Opioid Overdose Death Rate for U.S. Black Population Is Higher Than for White
The fatal overdose rate among Black people surpassed that for white people in the first year of the pandemic, as an increasingly lethal drug supply and Covid-19’s destabilizing effects exacted a heavy toll on vulnerable communities in the U.S.
The proliferation of the potent opioid fentanyl, and a pandemic that has added hazards for people who use drugs, are driving new records in U.S. overdose deaths, and Black communities have been hit especially hard. Black people often have uneven access to healthcare including effective drug treatment, putting them at high risk, researchers and public-health experts say.
The most recent full-year of federal data, through 2020, shows the rate of drug deaths among Black people eclipsed the rate in the white population for the first time since 1999, researchers at the University of California, Los Angeles recently demonstrated.
The gap in overdose rates between the Black and white populations was narrowing before the pandemic.
Iris Lattimore
lost her 35-year old son,
Corey Rucker,
to a fatal overdose in late 2017. Her older son,
Greg Wiley,
overdosed and died at age 41, in July 2020. She said assistance and messaging around the crisis seemed aimed at white people rather than her community.
“We’ve been fighting this for a long time,” said Ms. Lattimore, 61 years old.
Family photos of Iris Lattimore’s sons, Corey Rucker and Gregory Wiley.
Iris Lattimore shares a family photo taken when her sons were young.
There were more than 15,200 overdoses among Black people in 2020, more than double the number from four years earlier, according to data the UCLA researchers published in March in the medical journal JAMA Psychiatry. The toll represents nearly 37 drug overdose deaths per 100,000 Black people that year, the UCLA researchers found, trailing only the death rate in the significantly smaller American Indian or Alaska Native population.
“The Black death rate rose much faster than the white death rate,” said
Helena Hansen,
co-author of the new paper and professor of psychiatry at UCLA’s David Geffen School of Medicine.
The researchers said the findings demonstrate the need to close gaps in access to treatment and harm-reduction services, which are meant to make drug use less risky, among other steps. They said ending routine incarceration of drug users could help prevent fatal overdoses among people after they leave prison.
In Boston, opioid-related overdoses in the Black population doubled to 82 in 2020 versus the prior year, while opioid deaths in the city’s larger white population increased 16% to 101. The city has stepped up efforts to bring mobile harm-reduction services to Black communities, said
Bisola Ojikutu,
executive director of the Boston Public Health Commission. This includes distribution of the overdose-reversal drug naloxone and other services like syringe exchanges and testing for HIV and other health issues.
“We have to go where people are,” Dr. Ojikutu said.
The increase in overdoses among Black people comes as fentanyl, a synthetic opioid up to 50 times as powerful as heroin, continues to pour into the U.S. There are legitimate forms of fentanyl used to treat pain, but the main version wreaking havoc in the U.S. is illicitly made by Mexican cartels and smuggled into the U.S., federal authorities say.
Fentanyl was a major driver when drug overdose deaths jumped roughly 30% to about 92,000 in 2020, the most recent federal count for that year shows. The scourge is getting worse: There were an estimated 104,288 overdose deaths in the 12-month period running through September, according to the most recent preliminary data from the Centers for Disease Control and Prevention.
Use of stimulant drugs like cocaine among Black people may also be exposing some to fentanyl, which sometimes contaminates other drug supplies, health experts say. A recent paper published in the American Journal of Epidemiology found Black Americans had a sharper increase in combined stimulant and opioid deaths than did white people between 2007 and 2019,…
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