Characteristics associated with adult non-fatal opioid and stimulant overdose and substance use disorder emergency department visits in Michigan.
Document Type
Article
Publication Date
10-11-2024
Publication Title
Drug and alcohol dependence reports
Abstract
BACKGROUND: Understanding risk factors for emergency department (ED) visits for overdose and substance use disorder (SUD) can inform prevention efforts. Few studies have considered non-fatal opioid overdoses, stimulant overdoses and SUD, and limited data exists by overdose intentionality and by sex.
METHODS: We conducted a serial cross-sectional study with Healthcare Cost and Utilization Project Michigan (MI) 2019-2020 ED discharge data (
RESULTS: Among all MI discharges, 13,908, 1,379, and 23,462 were nonfatal opioid, stimulant, or SUD overdose visits, respectively. Lower median household income (vs. higher income), male sex (vs. female), metropolitan county of residence (vs. small urban/rural), and Medicaid (vs. private insurance) were associated with increased odds of all outcomes. For example, ORs(95 % CIs) for Medicaid were 4.41(4.18,4.65), 2.25(1.95,2.60), and 2.80(2.70,2.91) for opioid overdoses, stimulant overdoses, and SUD, respectively. All outcomes had the highest increased odds in ages 28-32 years compared to 18-22 years. Stratification by sex and non-fatal overdose intentionality modified some associations, with the strongest associations observed for non-fatal opioid overdoses.
CONCLUSIONS: Male sex, Medicaid, and race/ethnicity were consistently associated with all outcomes similarly, but other characteristics varied in patterns, strengths of association, and statistical significance by outcome groups, sex, and non-fatal opioid or stimulant overdose intentionality.
Volume
13
First Page
100290
Recommended Citation
Martin O, Bird H, Nechuta S. Characteristics associated with adult non-fatal opioid and stimulant overdose and substance use disorder emergency department visits in Michigan. Drug Alcohol Depend Rep. 2024 Oct 11;13:100290. doi: 10.1016/j.dadr.2024.100290. PMID: 39534690
DOI
10.1016/j.dadr.2024.100290
ISSN
2772-7246
PubMed ID
39534690