Spatial Mediation Analysis of Neighborhood Disadvantage, Assault-Associated Injuries, and Fatal Opioid Overdoses in Philadelphia, 2015–2024
- Presentation Day/Time: Thursday, April 23, 3:25 PM
- Presenter: Ariana Gobaud, PhD, MPH, Philadelphia, Department of Public Health
The Issue
- Neighborhood disadvantage is associated with elevated rates of both fatal opioid overdose and assault-associated injury in Philadelphia, suggesting a shared structural pathway. In disadvantaged areas, overdose burden might reflect drug market conditions that contribute to violence.
What We Did
- We evaluated whether fatal opioid overdose mediates the relationship between neighborhood disadvantage and assault-associated injury.
What We Found
- Fatal opioid overdose did not mediate the association between neighborhood disadvantage and assault-associated injury, but neighborhood disadvantage was associated with both outcomes.
What This Means
- Addressing upstream factors of neighborhood disadvantage might be helpful strategies to address both violence and overdose.