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

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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.

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Acknowledgements

We would like to thank Dr. Thomas E. Buccheit and Dr. Steven D. Prakken for their discussion and brainstorming during the early phases of this project.

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Authors and Affiliations

  1. Department of Anesthesia, Critical Care Medicine division, University of California at San Francisco, 505 Parnassus Ave, Room M917, Box 0624, San Francisco, CA, 94143, USA

    Julien Cobert

  2. Department of Internal Medicine, Duke University Medical Center, Durham, NC, 27710, USA

    Paul M. Lantos

  3. Duke University Global Health Institute, Durham, NC, 27710, USA

    Paul M. Lantos & Mark M. Janko

  4. Department of Anesthesiology, Duke University Medical Center, Durham, NC, 27710, USA

    David G. A. Williams, Vijay Krishnamoorthy, Atilio Barbeito & Padma Gulur

  5. Department of Anesthesiology, Durham Veterans Affairs Hospital, Durham, NC, 27710, USA

    Karthik Raghunathan, Eric A. JohnBull & Atilio Barbeito

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  1. Julien Cobert
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Correspondence to Julien Cobert.

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This study was approved by the Duke University Institutional Review Board. A waiver of informed consent was approved for this retrospective study.

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Cobert, J., Lantos, P.M., Janko, M.M. et al. Geospatial Variations and Neighborhood Deprivation in Drug-Related Admissions and Overdoses. J Urban Health 97, 814–822 (2020). https://doi.org/10.1007/s11524-020-00436-8

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  • DOI: https://doi.org/10.1007/s11524-020-00436-8

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