As the U.S. experiences sharp increases in drug overdoses, researchers in Delaware are using geo-mapping to look at the state, neighborhood by neighborhood, to identify “hot spots” where the use of prescription fentanyl—an extremely powerful synthetic opiate, which recently attracted national attention as the drug that caused Prince’s death—and other opiates is especially prevalent.
“Most research on the epidemic has focused on individual prescribers and patients, but that approach overlooks community-level and structural factors that might be important,” said Tammy Anderson, a professor of sociology and criminal justice at the University of Delaware.
Anderson is leading the team conducting the geo-mapping and will present a paper from the group at the 111th Annual Meeting of the American Sociological Association (ASA). Geo-mapping involves coding the Earth by providing geographic reference information that can be used for computer mapping and statistical analysis. The paper examines changes over time as well as differences between the rate at which fentanyl is prescribed compared to that of other opiates.
The project is expected to continue for four or five years of additional research and analysis, but some preliminary findings are available for the period from Jan. 1, 2013 through Dec. 31, 2014, Anderson said. So far, some of the most surprising findings include:
After the mapping and related analysis is complete, Anderson hopes to delve into some of the identified “hot spots” and conduct personal interviews with residents to learn more. The results will have implications for allocating prevention and treatment resources.
“It’s not very cost-effective to put your resources into areas that don’t have much of a problem,” said Anderson, who noted that the type of research she and her team are conducting in Delaware would be useful around the United States. “You want to target the areas that need the most help. Pinpointing neighborhood level risk factors for opiate-related problems—and where they occur—can help other states prioritize areas for intervention with existing problems as well as effectively respond to future epidemics.”
The research has been funded by the National Association of State Controlled Substances Authorities and the Bureau of Justice Assistance.
Source: American Sociological Association