Opioid overdoses have increased during the coronavirus disease 2019 (COVID-19) pandemic.1 Potential contributors include treatment center closures, physical isolation preventing bystander rescue, mental health stressors, financial instability, and changes to drug supply networks.2 Black individuals with opioid use disorder (OUD) may be disproportionately affected, given the racial disparities in COVID-19 morbidity and mortality.3 We describe the differential associations of the COVID-19 pandemic with overdoses among racial/ethnic groups in Philadelphia, Pennsylvania.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accepted for Publication: December 4, 2020.
Published: January 21, 2021. doi:10.1001/jamanetworkopen.2020.34878
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Khatri UG et al. JAMA Network Open.
Corresponding Author: Utsha G. Khatri, MD, Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Dr, Blockley Hall, 13th Floor, Philadelphia, PA 19104 (email@example.com).
Author Contributions: Drs Khatri and Pizzicato had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Khatri, Pizzicato, Viner.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: Khatri.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Khatri, Viner.
Obtained funding: Viner.
Administrative, technical, or material support: Khatri, Pizzicato, Viner, Meisel.
Conflict of Interest Disclosures: Dr Khatri reported receiving fellowship funding from the Department of Veterans Affairs. Dr Bobyock reported receiving grants from the Substance Abuse and Mental Health Services Administration during the conduct of the study. No other disclosures were reported.
Funding/Support: This study was funded in part by grant R01CE003143 to Drs South and Meisel from the US Centers for Diseases Control and Prevention and grant 76233 to Dr South from the Robert Wood Johnson Foundation Harold Amos Medical Faculty Development Program.
Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The contents of this article do not represent the views of the US Department of Veterans Affairs or the US government.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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