Modeling and forecasting age-specific drug overdose mortality in the United States

Fuente: arXiv
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Main Authors: Böttcher, Lucas, Chou, Tom, D'Orsogna, Maria R.
Format: Preprint
Published: 2023
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author Böttcher, Lucas
Chou, Tom
D'Orsogna, Maria R.
author_facet Böttcher, Lucas
Chou, Tom
D'Orsogna, Maria R.
contents Drug overdose deaths continue to increase in the United States for all major drug categories. Over the past two decades the total number of overdose fatalities has increased more than five-fold; since 2013 the surge in overdose rates is primarily driven by fentanyl and methamphetamines. Different drug categories and factors such as age, gender, and ethnicity are associated with different overdose mortality characteristics that may also change in time. For example, the average age at death from a drug overdose has decreased from 1940 to 1990 while the overall mortality rate has steadily increased. To provide insight into the population-level dynamics of drug-overdose mortality, we develop an age-structured model for drug addiction. Using an augmented ensemble Kalman filter (EnKF), we show through a simple example how our model can be combined with synthetic observation data to estimate mortality rate and an age-distribution parameter. Finally, we use an EnKF to combine our model with observation data on overdose fatalities in the United States from 1999 to 2020 to forecast the evolution of overdose trends and estimate model parameters.
format Preprint
id arxiv_https___arxiv_org_abs_2303_16172
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Modeling and forecasting age-specific drug overdose mortality in the United States
Böttcher, Lucas
Chou, Tom
D'Orsogna, Maria R.
Applications
Populations and Evolution
Quantitative Methods
Drug overdose deaths continue to increase in the United States for all major drug categories. Over the past two decades the total number of overdose fatalities has increased more than five-fold; since 2013 the surge in overdose rates is primarily driven by fentanyl and methamphetamines. Different drug categories and factors such as age, gender, and ethnicity are associated with different overdose mortality characteristics that may also change in time. For example, the average age at death from a drug overdose has decreased from 1940 to 1990 while the overall mortality rate has steadily increased. To provide insight into the population-level dynamics of drug-overdose mortality, we develop an age-structured model for drug addiction. Using an augmented ensemble Kalman filter (EnKF), we show through a simple example how our model can be combined with synthetic observation data to estimate mortality rate and an age-distribution parameter. Finally, we use an EnKF to combine our model with observation data on overdose fatalities in the United States from 1999 to 2020 to forecast the evolution of overdose trends and estimate model parameters.
title Modeling and forecasting age-specific drug overdose mortality in the United States
topic Applications
Populations and Evolution
Quantitative Methods
url https://arxiv.org/abs/2303.16172