Prescription opioid mortality trends in New York City, 1990-2006: Examining the emergence of an epidemic

Magdalena Cerdá, Yusuf Ransome, Katherine M. Keyes, Karestan C. Koenen, Melissa Tracy, Kenneth J. Tardiff, David Vlahov, Sandro Galea

Research output: Contribution to journalArticle

Abstract

Background: The drug overdose mortality rate tripled between 1990 and 2006; prescription opioids have driven this epidemic. We examined the period 1990-2006 to inform our understanding of how the current prescription opioid overdose epidemic emerged in urban areas. Methods: We used data from the Office of the Chief Medical Examiner to examine changes in demographic and spatial patterns in overdose fatalities induced by prescription opioids (i.e., analgesics and methadone) in New York City (NYC) in 1990-2006, and what factors were associated with death from prescription opioids vs. heroin, historically the most prevalent form of opioid overdose in urban areas. Results: Analgesic-induced overdose fatalities were the only types of overdose fatalities to increase in 1990-2006 in NYC; the fatality rate increased sevenfold from 0.39 in 1990 to 2.7 per 100,000 persons in 2006. Whites and Latinos were the only racial/ethnic groups to exhibit an increase in overdose-related mortality. Relative to heroin overdose decedents, analgesic and methadone overdose decedents were more likely to be female and to concurrently use psychotherapeutic drugs, but less likely to concurrently use alcohol or cocaine. Analgesic overdose decedents were less likely to be Black or Hispanic, while methadone overdose decedents were more likely to be Black or Hispanic in contrast to heroin overdose decedents. Conclusions: The distinct epidemiologic profiles exhibited by analgesic and methadone overdose fatalities highlight the need to define drug-specific public health prevention efforts.

Original languageEnglish (US)
Pages (from-to)53-62
Number of pages10
JournalDrug and Alcohol Dependence
Volume132
Issue number1-2
DOIs
StatePublished - Sep 1 2013
Externally publishedYes

Fingerprint

Opioid Analgesics
Methadone
Prescriptions
Analgesics
Heroin
Hispanic Americans
Mortality
Pharmaceutical Preparations
Drug Overdose
Coroners and Medical Examiners
Public health
Cocaine
Ethnic Groups
Public Health
Alcohols
Demography

Keywords

  • Epidemiology
  • Methadone
  • Mortality
  • Opioid analgesics
  • Overdose
  • Prescription drugs
  • Urban health

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Toxicology
  • Pharmacology
  • Pharmacology (medical)

Cite this

Cerdá, M., Ransome, Y., Keyes, K. M., Koenen, K. C., Tracy, M., Tardiff, K. J., ... Galea, S. (2013). Prescription opioid mortality trends in New York City, 1990-2006: Examining the emergence of an epidemic. Drug and Alcohol Dependence, 132(1-2), 53-62. https://doi.org/10.1016/j.drugalcdep.2012.12.027

Prescription opioid mortality trends in New York City, 1990-2006 : Examining the emergence of an epidemic. / Cerdá, Magdalena; Ransome, Yusuf; Keyes, Katherine M.; Koenen, Karestan C.; Tracy, Melissa; Tardiff, Kenneth J.; Vlahov, David; Galea, Sandro.

In: Drug and Alcohol Dependence, Vol. 132, No. 1-2, 01.09.2013, p. 53-62.

Research output: Contribution to journalArticle

Cerdá, M, Ransome, Y, Keyes, KM, Koenen, KC, Tracy, M, Tardiff, KJ, Vlahov, D & Galea, S 2013, 'Prescription opioid mortality trends in New York City, 1990-2006: Examining the emergence of an epidemic', Drug and Alcohol Dependence, vol. 132, no. 1-2, pp. 53-62. https://doi.org/10.1016/j.drugalcdep.2012.12.027
Cerdá, Magdalena ; Ransome, Yusuf ; Keyes, Katherine M. ; Koenen, Karestan C. ; Tracy, Melissa ; Tardiff, Kenneth J. ; Vlahov, David ; Galea, Sandro. / Prescription opioid mortality trends in New York City, 1990-2006 : Examining the emergence of an epidemic. In: Drug and Alcohol Dependence. 2013 ; Vol. 132, No. 1-2. pp. 53-62.
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