Abstract
Spatial Analysis of Drug Overdose Deaths, New York City, 1994-2003 Track: Health and Human Services Author(s): Angela Bucciarelli, Katherine Markham-Piper, Sandro Galea, Kenneth Tardiff, David Vlahov In New York City, the annual mortality rate is higher for accidental drug overdoses than for homicides; cocaine and opiates are the drugs most frequently associated with drug overdose deaths. Research has demonstrated that there are different determinants of overdoses due to cocaine or opiates and that different persons may be at risk of both events. We were interested in assessing whether there were significant spatial differences in the patterns of opiate or cocaine fatal overdoses in New York City. Data was collected from the NYC Office of the Chief Medical Examiner (OCME) on all fatal drug overdoses that occurred between 1994-2003. All data was geocoded and mapped using ArcGIS 9. We assessed differences in the determinants of cocaine and opiate overdose temporally and spatially for the time period of interest. Spatial analysis of overdose location and determinants may guide risk reduction efforts in densely populated urban areas. Angela Bucciarelli New York Academy of Medicine Center for Urban Epidemiologic Studies 55 W. 125th Street New York , NY 10027 US Phone: 212-419-3583 E-mail: abucciarelli@nyam.org Katherine Markham-Piper New York Academy of Medicine Center for Urban Epidemiologic Studies 55 W. 125th Street New York 10027 US Phone: 212-419-3583 E-mail: kmarkham@nyam.org Sandro Galea University of Michigan School of Public Health Center for Social Epidemiology and Population Health 1214 S University, Room 243 New York , MI 48104 US Phone: 734-647-9741 E-mail: sgalea@umich.edu Kenneth Tardiff Cornell University Weill Medical College Department of Psychiatry 1300 York Avenue New York , NY 10021 US Phone: (212) 746-3871 E-mail: kjtardif@med.cornell.edu David Vlahov New York Academy of Medicine Center for Urban Epidemiologic Studies 55 W. 125th Street New York , NY 10027 US Phone: 212-419-3583 E-mail: dvlahov@nyam.org |