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State-Level Excess Drug Overdose Mortality by Race/Ethnicity in the U.S., 2020-2023: A Population-Scaling Analysis During the COVID-19 Pandemic

2026-01-06 epidemiology Title + abstract only
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PurposeThe COVID-19 pandemic coincided with worsening U.S. drug overdose mortality and widening racial and ethnic disparities. We estimated race/ethnicity-specific excess overdose deaths at the state level during 2020-2023 and examined how these burdens scale with population size. MethodsWe analyzed annual overdose deaths from 2014-2023 for five racial/ethnic groups in 47 states and the District of Columbia. Pre-pandemic trends (2014-2019) were fit using a generalized growth model, and deaths e...

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