TY  - JOUR
PY  - 2023//
TI  - Opioid and stimulant attributed treatment admissions and fatal overdoses: using national surveillance data to examine the intersection of race, sex, and polysubstance use, 1992-2020
JO  - Drug and alcohol dependence
A1  - Jones, A. A.
A1  - Shearer, R. D.
A1  - Segel, J. E.
A1  - Santos-Lozada, A.
A1  - Strong-Jones, S.
A1  - Vest, N.
A1  - Teixeira da Silva, D.
A1  - Khatri, U. G.
A1  - Winkelman, T. N. A.
SP  - e109946
EP  - e109946
VL  - 249
IS  - 
N2  - BACKGROUND: We use national surveillance data to evaluate race/ethnicity by sex/gender differences and trends in substance use treatment admissions and overdose deaths involving opioid and stimulant use. <br><br>METHODS: We used data (1992-2019) from the Treatment Episode Dataset-Admissions to identify treatment admissions and the Center for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (1999-2020) to identify overdose deaths. We assessed treatment admissions and related drug overdose deaths per 100,000 adults by sex and race/ethnicity for opioid and stimulant groups: cocaine, opioid, methamphetamines, cocaine and opioid use, cocaine and methamphetamines, and opioid and methamphetamines. <br><br>RESULTS: We found significant variations in treatment admissions and deaths by race/ethnicity and sex/gender. Cocaine-related treatment admissions and deaths were most prevalent among Non-Hispanic Black individuals over the study years, yet lower rates were evident among individuals from other racial/ethnic groups. Notably, Non-Hispanic Black men experienced larger increases in cocaine-only admissions than men of other racial/ethnic groups between 1992 and 2019. Men had higher opioid and stimulant treatment admissions and overdose deaths than women. We observed skyrocketing methamphetamine deaths among American Indian/Native Alaskan men and women from 1992 to 2019. <br><br>DISCUSSION: Steep increases in overdose deaths fueled by methamphetamines among Non-Hispanic Native Americans and cocaine among Non-Hispanic Black individuals suggest a need for more effective interventions to curb stimulant use. Variations by race/ethnicity and sex/gender also suggest interventions should be developed through an intersectionality lens.<p />  <p>Language: en</p>
LA  - en
SN  - 0376-8716
UR  - http://dx.doi.org/10.1016/j.drugalcdep.2023.109946
ID  - ref1
ER  -