{"id":1131114,"date":"2025-02-21T11:47:14","date_gmt":"2025-02-21T19:47:14","guid":{"rendered":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/?post_type=msr-research-item&p=1131114"},"modified":"2025-02-21T11:47:15","modified_gmt":"2025-02-21T19:47:15","slug":"leveraging-public-data-changes-in-local-economic-distress-and-drug-overdose-deaths-at-the-county-level-2000-2019","status":"publish","type":"msr-research-item","link":"https:\/\/cm-edgetun.pages.dev\/en-us\/research\/publication\/leveraging-public-data-changes-in-local-economic-distress-and-drug-overdose-deaths-at-the-county-level-2000-2019\/","title":{"rendered":"Leveraging public data: Changes in local economic distress and drug overdose deaths at the county level, 2000 – 2019"},"content":{"rendered":"

Indices of local economic distress, including local-area unemployment, poverty, low income, and low education, have been linked with lower healthcare quality, higher care costs, and poorer health [1 (opens in new tab)<\/span><\/a>]. There exist vast county-level disparities in economic conditions across the U.S., and counties with greater economic distress demonstrate inequities in health and social determinants of health [2 (opens in new tab)<\/span><\/a>]. Improvements in local economic conditions predict better health including reduced mortality [3 (opens in new tab)<\/span><\/a>] and improved cardiovascular outcomes [4 (opens in new tab)<\/span><\/a>].<\/p>\n

The early 2000s saw a reduction in life expectancy, driven by an increase in deaths by drug overdose, suicide, and chronic liver disease [5 (opens in new tab)<\/span><\/a>]. These have been termed \u201cdeaths of despair;\u201d while overdose deaths during the early 2000s\u2019 opioid epidemic are attributed to complex factors including overprescribing, there are also likely socioeconomic determinants including distressed local economic conditions [5 (opens in new tab)<\/span><\/a>].<\/p>\n

We leveraged two public data sources [the Centers for Disease Control and Prevention\u2019s Wide-ranging Online Data for Epidemiologic Research (CDC WONDER;\u00a0wonder.cdc.gov (opens in new tab)<\/span><\/a>) database and the Economic Innovation Group\u2019s Distressed Communities Index (DCI; eig.org\/dci-fact-sheet)] to examine whether local economic distress and changes in distress were associated local drug overdose. This approach highlights how public data can be used to explore critical public health questions.<\/p>\n","protected":false},"excerpt":{"rendered":"

Indices of local economic distress, including local-area unemployment, poverty, low income, and low education, have been linked with lower healthcare quality, higher care costs, and poorer health [1]. There exist vast county-level disparities in economic conditions across the U.S., and counties with greater economic distress demonstrate inequities in health and social determinants of health [2]. […]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"msr-url-field":"","msr-podcast-episode":"","msrModifiedDate":"","msrModifiedDateEnabled":false,"ep_exclude_from_search":false,"_classifai_error":"","msr-author-ordering":null,"msr_publishername":"","msr_publisher_other":"","msr_booktitle":"","msr_chapter":"","msr_edition":"","msr_editors":"","msr_how_published":"","msr_isbn":"","msr_issue":"","msr_journal":"International Journal of Public Health","msr_number":"","msr_organization":"","msr_pages_string":"","msr_page_range_start":"","msr_page_range_end":"","msr_series":"","msr_volume":"","msr_copyright":"","msr_conference_name":"","msr_doi":"","msr_arxiv_id":"","msr_s2_paper_id":"","msr_mag_id":"","msr_pubmed_id":"","msr_other_authors":"","msr_other_contributors":"","msr_speaker":"","msr_award":"","msr_affiliation":"","msr_institution":"","msr_host":"","msr_version":"","msr_duration":"","msr_original_fields_of_study":"","msr_release_tracker_id":"","msr_s2_match_type":"","msr_citation_count_updated":"","msr_published_date":"2025-2-20","msr_highlight_text":"","msr_notes":"","msr_longbiography":"","msr_publicationurl":"","msr_external_url":"","msr_secondary_video_url":"","msr_conference_url":"","msr_journal_url":"","msr_s2_pdf_url":"","msr_year":0,"msr_citation_count":0,"msr_influential_citations":0,"msr_reference_count":0,"msr_s2_match_confidence":0,"msr_microsoftintellectualproperty":true,"msr_s2_open_access":false,"msr_s2_author_ids":[],"msr_pub_ids":[],"msr_hide_image_in_river":null,"footnotes":""},"msr-research-highlight":[],"research-area":[13553],"msr-publication-type":[193715],"msr-publisher":[],"msr-focus-area":[],"msr-locale":[268875],"msr-post-option":[269148,269142],"msr-field-of-study":[],"msr-conference":[],"msr-journal":[],"msr-impact-theme":[],"msr-pillar":[],"class_list":["post-1131114","msr-research-item","type-msr-research-item","status-publish","hentry","msr-research-area-medical-health-genomics","msr-locale-en_us","msr-post-option-approved-for-river","msr-post-option-include-in-river"],"msr_publishername":"","msr_edition":"","msr_affiliation":"","msr_published_date":"2025-2-20","msr_host":"","msr_duration":"","msr_version":"","msr_speaker":"","msr_other_contributors":"","msr_booktitle":"","msr_pages_string":"","msr_chapter":"","msr_isbn":"","msr_journal":"International Journal of Public Health","msr_volume":"","msr_number":"","msr_editors":"","msr_series":"","msr_issue":"","msr_organization":"","msr_how_published":"","msr_notes":"","msr_highlight_text":"","msr_release_tracker_id":"","msr_original_fields_of_study":"","msr_download_urls":"","msr_external_url":"","msr_secondary_video_url":"","msr_longbiography":"","msr_microsoftintellectualproperty":1,"msr_main_download":"","msr_publicationurl":"","msr_doi":"","msr_publication_uploader":[{"type":"url","viewUrl":"false","id":"false","title":"https:\/\/www.ssph-journal.org\/journals\/international-journal-of-public-health\/articles\/10.3389\/ijph.2025.1607991\/full","label_id":"243109","label":0}],"msr_related_uploader":"","msr_citation_count":0,"msr_citation_count_updated":"","msr_s2_paper_id":"","msr_influential_citations":0,"msr_reference_count":0,"msr_arxiv_id":"","msr_s2_author_ids":[],"msr_s2_open_access":false,"msr_s2_pdf_url":null,"msr_attachments":[],"msr-author-ordering":[{"type":"text","value":"Shaddy K. 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