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Trends in Drug Overdose Mortality Rates in Kentucky, 2019-2020

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Article Information

Accepted for Publication: May 5, 2021.

Published: July 13, 2021. doi:10.1001/jamanetworkopen.2021.16391

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Slavova S et al. JAMA Network Open.

Corresponding Author: Svetla Slavova, PhD, Department of Biostatistics, University of Kentucky, 760 Press Ave, 260 Healthy Kentucky Research Bldg, Lexington, KY 40536 (ssslav2@uky.edu).

Author Contributions: Dr Slavova had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Slavova, Quesinberry, Hargrove, Walsh.

Acquisition, analysis, or interpretation of data: Slavova, Hargrove, Rock, Brancato, Freeman.

Drafting of the manuscript: Slavova, Rock, Brancato, Freeman, Walsh.

Critical revision of the manuscript for important intellectual content: Slavova, Quesinberry, Hargrove, Freeman.

Statistical analysis: Slavova, Rock, Brancato.

Obtained funding: Slavova, Quesinberry.

Administrative, technical, or material support: Hargrove, Walsh.

Supervision: Slavova.

Conflict of Interest Disclosures: None reported.

Funding/Support: This study was supported, in part, by funding from the Centers for Disease Control and Prevention (grant 6 NU17CE924971-02-01) awarded to the Kentucky Injury Prevention and Research Center in its role of bona fide agent for the Kentucky Department for Public Health and by the US Food and Drug Administration (grant HHSF223201810183C) under Broad Agency Announcement No. 17-00123.

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 are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention, the Department of Health and Human Services, or the US Food and Drug Administration.

References
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Slavova  S , Rock  P , Bush  HM , Quesinberry  D , Walsh  SL .  Signal of increased opioid overdose during COVID-19 from emergency medical services data.   Drug Alcohol Depend. 2020;214:108176. doi:10.1016/j.drugalcdep.2020.108176PubMedGoogle Scholar
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Centers for Disease Control and Prevention. Increase in fatal drug overdoses across the United States driven by synthetic opioids before and during the COVID-19 pandemic. CDC Health Alert Network. Published December 17, 2020. Accessed June 4, 2021. https://emergency.cdc.gov/han/2020/han00438.asp
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Hedegaard  H , Miniño  AM , Warner  M .  Drug overdose deaths in the United States, 1999-2019.   NCHS Data Brief. 2020;(394):1-8.PubMedGoogle Scholar
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National Center for Health Statistics. Vital statistics of the United States: mortality, 1999—technical appendix. Published 1999. Accessed March 3, 2021. https://wonder.cdc.gov/wonder/sci_data/mort/mcmort/type_txt/mcmort05/techap99.pdf
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Ingram  DD , Franco  SJ .  2013 NCHS urban-rural classification scheme for counties.   Vital Health Stat 2. 2014;166:1-73.PubMedGoogle Scholar
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Centers for Disease Control and Prevention; National Center for Health Statistics. Multiple cause of death files, 1999-2019. Published 2020. Accessed April 23, 2021. https://wonder.cdc.gov/mcd-icd10.html
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