ABSTRACT

The opioid crisis has resulted in unprecedented rates of overdose, yet much remains unknown about the locational and contextual attributes of overdose events. This study aimed to identify settings of nonfatal opioid overdose and their individual and community level predictors. Data from 3,326 overdose events show that residences are the most common overdose setting. Compared to overdoses occurring in residences, outdoor overdoses were more likely in communities with higher area deprivation index and population density, and overdoses in nonresidential settings were more likely among unhoused individuals. Findings demonstrate the need for comprehensive, yet tailored and localized approaches to overdose prevention.

摘要

阿片类药物危机导致了前所未有的过量服用率，但关于过量服用事件的位置和背景属性仍有很多未知之处。本研究旨在确定非致命性阿片类药物过量的环境及其个人和社区层面的预测因素。来自 3,326 次药物过量事件的数据显示，住宅是最常见的药物过量环境。与住宅中发生的过量服药相比，在地区剥夺指数和人口密度较高的社区中，户外过量服药的可能性更大，而在非住宅环境中的过量服药更有可能在无人居住的个人中发生。研究结果表明，需要采取全面、量身定制和本地化的过量预防方法。