Madeline Foley1, Laura M Schwab-Reese2,3. 1. University of Colorado, CU Science Discovery, 3400 Marine St., Boulder, CO, 80301, USA. 2. The Kempe Center for The Prevention and Treatment of Child Abuse and Neglect, University of Colorado, Anschutz Medical Campus, 13123 E 16th Ave., Aurora, CO, 80045, USA. lschwabr@purdue.edu. 3. Department of Health and Kinesiology, Purdue University, 800 W Stadium Ave., Lafayette, IN, 47905, USA. lschwabr@purdue.edu.
Abstract
PURPOSE: To assess the relationship between state-level depression and opioid overdose deaths between 2011 and 2015 in the United States. METHODS: We assessed the association between percent of state populations reporting depression diagnoses and number of opioid analgesic-related deaths using negative binomial generalized estimating equations. RESULTS: A 1% point increase in state-level depression diagnoses was associated with a 26% (95% CI 1-58%) increase in opioid analgesic-related deaths. CONCLUSIONS: Addressing depression in the provider-patient relationship may be important, as may be addressing the mental health provider shortage in the United States.
PURPOSE: To assess the relationship between state-level depression and opioid overdose deaths between 2011 and 2015 in the United States. METHODS: We assessed the association between percent of state populations reporting depression diagnoses and number of opioid analgesic-related deaths using negative binomial generalized estimating equations. RESULTS: A 1% point increase in state-level depression diagnoses was associated with a 26% (95% CI 1-58%) increase in opioid analgesic-related deaths. CONCLUSIONS: Addressing depression in the provider-patient relationship may be important, as may be addressing the mental health provider shortage in the United States.
Authors: Sandra Schwarcz; Nancy A Hessol; Matthew A Spinelli; Ling Chin Hsu; Daniel Wlodarczyk; Jacqueline Tulsky; Meg D Newman; Susan P Buchbinder Journal: Public Health Rep Date: 2021-02-04 Impact factor: 3.117