Shannon M. MonnatFollow


Rates of fatal drug overdose increased 250% in the U.S. between 1999 and 2017, due in large part to a massive surge in overdoses involving opioids. However, there is substantial geographic variation in fatal opioid overdoses, and prescription opioids, heroin, and fentanyl are differentially responsible for high overdose rates across different parts of the U.S. This research brief summarizes the findings from a study just published in the American Journal of Public Health. The study shows that there are at least four geographically distinct opioid overdose crises in the U.S.

Document Type

Research Brief


opioids, substance use, overdose, demography


Demography, Population, and Ecology | Other Public Health | Substance Abuse and Addiction




USDA National Institute of Food and Agriculture, Eunice Kennedy Shriver National Institute of Child Health and Human Development, USDA Agricultural Experiment Station Multistate Research Project

Funding ID

2018-68006-27640, P2CHD041025, W4001, Social, Economic and Environmental Causes and Consequences of Demographic Change in Rural America

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.