Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning

In recent years, there has been a growing body of literature on identifying effective determinants for modeling the spatial variation of overdose rates, addressing this emerging public health concern globally. We compiled a range of widely recognized factors to examine spatial heterogeneity and its...

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Main Authors: Amir Hossein Ebrahimi, Ali Asghar Alesheikh, Aynaz Lotfata
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-23375-y
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author Amir Hossein Ebrahimi
Ali Asghar Alesheikh
Aynaz Lotfata
author_facet Amir Hossein Ebrahimi
Ali Asghar Alesheikh
Aynaz Lotfata
author_sort Amir Hossein Ebrahimi
collection DOAJ
description In recent years, there has been a growing body of literature on identifying effective determinants for modeling the spatial variation of overdose rates, addressing this emerging public health concern globally. We compiled a range of widely recognized factors to examine spatial heterogeneity and its associations with overdose mortality using a non-linear geographically weighted random forest approach. The model outperformed conventional ones with (R2 = 0.83 and MAE = 0.26). We found that, on average, the population rate of Asians (12.8%) is the most important determinant of the model, followed by the population rate of African Americans (10.1%) and the rate of cost-burdened housing units (9.9%). Although the results indicate that climatic determinants have had a lesser impact on overdose mortality rates, locally, their importance is greater in central and eastern counties. The spatial analysis revealed that the significance of determinants varies greatly by location. These findings could inform the development of localized spatial models, enabling more efficient allocation of resources to control overdose mortality rates at the community level.
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spelling doaj-art-71c9bc88f3a742e8bd2427a18e560ec02025-08-20T03:04:07ZengBMCBMC Public Health1471-24582025-07-0125111610.1186/s12889-025-23375-ySpatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learningAmir Hossein Ebrahimi0Ali Asghar Alesheikh1Aynaz Lotfata2Department of Geospatial Information Systems, Faculty of Geodesy and Geomatics Engineering, K.N. Toosi University of TechnologyDepartment of Geospatial Information Systems, Faculty of Geodesy and Geomatics Engineering, K.N. Toosi University of TechnologyDepartment of Pathology, Microbiology, and Immunology, School of Veterinary Medicine, University of CaliforniaIn recent years, there has been a growing body of literature on identifying effective determinants for modeling the spatial variation of overdose rates, addressing this emerging public health concern globally. We compiled a range of widely recognized factors to examine spatial heterogeneity and its associations with overdose mortality using a non-linear geographically weighted random forest approach. The model outperformed conventional ones with (R2 = 0.83 and MAE = 0.26). We found that, on average, the population rate of Asians (12.8%) is the most important determinant of the model, followed by the population rate of African Americans (10.1%) and the rate of cost-burdened housing units (9.9%). Although the results indicate that climatic determinants have had a lesser impact on overdose mortality rates, locally, their importance is greater in central and eastern counties. The spatial analysis revealed that the significance of determinants varies greatly by location. These findings could inform the development of localized spatial models, enabling more efficient allocation of resources to control overdose mortality rates at the community level.https://doi.org/10.1186/s12889-025-23375-yOverdose mortalitySpatial analysisSpatial machine learning model
spellingShingle Amir Hossein Ebrahimi
Ali Asghar Alesheikh
Aynaz Lotfata
Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning
BMC Public Health
Overdose mortality
Spatial analysis
Spatial machine learning model
title Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning
title_full Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning
title_fullStr Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning
title_full_unstemmed Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning
title_short Spatial analysis of county-level determinants of overdose mortality in the United States using spatial machine learning
title_sort spatial analysis of county level determinants of overdose mortality in the united states using spatial machine learning
topic Overdose mortality
Spatial analysis
Spatial machine learning model
url https://doi.org/10.1186/s12889-025-23375-y
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