RT Article
T1 Prescription Opioid Resiliency and Vulnerability: A Mixed-Methods Comparative Case Study
JF American journal of criminal justice
VO 47
IS 4
SP 651
OP 671
A1 Hochstetler, Andrew
A2 Peters, David J.
A2 Monnat, Shannon M.
LA English
YR 2022
UL https://krimdok.uni-tuebingen.de/Record/1883304202
AB Despite declines in prescription opioid overdoses, rural areas continue to have higher prescription opioid overdose rates than urban areas. We aim to understand high overdose places were resilient to the prescription opioid overdose crisis (better than predicted), while others were vulnerable (worse than predicted). First, we predicted prescription opioid overdose mortality in 2016-18 for N = 2,013 non-metropolitan counties using multivariable regression accounting. Second, we constructed a resiliency-vulnerability typology using observed, predicted, and residual values from the regression. Third, we selected a high-overdose resilient and vulnerable community for case study analysis using interviews, focus groups, and observations. High-overdose resilient and vulnerable places had disability-dispensing-overdose pathways, legacies of mining, and polysubstance drug abuse. Resilient places were larger population micropolitans with extensive health and social services, norms of redemption and acceptance of addiction, and community-wide mobilization of public and non-profit resources. Vulnerable places were smaller, more remote, lacked services, and stigmatized addiction.
K1 Community resiliency
K1 mixed methods
K1 Prescription opioid overdose
K1 Rural
DO 10.1007/s12103-022-09701-9