Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island
Objective Policy ramifications of the COVID-19 pandemic shape the concurrent housing and overdose crises in the USA. Housing insecurity is a known risk factor for overdose, yet how residential eviction may influence fatal overdose risk is understudied. We sought to evaluate the spatiotemporal relati...
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000756.full |
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| author | Jennifer Ahern Magdalena Cerdá William C Goedel Elizabeth A Samuels Yu Li Alexandria Macmadu Benjamin D Hallowell Kathryn M Leifheit Alexandra Skinner Victoria Jent Bennett Allen Abigail R Cartus Claire Pratty Brandon DL Marshall |
| author_facet | Jennifer Ahern Magdalena Cerdá William C Goedel Elizabeth A Samuels Yu Li Alexandria Macmadu Benjamin D Hallowell Kathryn M Leifheit Alexandra Skinner Victoria Jent Bennett Allen Abigail R Cartus Claire Pratty Brandon DL Marshall |
| author_sort | Jennifer Ahern |
| collection | DOAJ |
| description | Objective Policy ramifications of the COVID-19 pandemic shape the concurrent housing and overdose crises in the USA. Housing insecurity is a known risk factor for overdose, yet how residential eviction may influence fatal overdose risk is understudied. We sought to evaluate the spatiotemporal relationship between neighbourhood-level residential eviction rates and overdose mortality in Rhode Island (RI) before and during a statewide eviction moratorium in response to COVID-19.Methods We conducted an ecological study at the census tract level in RI (N=240) by modelling the association between quintiles of eviction rates and fatal overdose rates from 2016 to 2021. We applied a Bayesian spatiotemporal approach using an integrated nested Laplace approximation and adjusted for an a priori determined set of time-varying demographic and policy covariates.Results Descriptively, we observed a direct, dose–response relationship between quintiles of eviction incidence rates over the full study period and fatal overdose. Prior to the implementation of a statewide eviction moratorium, census tracts in the highest eviction quintile had increased rates of overdose mortality, relative to those in the lowest quintile (posterior mean relative rate = 1.49, 95% credible interval: 1.05 to 2.13). Associations during the periods of eviction moratorium were non-significant.Conclusion This work highlights the neighbourhood-level relationship between residential eviction and fatal overdose risk in the absence of an eviction moratorium. Enhanced investment in eviction prevention policies, such as rent relief and limitations to the circumstances under which landlords can file for eviction, may complement harm reduction efforts to reduce neighbourhood-level overdose inequalities. |
| format | Article |
| id | doaj-art-e96395dccda14805a39844c4f3d8184a |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-e96395dccda14805a39844c4f3d8184a2025-01-29T02:30:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000756Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode IslandJennifer Ahern0Magdalena Cerdá1William C Goedel2Elizabeth A Samuels3Yu Li4Alexandria Macmadu5Benjamin D Hallowell6Kathryn M Leifheit7Alexandra Skinner8Victoria Jent9Bennett Allen10Abigail R Cartus11Claire Pratty12Brandon DL Marshall13Department of Epidemiology, University of California Berkeley School of Public Health, Berkeley, California, USAprofessor and directorDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USADepartment of Emergency Medicine, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, USADepartment of Anesthesiology, Wenzhou Central Hospital, Wenzhou, Zhejiang, ChinaDepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USAState of Rhode Island Department of Health, Providence, Rhode Island, USADepartment of Pediatrics, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, USADepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USADepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USADepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USADepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USADepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USADepartment of Epidemiology, Brown University School of Public Health, Providence, Rhode Island, USAObjective Policy ramifications of the COVID-19 pandemic shape the concurrent housing and overdose crises in the USA. Housing insecurity is a known risk factor for overdose, yet how residential eviction may influence fatal overdose risk is understudied. We sought to evaluate the spatiotemporal relationship between neighbourhood-level residential eviction rates and overdose mortality in Rhode Island (RI) before and during a statewide eviction moratorium in response to COVID-19.Methods We conducted an ecological study at the census tract level in RI (N=240) by modelling the association between quintiles of eviction rates and fatal overdose rates from 2016 to 2021. We applied a Bayesian spatiotemporal approach using an integrated nested Laplace approximation and adjusted for an a priori determined set of time-varying demographic and policy covariates.Results Descriptively, we observed a direct, dose–response relationship between quintiles of eviction incidence rates over the full study period and fatal overdose. Prior to the implementation of a statewide eviction moratorium, census tracts in the highest eviction quintile had increased rates of overdose mortality, relative to those in the lowest quintile (posterior mean relative rate = 1.49, 95% credible interval: 1.05 to 2.13). Associations during the periods of eviction moratorium were non-significant.Conclusion This work highlights the neighbourhood-level relationship between residential eviction and fatal overdose risk in the absence of an eviction moratorium. Enhanced investment in eviction prevention policies, such as rent relief and limitations to the circumstances under which landlords can file for eviction, may complement harm reduction efforts to reduce neighbourhood-level overdose inequalities.https://bmjpublichealth.bmj.com/content/2/1/e000756.full |
| spellingShingle | Jennifer Ahern Magdalena Cerdá William C Goedel Elizabeth A Samuels Yu Li Alexandria Macmadu Benjamin D Hallowell Kathryn M Leifheit Alexandra Skinner Victoria Jent Bennett Allen Abigail R Cartus Claire Pratty Brandon DL Marshall Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island BMJ Public Health |
| title | Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island |
| title_full | Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island |
| title_fullStr | Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island |
| title_full_unstemmed | Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island |
| title_short | Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island |
| title_sort | spatiotemporal analysis of the association between residential eviction and fatal overdose in rhode island |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000756.full |
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