干旱区生态环境知识资源中心(Arid): Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county

Arid

DOI	10.1371/journal.pone.0250324
	Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county
	Hyder, Ayaz; Lee, Jinhyung; Dundon, Ashley; Southerland, Lauren T.; All, David; Hammond, Gretchen; Miller, Harvey J.
通讯作者	Hyder, A (corresponding author), Ohio State Univ, Div Environm Hlth, Coll Publ Hlth, Columbus, OH 43210 USA. ; Hyder, A (corresponding author), Ohio State Univ, Translat Data Analyt Inst, Columbus, OH 43210 USA.
来源期刊	PLOS ONE
ISSN	1932-6203
出版年	2021
卷号	16 期号:5
英文摘要	Objectives An Opioid Treatment Desert is an area with limited accessibility to medication-assisted treatment and recovery facilities for Opioid Use Disorder. We explored the concept of Opioid Treatment Deserts including racial differences in potential spatial accessibility and applied it to one Midwestern urban county using high resolution spatiotemporal data. Methods We obtained individual-level data from one Emergency Medical Services (EMS) agency (Columbus Fire Department) in Franklin County, Ohio. Opioid overdose events were based on EMS runs where naloxone was administered from 1/1/2013 to 12/31/2017. Potential spatial accessibility was measured as the time (in minutes) it would take an individual, who may decide to seek treatment after an opioid overdose, to travel from where they had the overdose event, which was a proxy measure of their residential location, to the nearest opioid use disorder (OUD) treatment provider that provided medically-assisted treatment (MAT). We estimated accessibility measures overall, by race and by four types of treatment providers (any type of MAT for OUD, Buprenorphine, Methadone, or Naltrexone). Areas were classified as an Opioid Treatment Desert if the estimate travel time to treatment provider (any type of MAT for OUD) was greater than a given threshold. We performed sensitivity analysis using a range of threshold values based on multiple modes of transportation (car and public transit) and using only EMS runs to home/residential location types. Results A total of 6,929 geocoded opioid overdose events based on data from EMS agencies were used in the final analysis. Most events occurred among 26-35 years old (34%), identified as White adults (56%) and male (62%). Median travel times and interquartile range (IQR) to closest treatment provider by car and public transit was 2 minutes (IQR: 3 minutes) and 17 minutes (IQR: 17 minutes), respectively. Several neighborhoods in the study area had limited accessibility to OUD treatment facilities and were classified as Opioid Treatment Deserts. Travel time by public transit for most treatment provider types and by car for Methadone-based treatment was significantly different between individuals who were identified as Black adults and White adults based on their race. Conclusions Disparities in access to opioid treatment exist at the sub-county level in specific neighborhoods and across racial groups in Columbus, Ohio and can be quantified and visualized using local public safety data (e.g., EMS runs). Identification of Opioid Treatment Deserts can aid multiple stakeholders better plan and allocate resources for more equitable access to MAT for OUD and, therefore, reduce the burden of the opioid epidemic while making better use of real-time public safety data to address a public health epidemic that has turned into a public safety crisis.
类型	Article
语种	英语
开放获取类型	Green Published, gold
收录类别	SCI-E
WOS记录号	WOS:000664627300017
WOS关键词	EMERGENCY MEDICAL-SERVICES ; USE DISORDER TREATMENT ; RACIAL/ETHNIC DIFFERENCES ; METHADONE TREATMENT ; PUBLIC-TRANSIT ; DRUG-TREATMENT ; BUPRENORPHINE ; ACCESS ; CARE ; OVERDOSE
WOS类目	Multidisciplinary Sciences
WOS研究方向	Science & Technology - Other Topics
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/351404
作者单位	[Hyder, Ayaz; Dundon, Ashley] Ohio State Univ, Div Environm Hlth, Coll Publ Hlth, Columbus, OH 43210 USA; [Hyder, Ayaz] Ohio State Univ, Translat Data Analyt Inst, Columbus, OH 43210 USA; [Lee, Jinhyung] Western Univ, Dept Geog & Environm, Social Sci Ctr, Fac Social Sci, London, ON, Canada; [Southerland, Lauren T.] Ohio State Univ, Dept Emergency Med, Coll Med, Columbus, OH 43210 USA; [All, David] Mt Ethos, Seattle, WA USA; [Hammond, Gretchen] Ohio State Univ, Coll Social Work, Columbus, OH 43210 USA; [Miller, Harvey J.] Ohio State Univ, Ctr Urban Reg Anal, Columbus, OH 43210 USA; [Miller, Harvey J.] Ohio State Univ, Dept Geog, Columbus, OH 43210 USA
推荐引用方式 GB/T 7714	Hyder, Ayaz,Lee, Jinhyung,Dundon, Ashley,et al. Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county[J],2021,16(5).
APA	Hyder, Ayaz.,Lee, Jinhyung.,Dundon, Ashley.,Southerland, Lauren T..,All, David.,...&Miller, Harvey J..(2021).Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county.PLOS ONE,16(5).
MLA	Hyder, Ayaz,et al."Opioid Treatment Deserts: Concept development and application in a US Midwestern urban county".PLOS ONE 16.5(2021).