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Association between opioid overdose death rates and educational attainment - United States, 2010-2019
William R Duan1, Dennis J Hand2
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States of America.
Abstract:
Educational attainment may be an indicator of disparities in the ongoing opioid-overdose crisis. To understand the association between educational attainment and fatal opioid overdose, death records in the mortality files published by the Centers for Disease Control and Prevention (CDC) from 2010 to 2019 were analyzed. Proportionate mortality due to opioid overdose, PMOD, was used, as age-adjusted death rates suffer dual data-source errors caused by differences in educational data reported in death records and in population surveys. From 2013 to 2019, PMOD increased by 120% for the "less-than-high-school-diploma" (
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