Opioid overdose deaths among older adults in the U.S. have grown fastest among Black men, a new study shows, offering more evidence that a deadly drug crisis once seen as mostly affecting whites has been disproportionately harming people of color.
The research, published Tuesday in JAMA Network Open, found the annual rate of opioid overdose deaths increased approximately tenfold among adults 55 years of age and older, from 0.9 deaths per 100,000 population in 1999 to 10.7 per 100,000 in 2019. Over those two decades, nearly 80,000 U.S. residents 55 or older died due to an opioid overdose, with nearly 80% of those deaths occurring among those between the ages of 55 and 64 and more than 58% occurring among men, the study found.
Driving the overall increase has been a spike in overdose deaths among Black men, who since 2013 have had substantially higher death rates than the overall rate for people at least 55 years old. By 2019, the opioid overdose fatality rate among older Black men was approximately four times higher than the overall rate among older adults, at more than 40 deaths per 100,000 population.
Hispanic women and Asian and Pacific Islander men and women had the lowest overdose death rates among older adults between 1999 and 2019, with those groups never exceeding 3 deaths per 100,000. Rates among Hispanic men, Black women, and American Indian or Alaska Native and white men and women ranged from 0.23 deaths per 100,000 population in 1999 to 12.8 deaths per 100,000 in 2019.
The increase in opioid overdose deaths among older Black men is the latest evidence of the U.S. drug epidemic’s changing demographics.
Since at least 2001 through 2019, whites have had the highest opioid overdose death rate when compared with Black people, Hispanics and a composite category including Asians or Pacific Islanders and American Indians or Alaska Natives, according to figures compiled by the Kaiser Family Foundation. The rate for whites reached 19.4 deaths per 100,000 population in 2017 compared with 12.9 deaths per 100,000 among Black individuals that year.