The Association between Educational Attainment as a Socioeconomic Determinant and Opioid-Related Deaths in Georgia Open Access

Guidry, Taylor (Spring 2018)

Permanent URL: https://etd.library.emory.edu/concern/etds/5m60qr95r?locale=en
Published

Abstract

The opioid epidemic has become one of the leading public health issues in the Unites States. Opioid related deaths have drastically increased in the past decade and are now the leading cause of unintentional death in the United States. In this study, I analyzed the association between educational attainment and death resulting from opioids in Georgia. I also examined the distribution of deaths resulting from opioids among racial, gender, and age groups in Georgia. A dataset provided by the Georgia Department of Public Health consisting of deaths due to opioids and fatal car accidents were used in this analysis. These types of deaths were determined according to the ICD-10 coding system. Educational attainment was categorized into three groups: no high school diploma or GED, and high school diploma or GED, and some college or more. When analyzing the distribution of opioid-related deaths, frequencies and percentages of deaths among each demographic group at each level of educational attainment. To analyze the association between educational attainment and death due to opioids, cases of opioid-related deaths were matched with fatalities in motor vehicle accidents on age group, gender, and race. A conditional logistic regression model was then used to determine the odds of death due to opioid compared to that of death due to fatal motor vehicle accident among different levels of educational attainment. This analysis showed that most opioid-related deaths were among white, middle-aged males. It also found that there is very little difference in the odds of death due to opioid-related causes compared to fatal motor vehicle accidents, regardless of levels of educational attainment.

Table of Contents

Background………………………………………………………………………………………. 1

Overview…………………………………………………………………………………. 1

Opioids in the body………………………………………………………………………. 1

Opioid Abuse in the United States……………………………………………………….. 2

Opioid abuse in Georgia………………………………………………………………….. 3

Opioid use beyond adults…………………………………………………………………. 4

Motor Vehicle Accidents in Georgia……………………………………………………... 5

Methods…………………………………………………………………………………………... 6

Dataset……………………………………………………………………………………. 6

Variables…………………………………………………………………………………. 6

Inclusion criteria for cases………………………………………………………………... 7

Exclusion criteria for cases……………………………………………………………….. 8

Inclusion criteria for controls……………………………………………………………... 8

Exclusion criteria for controls ……………………………………………………………. 8

Matching…………………………………………………………………………………. 9

Analysis…………………………………………………………………………………... 9

Results……………………………………………………………………………………………. 9

Opioid-Related Deaths…………………………………………………………………… 9

Matched Case Control Analysis…………………………………………………………. 11

Discussion………………………………………………………………………………………. 12

Conclusion and Recommendations……………………………………………………………... 16

Tables & Figures………………………………………………………………………………... 18

Table 1. …………………………………………………………………………………. 18

Table 2…………………………………………………………………………………... 19

Table 3. …………………………………………………………………………………. 19

Table 4…………………………………………………………………………………... 20

References……………………………………………………………………………………21    

About this Master's Thesis

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
School
Department
Degree
Submission
Language
  • English
Research field
Keyword
Committee Chair / Thesis Advisor
Committee Members
Partnering Agencies
Last modified

Primary PDF

Supplemental Files