The Impact of COVID-19 on Opioid-Related Overdose Deaths in Texas

Karima Lalani, Christine Bakos-Block, Marylou Cardenas-Turanzas, Sarah Cohen, Bhanumathi Gopal and Tiffany Champagne-Langabeer ()
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Karima Lalani: Center for Health Systems Analytics, UTHealth Houston School of Biomedical Informatics, Houston, TX 77030, USA
Christine Bakos-Block: Center for Health Systems Analytics, UTHealth Houston School of Biomedical Informatics, Houston, TX 77030, USA
Marylou Cardenas-Turanzas: Center for Health Systems Analytics, UTHealth Houston School of Biomedical Informatics, Houston, TX 77030, USA
Sarah Cohen: Center for Health Systems Analytics, UTHealth Houston School of Biomedical Informatics, Houston, TX 77030, USA
Bhanumathi Gopal: Center for Health Systems Analytics, UTHealth Houston School of Biomedical Informatics, Houston, TX 77030, USA
Tiffany Champagne-Langabeer: Center for Health Systems Analytics, UTHealth Houston School of Biomedical Informatics, Houston, TX 77030, USA

IJERPH, 2022, vol. 19, issue 21, 1-13

Abstract: Prior to the COVID-19 pandemic, the United States was facing an epidemic of opioid overdose deaths, clouding accurate inferences about the impact of the pandemic at the population level. We sought to determine the existence of increases in the trends of opioid-related overdose (ORO) deaths in the Greater Houston metropolitan area from January 2015 through December 2021, and to describe the social vulnerability present in the geographic location of these deaths. We merged records from the county medical examiner’s office with social vulnerability indexes (SVIs) for the region and present geospatial locations of the aggregated ORO deaths. Time series analyses were conducted to determine trends in the deaths, with a specific focus on the years 2019 to 2021. A total of 2660 deaths were included in the study and the mean (standard deviation, SD) age at death was 41.04 (13.60) years. Heroin and fentanyl were the most frequent opioids detected, present in 1153 (43.35%) and 1023 (38.46%) ORO deaths. We found that ORO deaths increased during the years 2019 to 2021 ( p -value ≤ 0.001) when compared with 2015. Compared to the year 2019, ORO deaths increased for the years 2020 and 2021 ( p -value ≤ 0.001). The geographic locations of ORO deaths were not associated with differences in the SVI. The COVID-19 pandemic had an impact on increasing ORO deaths in the metropolitan Houston area; however, identifying the determinants to guide targeted interventions in the areas of greatest need may require other factors, in addition to community-level social vulnerability parameters.

Keywords: COVID-19; substance use disorder; research; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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