse.gov/publications/drugfacts/prescription-opioids

3. Dydyk, AM, Jain, NK, & Gupta, M. Opioid Use Disorder. StatPearls; 2021.

Cited 2024 Apr. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553166/

4. National Center for Health Statistics. Drug Overdose Deaths in the US Top 100,000 Annually; 2021. Cited 2024 Apr. Available from:

https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2021/20211117.htm

5. Grover JM, Alabdrabalnabi T, Patel MD, Bachman MW, Platts-Mills TF, Cabanas JG, et al. Measuring a Crisis: Questioning the Use of Naloxone Administrations as a Marker for Opioid Overdoses in a Large U.S. EMS System. Prehospital emergency care. 2018;22(3):281-9. doi: 10.1080/10903127.2017.1387628.

6. McDonald J, Goldschmidt A, Koziol J, McCormick M, Viner-Brown S, Alexander-Scott N. State unintentional drug overdose reporting surveillance: opioid overdose deaths and characteristics in Rhode Island. R I Med J (2013). 2018; 101(7): 25-30.

7. Azagba S, Shan L, Qeadan F, Wolfson M. Unemployment rate, opioids misuse and other substance abuse: quasi-experimental evidence from treatment admissions data. BMC psychiatry. 2021;21(1):22-9. doi: 10.1186/s12888-020-02981-7.

8. Jalal H, Buchanich JM, Roberts MS, Balmert LC, Zhang K, Burke DS. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (American Association for the Advancement of Science). 2018;361(6408):1218. doi: 10.1126/science.aau1184.

9. Monnat SM. Factors Associated With County-Level Differences in U.S. Drug-Related Mortality Rates. American journal of preventive medicine. 2018;54(5):611-9. doi: 10.1016/j.amepre.2018.01.040.

10. Pear VA, Ponicki WR, Gaidus A, Keyes KM, Martins SS, Fink DS, et al. Urban-rural variation in the socioeconomic determinants of opioid overdose. Drug and alcohol dependence. 2019;195:66-73. doi: 10.1016/j.drugalcdep.2018.11.024.

11. Dasgupta N, Beletsky L, Ciccarone D. Opioid Crisis: No easy fix to its social and

economic determinants. American journal of public health (1971). 2018;108(2):182-6. doi: 10.2105/AJPH.2017.304187.

12. Nosrati E, Kang-Brown J, Ash M, McKee M, Marmot M, King LP. Economic decline, incarceration, and mortality from drug use disorders in the USA between 1983 and 2014: an observational analysis. Lancet Public health. 2019;4(7):e326-e333. doi: 10.1016/S2468-2667(19)30104-5.

13. Gordon SH, Sommers BD. Recessions, poverty, and mortality in the United States: 1993-2012. American journal of health economics. 2016;2(4):489-510. doi: 10.1162/AJHE_a_00060.

14. Rudolph KE, Kinnard EN, Aguirre AR, Goin DE, Feelemyer J, Fink D, et al. The relative economy and drug overdose deaths. Epidemiology (Cambridge, Mass). 2020;31(4):551-8. doi: 10.1097/EDE.0000000000001199.

15. OECD. Working age population (indicator); doi: 10.1787/d339918b-en; 2023. Cited 2024 May 4. Available from https://data.oecd.org/pop/working-age-population.htm

16. US BLS. About the U.S. Bureau of Labor Statistics; 2010. Cited 2024 Apr 14. Available from https://www.bls.gov/bls/infohome.htm

17. US BLS. Unemployment Rates for States, 2017 Annual Averages; 2022. Cited 2024 Apr 5. Available from https://www.bls.gov/lau/lastrk17.htm

18. US BLS. Unemployment Rates for States, 2018 Annual Averages; 2022. Cited 2024 Apr 15. Available from https://www.bls.gov/lau/lastrk18.htm

19. US BLS. Unemployment Rates for States, 2019 Annual Averages; 2022. Cited 2024 Apr 14. Available from https://www.bls.gov/lau/lastrk19.htm

20. CDC. VSRR Provisional Drug Overdose Death Counts; 2022. Cited 2024 Apr 5. Available from https://data.cdc.gov/NCHS/VSRR-Provisional-Drug-Overdose-Death-Counts/xkb8-kh2a

21. United States Census Bureau. Cartographic Boundary Files - Shapefile; 2021. Cited 2024 Mar 6. Available from https://www.census.gov/geographies/mapping-files/time-series/geo/carto-boundary-file.html

22. Park C, Clemenceau JR, Seballos A, Crawford S, Lopez R, Coy T, et al. A spatiotemporal analysis of opioid poisoning mortality in Ohio from 2010 to 2016. Scientific reports. 2021;11(1):4692-9. doi: 10.1038/s41598-021-83544-y.

23. Zidar O, Zwick E. A modest tax reform proposal to roll back federal tax policy to 1997; Washington Center for Equitable Growth, 2020. Cited 2024 May 12. Available from https://equitablegrowth.org/a-modest-tax-reform-proposal-to-roll-back-federal-tax-policy-to-1997/

24. Wamhoff S, Gardner M. President’s Proposed Income Tax Rate Hike and Capital Gains Change Would Affect 1 Percent of Taxpayers; Institute on Taxation and Economic Policy, 2021. Cited 2024 May 12. Available from https://itep.org/income-tax-increases-in-the-presidents-american-families-plan/

25. Hollingsworth A, Ruhm CJ, Simon K. Macroeconomic conditions and opioid abuse. J Health Econ. 2017;56:222-233. doi: 10.1016/j.jhealeco.2017.07.009.

26. Currie J, Schwandt H. The Opioid Epidemic Was Not Caused by Economic Distress but by Factors That Could Be More Rapidly Addressed. Ann Am Acad Pol Soc Sci. 2021;695(1):276-91. doi: 10.1177/00027162211033833.

27. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Sciences Policy; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse; Phillips JK, Ford MA, Bonnie RJ, editors. 5, Evidence on Strategies for Addressing the Opioid Epidemic. En: Pain management and the opioid epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Washington (DC): National Academies Press (US); 2017. Available from: https://www.ncbi.nlm.nih.gov/books/NBK458653/

28. Crestol S. Employment growth moderates in 2017: Continuing a lengthy expansionary period. Monthly Labor Review, U.S. Bureau of Labor Statistics. 2018; doi: 10.21916/mlr.2018.14.

29. Skidmore M, Toya H. Do natural disasters promote long-run growth? Econ. Inq. 2002;40(4):664-687. doi: 10.1093/ei/40.4.664.

30. Kashian R, Buchman T, Peralta K. After the hurricane: Economic adversity, bank offices, and community banks. Int J Disaster Risk Reduct. 2020;51:101846. doi: 10.1016/j.ijdrr.2020.

Publicado

2025-04-10

Número

Sección

Artículos Originales

Cómo citar

Khafagy, R., Naraentheraraja, S., & Sathiyamoorthy, A. (2025). Patrones de desempleo y muerte por sobredosis de opioides en Estados Unidos de 2017 a 2019. Interdisciplinary Journal of Epidemiology and Public Health, 8(1), e-10941. https://doi.org/10.18041/2665-427X/ijeph.1.10941

Artículos similares

1-10 de 40

También puede Iniciar una búsqueda de similitud avanzada para este artículo.