Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

The Geographic Distribution of Fentanyl-Involved Overdose Deaths in Cook County, Illinois

Bibliographic Data

ID11033727
AuthorsElizabeth D Nesoff (0000-0001-8562-8646, The authors are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY.), Charles C Branas (0000-0002-6364-2030, The authors are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY.), Sílvia S Martins (0000-0003-3059-9993, The authors are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY.)
Year2020
Volume110
Issue1
Pages98-105
Publication date2020-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2019.305368
PMID31725315
OpenAlexW2985036382
LanguageEN
Citations received21
References cited25

Objectives. To contrast the geographic distribution of fentanyl-involved and non–fentanyl-involved fatal overdoses between 2014 and 2018 in Cook County, Illinois. Methods. We conducted a spatial analysis using locations of fentanyl-involved fatal overdoses (n = 1433) compared with nonfentanyl opioid and polydrug fatal overdoses (n = 1838) collected through the Cook County Medical Examiner’s Office from 2014 to 2018. We also used logistic regression to test significant individual- and neighborhood-level covariates. Results. Fentanyl overdoses geographically clustered more than nonfentanyl overdoses, and this difference was statistically significant. One area in particular showed significantly elevated risk for fentanyl overdoses (P Conclusions. Fentanyl-involved fatal overdoses follow a distinct geographic distribution associated with resource deprivation in neighborhoods where they occur. This suggests an evolving bifurcated drug market, with drug markets in resource-deprived neighborhoods disproportionately likely to include fentanyl

(+)-Naloxone · Anesthesia · Confidence interval · Drug overdose · Fentanyl · Injury prevention · Logistic regression · Medical examiner · Odds · Odds ratio · Opioid · Opioid overdose · Poison control · Demography · Emergency Medicine · Internal Medicine · Medicine · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Substance Abuse Treatment and Outcomes

  • Open-air drug markets and opioid-related overdose deaths

    Open Access•Patrick J Burke•Health & Place•2026

  • Geospatial Determinants and Spatial Heterogeneity of Opioid Overdose Mortality in Arizona

    Open Access•Taekyung Seong, Diane Tong et al.•Journal of Urban Health•2026

  • Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning

    Open Access•Amir Ebrahimi, Amir Hossein Ebrahimi et al.•BMC Public Health•2025

  • Fatal Opioid Overdoses by Historical and Contemporary Neighborhood-Level Structural Racism

    Open Access•Mudia Uzzi, J Ricard et al.•JAMA Health Forum•2025

  • Benefits and challenges of geographic information systems (GIS) for data-driven outreach in black communities experiencing overdose disparities

    Open Access•Devin E Banks, Maria Paschke et al.•BMC Public Health•2024

  • Diseases of Despair and Social Capital

    Syeda S Jesmin, Len Zane et al.•Substance Use & Misuse•2020

  • Trends in Medical School Application and Matriculation Rates Across the United States From 2001 to 2015

    Donglan Zhang, Gang Li et al.•Academic Medicine•2021

  • The Impact of Premarital Sexual Abstinence on Sexual Experiences Post-Marriage

    Open Access•Emily N McKnight, Jailyn Jasso-González et al.•Archives of Sexual Behavior•2025

  • Drug overdoses, geographic trajectories, and the influence of built environment and neighborhood characteristics

    Open Access•Eric L Piza, Kevin T Wolff et al.•Health & Place•2022

  • Examining Increasing Racial Inequities in Opioid Overdose Deaths

    Open Access•Devin E Banks, Stephen Scroggins et al.•Journal of Urban Health•2023

  • Examining Opioid Overdose Deaths across Communities Defined by Racial Composition

    Open Access•Amir Forati, Amir M Forati et al.•Journal of Urban Health•2021

  • Impact of the Covid-19 Pandemic on Opioid Overdose Deaths

    Open Access•Rina Ghose, Amir Forati et al.•Journal of Urban Health•2022

  • Geographically specific associations between county-level socioeconomic and household distress and mortality from drug poisoning, suicide, alcohol, and homicide among working-age adults in the United States

    Open Access•Xue Zhang, M Monnat•SSM - Population Health•2024

  • Characterizing opioid overdose hotspots for place-based overdose prevention and treatment interventions

    Open Access•Elizabeth A Samuels, William C Goedel et al.•International Journal of Drug…•2024

  • City streetscapes and neighborhood characteristics of fatal opioid overdoses among people experiencing homelessness who use drugs in New York City, 2017–2019

    Open Access•Elizabeth D Nesoff, Douglas J Wiebe et al.•International Journal of Drug…•2022

  • Social-spatial network structures among young urban and suburban persons who inject drugs in a large metropolitan area

    Open Access•Q Lin, Javier Andres Rojas Aguilera et al.•International Journal of Drug…•2023

  • Alcohol outlets, drug paraphernalia sales, and neighborhood drug overdose

    Open Access•Elizabeth D Nesoff, Adam J Milam et al.•International Journal of Drug…•2021

  • Geographic information science and the United States opioid overdose crisis

    Open Access•Justin Sauer, Kathleen Stewart•Social Science & Medicine•2023

  • Nesoff et al. Comment

    Elizabeth D Nesoff, Charles C Branas et al.•American Journal of Public Health•2020

  • Caution Is Necessary When Estimating Treatment Need for Opioid Use Disorder Using National Surveys

    Elizabeth D Nesoff, Sílvia S Martins et al.•American Journal of Public Health•2022

  • A Case for Experiential Expertise in Opioid Overdose Surveillance

    Apostolos A Alexandridis, Maya Doe-Simkins et al.•American Journal of Public Health•2020

  • Applied Spatial Statistics for Public Health Data

    Open Access•Lance A Waller, Carol A Gotway•Applied spatial statistics for…•2004

  • Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants — United States, 2015–2016

    Open Access•Puja Seth, Lawrence Scholl et al.•MMWR. Surveillance Summaries•2018

  • Multicollinearity and correlation among local regression coefficients in geographically weighted regression

    Open Access•David C Wheeler, David Wheeler et al.•Journal of Geographical Systems•2005

  • Effect of Greening Vacant Land on Mental Health of Community-Dwelling Adults

    Open Access•Eugenia C South, Bernadette C Hohl et al.•JAMA Network Open•2018

  • Citywide cluster randomized trial to restore blighted vacant land and its effects on violence, crime, and fear

    Open Access•Charles C Branas, Eugenia C South et al.•Proceedings of the National…•2018

  • Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016

    Open Access•Hawre Jalal, Jeanine M Buchanich et al.•Science•2018

  • Neighborhoods and health

    Open Access•Ana V Diez Roux, Christina Mair•Annals of the New York Academy of…•2010

  • Opioid-related overdose deaths by race and neighborhood economic hardship in Chicago

    Tamara Rushovich, M Allison Arwady et al.•Journal of Ethnicity in Substance…•2020

  • Activity spaces among injection drug users in San Francisco

    Open Access•Alexis N Martinez, Alexis Martínez et al.•International Journal of Drug…•2014

  • Fentanyl self-testing outside supervised injection settings to prevent opioid overdose

    Open Access•Catherine R Mcgowan, Magdalena Harris et al.•International Journal of Drug…•2018

  • Naloxone for heroin, prescription opioid, and illicitly made fentanyl overdoses

    Open Access•Nadia Fairbairn, Phillip O Coffin et al.•International Journal of Drug…•2017

  • Sold as Heroin

    Sarah G Mar, Jeff Ondocsin et al.•Journal of Psychoactive Drugs•2017

  • Revisiting the Role of the Urban Environment in Substance Use

    Magdalena Cerdá, Yusuf Ransome et al.•American Journal of Public Health•2013

  • Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes

    Nancy Krieger, Pamela D Waterman et al.•American Journal of Public Health•2016

  • Heroin uncertainties

    Open Access•Dan Ciccarone, Jeff Ondocsin et al.•International Journal of Drug…•2017

  • Statistical Tests for Spatial Nonstationarity Based on the Geographically Weighted Regression Model

    Open Access•Yee Leung, Chang-Lin Mei et al.•Environment and Planning A…•2000

  • Neighborhood Disadvantage, Disorder, and Health

    Catherine E Ro, CATHERINE E ROSS et al.•Journal of Health and Social…•2001

Citations per year3.5
Citation span2020 - 2026 (7)
Highly citedNo

Tools

Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae