{"doi":"10.1377/hlthaff.2025.00357","title":"Geography And Fentanyl: Explaining The Disproportionate Rise In Opioid Overdose Deaths Among Black Americans","abstract":null,"journal":"Health Affairs","year":2025,"id":638809,"datarank":0.31191623125197543,"base_score":2.0794415416798357,"endowment":2.0794415416798357,"self_citation_contribution":0.31191623125197543,"citation_network_contribution":0.0,"self_endowment_contribution":0.31191623125197543,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":566988,"name":"Dan Han","orcid":"0009-0007-9234-4618","position":1,"is_corresponding":false},{"id":1474978,"name":"Jevay Grooms","orcid":"0000-0003-3487-3785","position":2,"is_corresponding":false},{"id":184668,"name":"Rosalie Liccardo Pacula","orcid":null,"position":3,"is_corresponding":false},{"id":385744,"name":"David Powell","orcid":"0000-0002-8710-7390","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Geography And Fentanyl: Explaining The Disproportionate Rise In Opioid Overdose Deaths Among Black Americans","abstract":"This study investigated how geography helps explain the striking increase in opioid-related overdose deaths among Black Americans since the proliferation of fentanyl. Using mortality data from the period 1999-2020, we modeled annual overdose rates as a function of race and ethnicity and county of residence to identify the share of racial differences in overdose rate growth that could be attributed to location. Geographic incidence contributed little to racial and ethnic overdose disparities before 2013 but became an important factor during the fentanyl crisis. Between 2010 and 2020, roughly 40 percent of the additional growth in Black opioid-related overdoses versus White overdoses was attributable to differential geographic exposure to the fentanyl crisis. Overdoses involving opioids but not cocaine are largely attributed to geography, whereas overdoses involving both opioids and cocaine show a smaller geographic component. These findings underscore a possible role for place-based interventions to affect racial and ethnic disparities in overdose rates.","is_dataset_classified":null,"base_score":1.9459101490553132,"endowment":1.9459101490553132,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"40893085","pmcid":"PMC13284975","openalex_id":"https://openalex.org/W4413920695","authors":[],"funders":[{"funder_name":"NIDA NIH HHS","grant_id":"R21 DA060486","title":null},{"funder_name":"NIDA NIH HHS","grant_id":"P50 DA046351","title":null}],"total_grants":2,"fwci":6.4207,"citation_percentile":0.96983602,"influential_citations":0,"citation_trend":[{"year":2026,"count":6}],"oa_status":"hybrid","license":"cc-by-nc-nd","oa_locations":[{"url":"https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2025.00357","host_type":"journal"},{"url":"https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2025.00357","host_type":"publisher"},{"url":"https://doi.org/10.1377/hlthaff.2025.00357","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/40893085","host_type":"repository"},{"url":"https://scholarbank.nus.edu.sg/handle/10635/314733","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC13284975","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC13284975?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Opioid Use Disorder Treatment","Prenatal Substance Exposure Effects","Substance Abuse Treatment and Outcomes","Adult","Female","Humans","Male","Analgesics, Opioid","Black or African American","Drug Overdose","Fentanyl","Geography","Incidence","Opiate Overdose","United States"],"mesh_terms":["Opiate Overdose","White","Adult","Analgesics, Opioid","Black or African American","Female","Fentanyl","Geography","Humans","Male","United States","Incidence","Drug Overdose"],"keywords":["Fentanyl","Opioid overdose","Opioid","Medicine","Drug overdose","Demography","Medical emergency","Poison control","Emergency medicine","Anesthesia","(+)-Naloxone","Internal medicine","Sociology"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-06T21:36:02.157704Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}