🚨 Study in
South Florida assessed the independent contributions of social
determinants of health in the Risk Terrain Modeling analysis of drug
overdose deaths.
Mengyu, L., Caplan, J. M., Kennedy, L. W., Moise, I. K., Feaster, D. J., Horigian, V. E., Roll, J. M., McPherson, S. M., Rao, J. S. (2023, online first). Geo-spatial Risk Factor Analysis for Drug Overdose Death in South Florida from 2014-2019, and the Independent Contribution of Social Determinants of Health. Drug and Alcohol Dependence.
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ABSTRACT
Purpose:
The current research examines the effects of the built environment,
social determinants of health measures and aggregated risk from the
built environment at neighborhood-level on drug overdose death locations
in Miami-Dade County, Florida.
Methods: Risk Terrain Modeling
(RTM) was used to assess the place features risk factors that
significantly increase the risk of drug overdose death spatially in
Miami-Dade County ZIP Code Tabulation Areas, Florida from 2014 to 2019.
An aggregated neighborhood risk of fatal drug overdose measure was
developed by averaging the risk per grid cell from the RTM within census
block groups each year. Six logistic and zero-inflated regression
models were built to examine the effects of three indices of
incident-specific social determinants of health (IS-SDH) measures and
aggregated risk measure separately, and simultaneously on drug overdose
death locations each year.
Results: Seven place features
including parks, bus stops, restaurants and grocery stores were
significantly related to the occurrence of fatal drug overdoses. When
examined separately, one or more indices of the IS-SDH were significant
covariates of drug overdose locations in some years. When examined
simultaneously, the three indices of the IS-SDH and aggregated risk of
fatal drug overdose measure could be all significant in certain years.
Conclusions:
The patterns of high-risk areas and place features identified from the
RTM related to drug overdose deaths may be used to inform the placement
of treatment and prevention resources.
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Joel M. Caplan, Ph.D.
Web:
www.jcaplan.comTwitter: @JoelCaplan
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