Public health

Understanding the spatiotemporal evolution of opioid overdose events using a regionalized sequence alignment analysis

The latest paper from the Franklin County Opioid Crisis Activity Level (FOCAL) mapping project, led by my former student Dr. Yuchen Li, in collaboration with Dr. Ayaz Hyder from OSU College of Public Health.

Li, Y., Miller, H.J., Hyder, A. and Jia, P. (2023) “Understanding the spatiotemporal evolution of opioid overdose events using a regionalized sequence alignment analysis.” Social Science & Medicine, p.116188.

Abstract

Background.  Opioid overdose events and deaths have become a serious public health crisis in the United States, and understanding the spatiotemporal evolution of the disease occurrences is crucial for developing effective prevention strategies, informing health systems policy and planning, and guiding local responses. However, current research lacks the capability to observe the dynamics of the opioid crisis at a fine spatial-temporal resolution over a long period, leading to ineffective policies and interventions at the local level.

Methods. This paper proposes a novel regionalized sequential alignment analysis using opioid overdose events data to assess the spatiotemporal similarity of opioid overdose evolutionary trajectories within regions that share similar socioeconomic status. The model synthesizes the shape and correlation of space-time trajectories to assist space-time pattern mining in different neighborhoods, identifying trajectories that exhibit similar spatiotemporal characteristics for further analysis.

Results. By adopting this methodology, we can better understand the spatiotemporal evolution of opioid overdose events and identify regions with similar patterns of evolution. This enables policymakers and health researchers to develop effective interventions and policies to address the opioid crisis at the local level.

Conclusions. The proposed methodology provides a new framework for understanding the spatiotemporal evolution of opioid overdose events, enabling policymakers and health researchers to develop effective interventions and policies to address this growing public health crisis.

Keywords: Opioid overdose epidemic; Sequential analysis; Neighborhood context; Geographic information science; Spatiotemporal pattern mining

The deadly impact of urban streets that look like highways

New paper: Stiles, J., Li, Y. and Miller, H.J. (2022) “How does street space influence crash frequency? An analysis using segmented street view imagery,” Environment and Planning B: Urban Analytics and City Science, https://doi.org/10.1177/23998083221090962

Abstract.  Road crashes in metropolitan areas are challenging to prevent because they stem from the interactions of drivers and other system users in intricate built environments. Recent theories indicate that features of the built environment may induce unsafe driving by shaping users’ expectations and behaviors. The availability of street view imagery and methods of scene parsing create new possibilities for understanding how features of the built environment influence crash incidence. Most previous crash research using street imagery has applied manual processing methods. In this paper, we develop and apply automated machine parsed imagery in conjunction with self-explaining roads theory to consider how the street space visible to drivers influences crash frequency, using data from Columbus, Ohio, USA. While controlling for road network and area characteristics, we model the association of individual street elements with crash frequency. We then conduct a cluster analysis to define four types of street spaces, which are used in a subsequent model. We find that an Open Road type of metropolitan street space, characterized by more visible sky, roadway, and signage are associated with the greatest increase in crashes, and that the majority of these spaces exist on arterial or collector class road segments. We theorize that the visual similarity of this type of street space to highways promotes faster, less careful driving, which combines with their mixed land uses to make them the least safe. This points to the importance of traffic calming for such roads in high-activity areas, and the need to differentiate environments of non-highways from highways to promote careful driving.

Media

Understanding the role of urban social and physical environment in opioid overdose events using found geospatial data

New paper:  Li, Y., Miller, H.J., Root, E.D., Hyder, A. and Liu, D. “Understanding the role of urban social and physical environment in opioid overdose events using found geospatial data,” Health and Place, 75, 102792.

Abstract: Opioid use disorder is a serious public health crisis in the United States. Manifestations such as opioid overdose events (OOEs) vary within and across communities and there is growing evidence that this variation is partially rooted in community-level social and economic conditions. The lack of high spatial resolution, timely data has hampered research into the associations between OOEs and social and physical environments. We explore the use of non-traditional, “found” geospatial data collected for other purposes as indicators of urban social-environmental conditions and their relationships with OOEs at the neighborhood level. We evaluate the use of Google Street View images and non-emergency “311” service requests, along with US Census data as indicators of social and physical conditions in community neighborhoods. We estimate negative binomial regression models with OOE data from first responders in Columbus, Ohio, USA between January 1, 2016, and December 31, 2017. Higher numbers of OOEs were positively associated with service request indicators of neighborhood physical and social disorder and street view imagery rated as boring or depressing based on a pre-trained random forest regression model. Perceived safety, wealth, and liveliness measures from the street view imagery were negatively associated with risk of an OOE. Age group 50–64 was positively associated with risk of an OOE but age 35–49 was negative. White population, percentage of individuals living in poverty, and percentage of vacant housing units were also found significantly positive however, median income and percentage of people with a bachelor’s degree or higher were found negative. Our result shows neighborhood social and physical environment characteristics are associated with likelihood of OOEs. Our study adds to the scientific evidence that the opioid epidemic crisis is partially rooted in social inequality, distress and underinvestment. It also shows the previously underutilized data sources hold promise for providing insights into this complex problem to help inform the development of population-level interventions and harm reduction policies.