The Co-occurrence of HIV and Opioid Mortality in Rural and Urban America from 1999-2018
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Date
2021-06
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Abstract
Previous research has noted that the U.S. is facing dual public health crises associated with opioid use disorder (OUD) and human immunodeficiency virus (HIV). Fatalities associated with OUD have been reported with increasing frequency, and researchers have posited that the injection of opioids could have implications for HIV rates and mortality. The current body of literature outlining connections between HIV and OUD does not account for differences in rural and urban areas. Using the Centers for Disease Control and Prevention Wide-ranging Online Date for Epidemiology Research mortality database, this brief finds no positive relationship between opioid mortality and HIV mortality over time. Instead, the results show a consistent decline in HIV mortality rates and a troubling rise in deaths from opioids across the time period analyzed.
Description
This project explored trends in the burden of HIV and predictors of HIV-related mortality and morbidity. It examined how the opioid crisis has changed the nature of the burden of HIV, especially considering differential disease burdens between residents of rural areas relative to their urban counterparts.
Keywords
Chronic disease and conditions, HIV, OUD, Pharmacy and prescription drugs, SUD, SUD treatment