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Research Article
Open Access

Localized Syndemic Assemblages: COVID-19, Substance Use Disorder, and Overdose Risk in Small-Town America

Andrew Burns, Kat Albrecht
RSF: The Russell Sage Foundation Journal of the Social Sciences December 2022, 8 (8) 245-262; DOI: https://doi.org/10.7758/RSF.2022.8.8.11
Andrew Burns
aResearch associate at Louisiana State University, United States
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Kat Albrecht
bAssistant professor of criminal justice and criminology at Georgia State University, United States
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REFERENCES

  1. ↵
    1. Abrams, David S
    . 2021. “COVID and Crime: An Early Empirical Look.” Journal of Public Economics 194 (February): 104344.
    OpenUrl
  2. ↵
    1. Alter, Aliese, and
    2. Christopher Yeager
    . 2020a. “Covid-19 Impact on US National Overdose Crisis.” Baltimore, Md.: Office of National Drug Control Policy, Overdose Detection Mapping Application Program. Accessed July 12, 2020. https://www.odmap.org:4443/Content/docs/news/2020/ODMAP-Report-June-2020.pdf.
  3. ↵
    1. American Psychiatric Association (APA)
    . 2020b. “The Consequences of Covid-19 on the Overdose Epidemic: Overdoses Are Increasing.” Baltimore, Md.: Office of National Drug Control Policy, Overdose Detection Mapping Application Program. Last modified May 13, 2020. Accessed July 12, 2020. http://odmap.org/Content/docs/news/2020/ODMAP-Report-May-2020.pdf
  4. ↵
    1. American Psychiatric Association (APA)
    . 2013. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. DSM-5. Philadelphia, Pa.: American Psychiatric Association.
  5. ↵
    1. Banta-Green, Caleb J.,
    2. Patricia C. Kuszler,
    3. Phillip O. Coffin, and
    4. Jennifer A. Schoeppe
    . 2011. “Washington’s 911 Good Samaritan Drug Overdose Law-Initial Evaluation Results.” Seattle: Alcohol & Drug Abuse Institute, University of Washington.
  6. ↵
    1. Becker, William C., and
    2. David A. Fiellin
    . 2020. “When Epidemics Collide: Coronavirus Disease 2019 (COVID-19) and the Opioid Crisis.” Annals of International Medicine 173(1). DOI: https://doi.org/10.7326/M20-1210.
  7. ↵
    1. Blustein, David L.,
    2. Ryan Duffy,
    3. Joaquim A. Ferreira,
    4. Valerie Cohen-Scali,
    5. Rachel Gali Cinamon, and
    6. Blake A. Allan
    . 2020. “Unemployment in the Time of COVID-19: A Research Agenda.” Journal of Vocational Behavior 119: 103436.
    OpenUrlPubMed
  8. ↵
    1. Brenner, M. Harvey, and
    2. Dinesh Bhugra
    . 2020. “Acceleration of Anxiety, Depression, and Suicide: Secondary Effects of Economic Disruption Related to COVID-19.” Frontiers in Psychiatry 11: 59246. DOI: https://doi.org/10.3389/fpsyt.2020.592467/full.
    OpenUrl
  9. ↵
    1. Bruguera, Pol,
    2. Jillian Reynolds,
    3. Eilish Gilvarry,
    4. Fleur Braddick,
    5. Abdul Latheef Marath-Veettil,
    6. Peter Anderson,
    7. Zofia Mielecka-Kubien,
    8. Eileen Kaner, and
    9. Antoni Gual
    . 2018. “How Does Economic Recession Affect Substance Use? A Reality Check with Clients of Drug Treatment Centres.” Journal of Mental Health Policy and Economics 21(1): 11–16.
    OpenUrl
  10. ↵
    1. Buchanan, Ian
    . 2020. Assemblage Theory and Method: An Introduction and Guide. New York: Bloomsbury Academic.
  11. ↵
    1. Bureau of Labor Statistics
    . 2020. “U.S. Erie County Unemployment.” Washington: U.S. Census Bureau.
  12. ↵
    1. Burgess-Hull, Albert J.,
    2. Kirsten E. Smith,
    3. Leigh V. Panlilio,
    4. Destiny Schriefer,
    5. Kenzie L. Preston,
    6. Aliese Alter,
    7. Christopher Yeager, et al
    . 2022. “Nonfatal Opioid Overdoses Before and After Covid-19: Regional Variation in Rates of Change.” PLoS One 17(3): e0263893.
    OpenUrl
  13. ↵
    1. Ciccarone, Daniel
    . 2019. “The Triple Wave Epidemic: Supply and Demand Drivers of the Opioid Overdose Crisis.” International Journal on Drug Policy 71: 183.
    OpenUrl
  14. ↵
    1. Cohen, Alison K,
    2. Rachel Brahinsky,
    3. Kathleen M. Coll, and
    4. Miranda P. Dotson
    . “‘We Keep Each Other Safe’: San Francisco Bay Area Community-Based Organizations Respond to Enduring Crises in the COVID-19 Era.” RSF: The Russell Sage Foundation Journal of the Social Sciences 8(8): 70–87. DOI: https://doi.org/10.7758/RSF.2022.8.8.04.
  15. ↵
    1. DeLanda, Manuel
    . 2016. Assemblage Theory. Edinburgh: Edinburgh University Press.
  16. ↵
    1. Deleuze, Gilles, and
    2. Felix Guattari
    . 1987. A Thousand Plateaus: Capitalism and Schizophrenia. Minneapolis: University of Minnesota Press.
  17. ↵
    1. Dubey, Mahua Jana,
    2. Ritwik Ghosh,
    3. Subham Chatterjee,
    4. Payel Biswas,
    5. Subhankar Chatterjee, and
    6. Souvik Dubey
    . 2020. “COVID-19 and Addiction.” Diabetes & Metabolic Syndrome: Clinical Research & Reviews 14(5): 817–23.
    OpenUrl
  18. ↵
    1. Dunn, Allison
    . 2019. “Eight Charged in Sandusky Heroin, Cocaine Sales” The Blade, July 3. Accessed July 10, 2020. https://www.toledoblade.com/local/courts/2019/07/03/eight-charged-in-federal-court-sandusky-heroin-cocaine-sales/stories/20190703111.
  19. ↵
    1. Falk, Gene,
    2. Paul Romero,
    3. Isaac Nicchitta, and
    4. Emma Nyhof
    . 2021. “Unemployment Rates During the COVID-19 Pandemic.” CRS report no. R46554. Washington: Congressional Research Service. Accessed May 11, 2022. https://sgp.fas.org/crs/misc/R46554.pdf.
  20. ↵
    1. Gagnon, Marilou, and
    2. Dave Holmes
    . 2016. “Body–Drug Assemblages: Theorizing the Experience of Side Effects in the Context of HIV Treatment.” Nursing Philosophy 17(4): 250–61.
    OpenUrl
  21. ↵
    1. Gao, Ya-dong,
    2. Mei Ding,
    3. Xiang Dong,
    4. Jin-jin Zhang,
    5. Ahmet Kursat Azkur,
    6. Dilek Azkur,
    7. Hui Gan, et al
    . 2021. “Risk Factors for Severe and Critically Ill COVID-19 Patients: A Review.” Allergy 76(2): 428–55.
    OpenUrlCrossRefPubMed
  22. ↵
    1. Glober, Nancy,
    2. George Mohler,
    3. Philip Huynh,
    4. Tom Arkins,
    5. Dan O’Donnell,
    6. Jeremy Carter and
    7. Brad Ray
    . 2020. “Impact of Covid-19 Pandemic on Drug Overdoses in Indianapolis.” Journal of Urban Health 97(6): 802–7.
    OpenUrlPubMed
  23. ↵
    1. Hackworth, Jason
    . 2018. “Race and the Production of Extreme Land Abandonment in the American Rust Belt.” International Journal of Urban and Regional Research 42(1): 51–73.
    OpenUrl
  24. ↵
    1. Hainer, Ray
    . 2019. “Polysubstance Use and Stimulants: A Dangerous Fourth Wave in the Opioid Crisis.” Health City, June 13. Accessed May 10, 2020. https://healthcity.bmc.org/population-health/polysubstance-use-dangerous-fourth-wave-opioid-crisis.
  25. ↵
    1. Harrington, Michael
    . 2020. “Essential Factories Remain Open.” Sandusky Register, March 24. Accessed August 9, 2020. https://sanduskyregister.com/news/177801/essential-factories-remain-open/.
  26. ↵
    1. Hill, Michael A.,
    2. James R. Sowers, and
    3. Christos S. Mantzoros
    . 2021. “Commentary: COVID-19 and Obesity Pandemics Converge into a Syndemic Requiring Urgent and Multidisciplinary Action.” Metabolism 114: 154408. DOI: https://doi.org/10.1016/j.metabol.2020.154408.
    OpenUrl
  27. ↵
    1. Horton, Richard
    . 2020. “Offline: COVID-19 Is Not a Pandemic.” Lancet 396(10255): 874. DOI: https://doi.org/10.1016/S0140-6736(20)32000-6.
    OpenUrlCrossRefPubMed
  28. ↵
    1. IHME COVID-19 Forecasting Team
    . 2020. “Modeling Covid-19 Scenarios for the United States.” Nature Medicine 27: 94–105.
    OpenUrl
  29. ↵
    1. Jackson, Tom
    . 2018. “Detox Center Opens, Beds Are Filling Up” Sandusky Register, January 5. Accessed March 1, 2020. https://reviewtimes.com/news/12537/detox-center-opens-beds-are-filling-up.
  30. ↵
    1. Jackson, Tom
    . 2020a. “Big Overdose Spike Reported in Erie County” Sandusky Register, August 5. Accessed December 20, 2020. https://sanduskyregister.com/news/270713/big-overdose-spike-reported-in-erie-county/.
    1. Jackson, Tom
    . 2020b. “Overdoses Spike.” Sandusky Register, December 1. Accessed December 20, 2020. https://sanduskyregister.com/news/291080/overdoses-spike/.
  31. ↵
    1. Jakubowski, Andrea,
    2. Hillary V. Kunins,
    3. Zina Huxley-Reicher, and
    4. Anne Siegler
    . 2018. “Knowledge of the 911 Good Samaritan Law and 911-Calling Behavior of Overdose Witnesses.” Substance Abuse 39(2): 233–38.
    OpenUrl
  32. ↵
    1. Khan, Kiran,
    2. Mohammed Mamun,
    3. Mark Griffiths, and
    4. Irfan Ullah
    . 2022. “The Mental Health Impact of the COVID-19 Pandemic Across Different Cohorts.” International Journal of Mental Health and Addiction 20(1): 380–86.
    OpenUrl
  33. ↵
    1. Khan, Moien A. B., and
    2. Jane Elizabeth Moverley Smith
    . 2020. “‘Covibesity,’ a New Pandemic.” Obesity Medicine 19: 100282. DOI: https://doi.org/10.1016/j.obmed.2020.100282.
    OpenUrl
  34. ↵
    1. Long, Norman
    . 2003. “Globalization and Localization: New Challenges to Rural Research.” In The Future of Anthropological Knowledge, edited by Henrietta Moore. London: Routledge.
  35. ↵
    1. Mason, Maryann,
    2. Sarah B. Welch,
    3. Ponni Arunkumar,
    4. Lori Ann Post, and
    5. Joseph M. Feinglass
    . 2021. “Notes from the Field: Opioid Overdose Deaths Before, During, and After an 11-Week Covid-19 Stay-at-Home Order—Cook County, Illinois, January 1, 2018–October 6, 2020.” Morbidity and Mortality Weekly Report 70(10): 362–63.
    OpenUrl
  36. ↵
    1. McKnight-Eily, Lela R.,
    2. Catherine A. Okoro,
    3. Tara W. Strine,
    4. Jorge Verlenden,
    5. NaTasha D. Hollis,
    6. Rashid Njai,
    7. Elizabeth W. Mitchell,
    8. Amy Board,
    9. Richard Puddy, and
    10. Craig Thomas
    . 2021. “Racial and Ethnic Disparities in the Prevalence of Stress and Worry, Mental Health Conditions, and Increased Substance Use Among Adults During the Covid-19 Pandemic—United States, April and May 2020.” Morbidity and Mortality Weekly Report 70(5): 162.
    OpenUrl
  37. ↵
    1. Mendenhall, Emily
    . 2020. “The Covid-19 Syndemic Is Not Global: Context Matters.” The Lancet 396(10264): 1731.
    OpenUrl
  38. ↵
    1. Monnat, Shannon M., and
    2. Khary K. Rigg
    . 2016. “Examining Rural/Urban Differences in Prescription Opioid Misuse Among US Adolescents.” Journal of Rural Health 32(2): 204–18.
    OpenUrl
  39. ↵
    1. Moreland, Amanda,
    2. Christine Herlihy,
    3. Michael A. Tynan,
    4. Gregory Sunshine,
    5. Russell F. McCord,
    6. Charity Hilton,
    7. Jason Poovey, et al
    . 2020. “Timing of State and Territorial COVID-19 Stay-at-Home Orders and Changes in Population Movement—United States, March 1–May 31, 2020.” Morbidity and Mortality Weekly Report 69(35): 1198.
    OpenUrl
  40. ↵
    1. NASEM (National Academies of Sciences, Engineering, and Medicine)
    2017. Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Washington, D.C.: National Academies Press. https://nap.nationalacademies.org/read/24781/chapter/1.
  41. ↵
    1. Naymik, Mark
    . 2020. “Sandusky’s Comeback Threatened by Pandemic and Impact on Cedar Point” WKYC Studios, May 11. Accessed July 24, 2022. https://www.wkyc.com/article/money/economy/sanduskys-comeback-threatened-by-pandemic-and-impact-on-cedar-point/95-39112efc-0c25-4156-8855-29913dda8290.
  42. ↵
    1. Ochalek, Taylor A.,
    2. Kirk L. Cumpston,
    3. Brandon K. Wills,
    4. Tamas S. Gal, and
    5. F. Gerard Moeller
    . 2020. “Nonfatal Opioid Overdoses at an Urban Emergency Department During the COVID-19 Pandemic.” JAMA 324(16): 1673–74.
    OpenUrlPubMed
  43. ↵
    1. Ohio Department of Health
    . 2020. “Project DAWN (Deaths Avoided with Naloxone).” Columbus: Ohio Department of Health. Accessed December 14, 2020. https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/violence-injury-prevention-program/projectdawn/.
  44. ↵
    1. Ohio’s Lake Erie Shores and Islands (OLESI)
    . 2017. “Lake Erie Shores and Islands 2016 Facts & Figures.” Ohio Travel Association. Accessed December 22, 2020. https://www.shoresandislands.com/media/research.
  45. ↵
    1. Ohio Legislative Service Commission
    . 2019. “Section 2925.11: Possession of Controlled Substances.” March 22, 2019. Accessed December 15, 2020. https://codes.ohio.gov/ohio-revised-code/section-2925.11.
  46. ↵
    1. Patton, Michael Quinn
    . 2002. Qualitative Research and Evaluation Methods. Thousand Oaks, Calif.: SAGE Publications.
  47. ↵
    1. Pfefferbaum, Betty, and
    2. Carol S. North
    . 2020. “Mental Health and the Covid-19 Pandemic.” New England Journal of Medicine 383(6): 510–12.
    OpenUrlCrossRefPubMed
  48. ↵
    1. Quinones, Sam
    . 2015. Dreamland: The True Tale of America’s Opiate Epidemic. London: Bloomsbury Press.
  49. ↵
    1. Robeznieks, Andis
    . 2020. “COVID-19 May Be Worsening Opioid Crisis, but States Can Take Action.” American Medical Association, May 28. Accessed December 1, 2020. https://www.ama-assn.org/delivering-care/opioids/covid-19-may-be-worsening-opioid-crisis-states-can-take-action.
  50. ↵
    1. Sandusky Register
    . 2020. “Ventra to Shut Down.” Sandusky Register, March 19. Accessed July 22, 2022. https://sanduskyregister.com/news/177536/ventra-to-shut-down/.
  51. ↵
    1. SARCC
    . 2019. “Sandusky Artisans Recovery Community Center.” Accessed August 15, 2019. https://sanduskyartisansrecovery.com/.
  52. ↵
    1. Schlosser, Allison, and
    2. Shana Harris
    . 2020. “Care During COVID-19: Drug Use, Harm Reduction, and Intimacy During a Global Pandemic.” International Journal on Drug Policy 83: 102896. DOI: https://doi.org/10.1016/j.drugpo.2020.102896.
    OpenUrl
  53. ↵
    1. Schuchat, Anne, and CDC COVID-19 and Response Team
    . 2020. “Public Health Response to the Initiation and Spread of Pandemic COVID-19 in the United States, February 24–April 21, 2020.” Morbidity and Mortality Weekly Report 69(18): 551–56.
    OpenUrl
  54. ↵
    1. Singer, Merrill
    . 2009. Introduction to Syndemics: A Critical Systems Approach to Public and Community Health. New York: John Wiley & Sons.
  55. ↵
    1. Singer, Merrill,
    2. Nicola Bulled, and
    3. Thomas Leatherman
    . 2022. “Are There Global Syndemics?” Medical Anthropology 41(1): 4–18.
    OpenUrl
  56. ↵
    1. Sisak, Michael R.,
    2. Jake Bleiberg, and
    3. Stefanie Dazio
    . 2020. “Police Shift Priorities as Novel Coronavirus Crisis Grows.” PBS News Hour, March 18. Accessed July 22, 2022. https://www.pbs.org/newshour/health/u-s-police-shift-priorities-as-novel-coronavirus-crisis-grows.
  57. ↵
    1. U.S. Census Bureau
    . 2019. “Quick Facts, Sandusky Ohio.” Accessed March 5, 2021. https://www.census.gov/quickfacts/sanduskycityohio.
  58. ↵
    1. Venkatesh, Ashwin, and
    2. Shantal Edirappuli
    . 2020. “Social Distancing in COVID-19: What Are the Mental Health Implications?” British Medical Journal 369m1379. DOI: https://doi.org/10.1136/bmj.m1379.
  59. ↵
    1. Volkow, Nora D
    . 2020. “Collision of the Covid-19 and Addiction Epidemics.” Annals of Internal Medicine, July 7. DOI: https://doi.org/10.7326/M20-1212.
  60. ↵
    1. Young, April M.,
    2. Jennifer R. Havens, and
    3. Carl G. Leukefeld
    . 2012. “A Comparison of Rural and Urban Nonmedical Prescription Opioid Users’ Lifetime and Recent Drug Use.” American Journal of Drug and Alcohol Abuse 38(3): 220–27.
    OpenUrlCrossRefPubMed
  61. ↵
    1. Zhang, Yan, and
    2. Barbara M. Wildemuth
    . 2009. “Unstructured Interviews.” In Applications of Social Research Methods to Questions in Information and Library Science, edited by Barbara M. Wildemuth Exeter, UK: Libraries Unlimited.
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RSF: The Russell Sage Foundation Journal of the Social Sciences: 8 (8)
RSF: The Russell Sage Foundation Journal of the Social Sciences
Vol. 8, Issue 8
1 Dec 2022
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Localized Syndemic Assemblages: COVID-19, Substance Use Disorder, and Overdose Risk in Small-Town America
Andrew Burns, Kat Albrecht
RSF: The Russell Sage Foundation Journal of the Social Sciences Dec 2022, 8 (8) 245-262; DOI: 10.7758/RSF.2022.8.8.11

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Localized Syndemic Assemblages: COVID-19, Substance Use Disorder, and Overdose Risk in Small-Town America
Andrew Burns, Kat Albrecht
RSF: The Russell Sage Foundation Journal of the Social Sciences Dec 2022, 8 (8) 245-262; DOI: 10.7758/RSF.2022.8.8.11
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  • Article
    • Abstract
    • THE SHIFTING OVERDOSE EPIDEMIC
    • RESEARCH DESIGN
    • BACKGROUND
    • FINDINGS
    • THE SYNDEMIC IMPACT OF COVID-19
    • DISCUSSION
    • CONCLUSION
    • FOOTNOTES
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Keywords

  • syndemics
  • assemblage theory
  • small-town crime
  • overdose
  • COVID-19

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