The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United States

Objectives: The United States has been greatly impacted by the opioid overdose epidemic, and fentanyl has largely contributed to the rise in overdose deaths in the past decade. We have analyzed trends in fentanyl-related mortality amongst adolescents and young adults (AYAs) to further describe emerg...

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Main Authors: Paige Brinzo, Adrienne Dean, Ayden Dunn, Diana Lobaina, Sebastian Densley, Panagiota Kitsantas, Maria Carmenza Mejia, Lea Sacca
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Youth
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Online Access:https://www.mdpi.com/2673-995X/5/2/39
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author Paige Brinzo
Adrienne Dean
Ayden Dunn
Diana Lobaina
Sebastian Densley
Panagiota Kitsantas
Maria Carmenza Mejia
Lea Sacca
author_facet Paige Brinzo
Adrienne Dean
Ayden Dunn
Diana Lobaina
Sebastian Densley
Panagiota Kitsantas
Maria Carmenza Mejia
Lea Sacca
author_sort Paige Brinzo
collection DOAJ
description Objectives: The United States has been greatly impacted by the opioid overdose epidemic, and fentanyl has largely contributed to the rise in overdose deaths in the past decade. We have analyzed trends in fentanyl-related mortality amongst adolescents and young adults (AYAs) to further describe emerging trends by ethnicity, gender, and age. Methods: We used mortality data from the U.S. Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (WONDER) Multiple Cause of Death file from 2009 to 2022. Drug overdose mortalities were identified using International Classification of Diseases, Tenth Revision (ICD-10) codes. Joinpoint regression was used to examine mortality rates involving fentanyl by ethnicity (Hispanic and non-Hispanic), gender, and age category. Results: The Average Annual Percent Change (AAPC) for fentanyl-involved mortality increased for all adolescents and young adults within the United States from 2009 to 2022. The greatest AAPCs for fentanyl-related mortalities occurred amongst, Hispanic AYAs, Male AYAs, and 13–18-year-olds. Conclusions: Significant increases in fentanyl-related mortalities have occurred in AYAs from 2009 to 2022. Disparities by ethnicity and emerging trends in gender and age category highlight the need for targeted approaches to help aid in reducing fentanyl-involved mortality amongst AYAs. There is an urgent need for harm reduction and public health efforts to address this escalating crisis.
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spelling doaj-art-d76b88caeb2840e2bea728b90c1f27c22025-08-20T02:21:54ZengMDPI AGYouth2673-995X2025-04-01523910.3390/youth5020039The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United StatesPaige Brinzo0Adrienne Dean1Ayden Dunn2Diana Lobaina3Sebastian Densley4Panagiota Kitsantas5Maria Carmenza Mejia6Lea Sacca7Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USADepartment of Health Administration and Policy, College of Public Health, George Mason University, 4400 University Drive, Fairfax, VA 22030, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USACharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USAObjectives: The United States has been greatly impacted by the opioid overdose epidemic, and fentanyl has largely contributed to the rise in overdose deaths in the past decade. We have analyzed trends in fentanyl-related mortality amongst adolescents and young adults (AYAs) to further describe emerging trends by ethnicity, gender, and age. Methods: We used mortality data from the U.S. Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (WONDER) Multiple Cause of Death file from 2009 to 2022. Drug overdose mortalities were identified using International Classification of Diseases, Tenth Revision (ICD-10) codes. Joinpoint regression was used to examine mortality rates involving fentanyl by ethnicity (Hispanic and non-Hispanic), gender, and age category. Results: The Average Annual Percent Change (AAPC) for fentanyl-involved mortality increased for all adolescents and young adults within the United States from 2009 to 2022. The greatest AAPCs for fentanyl-related mortalities occurred amongst, Hispanic AYAs, Male AYAs, and 13–18-year-olds. Conclusions: Significant increases in fentanyl-related mortalities have occurred in AYAs from 2009 to 2022. Disparities by ethnicity and emerging trends in gender and age category highlight the need for targeted approaches to help aid in reducing fentanyl-involved mortality amongst AYAs. There is an urgent need for harm reduction and public health efforts to address this escalating crisis.https://www.mdpi.com/2673-995X/5/2/39disparitiesfentanylsubstance useoverdosemortalityadolescents
spellingShingle Paige Brinzo
Adrienne Dean
Ayden Dunn
Diana Lobaina
Sebastian Densley
Panagiota Kitsantas
Maria Carmenza Mejia
Lea Sacca
The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United States
Youth
disparities
fentanyl
substance use
overdose
mortality
adolescents
title The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United States
title_full The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United States
title_fullStr The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United States
title_full_unstemmed The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United States
title_short The Rising Tide: Disparities in Fentanyl-Related Mortality Among Hispanic and Non-Hispanic Adolescents and Young Adults in the United States
title_sort rising tide disparities in fentanyl related mortality among hispanic and non hispanic adolescents and young adults in the united states
topic disparities
fentanyl
substance use
overdose
mortality
adolescents
url https://www.mdpi.com/2673-995X/5/2/39
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