Brief Report: Opioid-Involved Overdose Mortality in United States Veterans.
Journal
The American journal on addictions
ISSN: 1521-0391
Titre abrégé: Am J Addict
Pays: England
ID NLM: 9208821
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
07
10
2019
revised:
02
03
2020
accepted:
11
03
2020
pubmed:
31
3
2020
medline:
29
12
2020
entrez:
31
3
2020
Statut:
ppublish
Résumé
The purpose of this study is to assess trends in opioid-involved overdose mortality among US Veterans. Age-adjusted drug overdose mortality rates, overall and by opioid subtype, were assessed from National Death Index data for US Veterans; statistical significance of trends was assessed for 2010 to 2015 and 2015 to 2016. Veteran age-adjusted overdose mortality rates increased 23.7% from 2010 to 2015 (19.7-24.4 of 100 000) and a further 20.4% through 2016 (29.3 of 100 000). Opioid involvement increased from 51.3% in 2010 to 62.1% in 2016, as opioid overdose rates increased from 10.9 to 19.5 of 100 000. Overdose mortality varied substantially by opioid subtype and demographics. This report provides the first-ever description of trends and characteristics of overdose mortality and opioid-involved deaths among US Veterans of military service for the period 2010 to 2016. With the exception of female Veterans and Veterans in Western States, it has been found that trends in Veteran overdose mortality paralleled rising rates of drug overdose observed in the United States more broadly. Published 2020. This article is a U.S. Government work and is in the public domain in the USA. (Am J Addict 2020;00:00-00).
Sections du résumé
BACKGROUND AND OBJECTIVES
The purpose of this study is to assess trends in opioid-involved overdose mortality among US Veterans.
METHODS
Age-adjusted drug overdose mortality rates, overall and by opioid subtype, were assessed from National Death Index data for US Veterans; statistical significance of trends was assessed for 2010 to 2015 and 2015 to 2016.
RESULTS
Veteran age-adjusted overdose mortality rates increased 23.7% from 2010 to 2015 (19.7-24.4 of 100 000) and a further 20.4% through 2016 (29.3 of 100 000). Opioid involvement increased from 51.3% in 2010 to 62.1% in 2016, as opioid overdose rates increased from 10.9 to 19.5 of 100 000. Overdose mortality varied substantially by opioid subtype and demographics.
CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE
This report provides the first-ever description of trends and characteristics of overdose mortality and opioid-involved deaths among US Veterans of military service for the period 2010 to 2016. With the exception of female Veterans and Veterans in Western States, it has been found that trends in Veteran overdose mortality paralleled rising rates of drug overdose observed in the United States more broadly. Published 2020. This article is a U.S. Government work and is in the public domain in the USA. (Am J Addict 2020;00:00-00).
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
340-344Informations de copyright
© 2020 American Academy of Addiction Psychiatry.
Références
Centers for Disease Control and Prevention. CDC WONDER, detailed mortality reports, by underlying cause of death and US census bureau region 1999-2016. https://wonder.cdc.gov/. Accessed July, 2019.
Seth P, Scholl L, Rudd RA, Bacon S. Overdose deaths involving opioids, cocaine, and psychostimulants-United States, 2015-2016. MMWR Morb Mortal Wkly Rep. 2018;67:349-358.
Lin LA, Peltzman T, McCarthy JF, Oliva EM, Trafton JA, Bohnert AS. Changing trends in opioid overdose deaths and prescription opioid receipt among Veterans. Am J Prev Med. 2019;57:106-110.
Sandbrink F. What is special about veterans in pain specialty care? Pain Med. 2017;18:623-625.
VA Office of Mental Health and Suicide Prevention. 2016 National suicide data report appendix. https://www.mentalhealth.va.gov/suicide_prevention/data.asp. Accessed July, 2019.
Rudd RA, Seth P, David F, Scholl L. Increases in drug and opioid-involved overdose deaths-United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65:1445-1452.
Center of Excellence for Suicide Prevention. Joint Department of Veterans Affairs (VA) and Department of Defense (DoD) Mortality Data Repository-National Death Index (NDI). Extracted 2017.
National Center for Veterans Analysis and Statistics. Veteran population (VetPoP) models by age and gender. Extracted 2010-2016. https://www.va.gov/vetdata/Veteran_population.asp
O'Donnell JK, Gladden RM, Seth P. Trends in deaths involving heroin and synthetic opioids excluding methadone, and law enforcement drug product reports, by census region-United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66:897-903.
Gellad WF, Good CB, Shulkin D. Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs. JAMA Intern Med. 2017;177:611-612.