While prior research highlights the overlap of substance use and violent death, few examine this overlap among different racial/ethnic groups or how patterns change over time. This study examines how substance use related deaths differ by racial/ethnic groups in the United States. We use data from the National Violent Death Reporting System (NVDRS), which includes violent deaths from 43 states in the U.S., collected for the decade between 2009 and 2019 (N = 226,459). Fixed-effects multivariate models examined whether race/ethnicity was associated with substance use-related death over time, controlling for additional demographic and clinical factors. Results showed a significantly larger rate of increase over time for African American and Hispanic (any race) persons compared to White non-Hispanic persons for most types of substance use-related deaths. While current rates of substance use may show little variability between African American, Hispanic, and White non-Hispanic individuals, this research suggests that the consequences for substance use, including death, may be disproportional.

虽然先前的研究强调了物质使用和暴力死亡的重叠，但很少有人研究不同种族/族裔群体之间的重叠或模式如何随时间变化。本研究调查了美国不同种族/族裔群体与物质使用相关的死亡情况。我们使用来自国家暴力死亡报告系统 (NVDRS) 的数据，其中包括来自美国 43 个州的暴力死亡事件，这些数据在 2009 年至 2019 年的十年间收集（N = 226,459）。固定效应多变量模型检查种族/民族是否与药物使用相关死亡随时间相关，控制其他人口统计和临床因素。结果显示，与非西班牙裔白人相比，在大多数类型的物质使用相关死亡中，非裔美国人和西班牙裔（任何种族）的人随着时间的推移而增加的速度要大得多。虽然目前的物质使用率在非洲裔美国人、西班牙裔和非西班牙裔白人之间可能几乎没有差异，但这项研究表明，包括死亡在内的物质使用的后果可能是不成比例的。