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Immediate and Neighborhood Contextual Effects on Intentional, Accidental, and Fatal Drug Overdoses in a Non-Urban Jurisdiction

Bibliographic Data

ID2153424
AuthorsRebecca Headley Konkel (0000-0003-1183-3254, University of Wisconsin-Milwaukee, Milwaukee, USA, corresponding author), Chrystina Y Hoffman (0000-0001-9071-4194, University of West Florida, Pensacola, USA)
Year2021
Volume42
Issue11
Pages1494-1511
Publication date2021-11-02
Open AccessNo
TypeARTICLE
VenueDeviant Behavior (JOURNAL)
Journal identifiersISSN: 0163-9625 • E-ISSN: 1521-0456
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01639625.2020.1756457
OpenAlexW3023455369
LanguageEN
Citations received6
References cited41

Drug overdoses in the United States have been dramatically increasing since the late 1990 s. Research has been successful in identifying individual-level correlates of overdoses, but often fails to examine contextual effects. Using data from one police department, the U.S. Census, and ReferenceUSA, we test the effects of block group (N = 34) and parcel (N = 21,489) variables reflective of social disorganization and availability-proneness theories on drug overdoses taking place in one non-urban jurisdiction over four years (N = 396). Furthermore, we test the ability of mental health and social-community service providers to mitigate the harmful effect of poverty. Because effects may vary across intent or outcome, accidental, intentional, and fatal overdoses were modeled independently. Based on multilevel analysis (HLM7), several variables were positively associated with overdoses; however, service providers in high poverty areas, as well as bars in general, elicited negative associations. Lastly, contextual effects varied based by type of overdose

Environmental health · Injury prevention · Jurisdiction · Medical emergency · Mental health · Poison control · Political science · Poverty · Psychiatry · Suicide prevention · Crime Patterns and Interventions · Human Factors and Ergonomics · Medicine · Psychology · Substance Abuse Treatment and Outcomes · Suicide and Self-Harm Studies

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Citations per year1
Citation span2020 - 2026 (7)
Highly citedNo

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