Identifying Areas with Disproportionate Local Health Department Services Relative to Opioid Overdose, HIV and Hepatitis C Diagnosis Rates: A Study of Rural Illinois

Colleen McLuckie; Mai T Pho; Kaitlin Ellis; Livia Navon; Kelly Walblay; Wiley D Jenkins; Christofer Rodriguez; Marynia A Kolak; Yen-Tyng Chen; John A Schneider; Whitney E Zahnd

doi:10.3390/ijerph16060989

Back

Identifying Areas with Disproportionate Local Health Department Services Relative to Opioid Overdose, HIV and Hepatitis C Diagnosis Rates: A Study of Rural Illinois

Journal article

Open access

Peer reviewed

Identifying Areas with Disproportionate Local Health Department Services Relative to Opioid Overdose, HIV and Hepatitis C Diagnosis Rates: A Study of Rural Illinois

Colleen McLuckie, Mai T Pho, Kaitlin Ellis, Livia Navon, Kelly Walblay, Wiley D Jenkins, Christofer Rodriguez, Marynia A Kolak, Yen-Tyng Chen, John A Schneider, …

International journal of environmental research and public health, Vol.16(6), p.989

03/19/2019

DOI: 10.3390/ijerph16060989

PMCID: PMC6466434

PMID: 30893862

Files and links (1)

url

https://doi.org/10.3390/ijerph16060989View

Published (Version of record) Open Access

Abstract

U.S. rural populations have been disproportionately affected by the syndemic of opioid-use disorder (OUD) and the associated increase in overdoses and risk of hepatitis C virus (HCV) and human immunodeficiency virus (HIV) transmission. Local health departments (LHDs) can play a critical role in the response to this syndemic. We utilized two geospatial approaches to identify areas of discordance between LHD service availability and disease burden to inform service prioritization in rural settings. We surveyed rural Illinois LHDs to assess their OUD-related services, and calculated county-level opioid overdose, HIV, and hepatitis C diagnosis rates. Bivariate choropleth maps were created to display LHD service provision relative to disease burden in rural Illinois counties. Most rural LHDs provided limited OUD-related services, although many LHDs provided HIV and HCV testing. Bivariate mapping showed rural counties with limited OUD treatment and HIV services and with corresponding higher outcome/disease rates to be dispersed throughout Illinois. Additionally, rural counties with limited LHD-offered hepatitis C services and high hepatitis C diagnosis rates were geographically concentrated in southern Illinois. Bivariate mapping can enable geographic targeting of resources to address the opioid crisis and related infectious disease by identifying areas with low LHD services relative to high disease burden.

Geographic Information Systems

Hepatitis C - complications

Hepatitis C - diagnosis

Hepatitis C - epidemiology

HIV Infections - complications

HIV Infections - diagnosis

HIV Infections - epidemiology

Humans

Illinois - epidemiology

Opioid-Related Disorders - complications

Opioid-Related Disorders - epidemiology

Public Health Practice

Rural Population

Details

Title: Subtitle: Identifying Areas with Disproportionate Local Health Department Services Relative to Opioid Overdose, HIV and Hepatitis C Diagnosis Rates: A Study of Rural Illinois
Creators: Colleen McLuckie - School of Public Health, University of Illinois at Chicago, Chicago, IL 60607, USA. Colleen.mcluckie@illinois.gov
Mai T Pho - Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago Medicine, Chicago, IL 60637, USA. mpho@bsd.uchicago.edu
Kaitlin Ellis - Pritzker School of Medicine, University of Chicago Medicine, Chicago, IL 60637, USA. Kaitlin.Ellis@uchospitals.edu
Livia Navon - Division of State and Local Readiness, Center for Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA. Livia.Navon@illinois.gov
Kelly Walblay - Illinois Department of Public Health, Chicago, IL 60603, USA. Kelly.Walblay@illinois.gov
Wiley D Jenkins - Department of Population Science and Policy, Southern Illinois University School of Medicine, Springfield, IL 62794, USA. wjenkins@siumed.edu
Christofer Rodriguez - Department of Population Science and Policy, Southern Illinois University School of Medicine, Springfield, IL 62794, USA. crodriguez38@siumed.edu
Marynia A Kolak - Center for Spatial Data Science, University of Chicago, Chicago, IL 60637, USA. mkolak@uchicago.edu
Yen-Tyng Chen - Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago Medicine, Chicago, IL 60637, USA. ychen22@medicine.bsd.uchicago.edu
John A Schneider - Department of Public Health, Department of Medicine, University of Chicago, Chicago, IL 60637, USA. jschnei1@medicine.bsd.uchicago.edu
Whitney E Zahnd - Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA. zahnd@mailbox.sc.edu
Resource Type: Journal article
Publication Details: International journal of environmental research and public health, Vol.16(6), p.989
DOI: 10.3390/ijerph16060989
PMID: 30893862
PMCID: PMC6466434
NLM abbreviation: Int J Environ Res Public Health
ISSN: 1661-7827
eISSN: 1660-4601
Grant note: UG3 DA044829 / NIDA NIH HHS
Language: English
Date published: 03/19/2019
Academic Unit: Health Management and Policy
Record Identifier: 9984214851602771

Metrics

4 Record Views

20 Times Cited - Web of Science