Recent data from the National Institute on Drug Abuse (NIDA) reveals a stark disparity in the ongoing overdose crisis, with older Black men bearing a disproportionate burden. Between 2015 and 2023, overdose deaths among non-Hispanic Black men aged 55 and older increased nearly five-fold, reaching a rate nearly triple the national average for that age group in 2023.
The surge in fatalities primarily involves fentanyl and cocaine, reflecting a broader trend of the dangerous illicit drug supply disproportionately affecting this population. This alarming increase highlights the intersection of longstanding patterns of economic disadvantage, mental health impacts of adversity, and the devastating effects of structural racism on health outcomes.
Dr. Nora Volkow, Director of NIDA, emphasizes the complexity of the issue, noting that while overall overdose deaths dropped by 7.5% in the 12 months ending March 2024, certain groups continue to face escalating crisis levels. The situation underscores the urgent need for tailored interventions and research to address the unique challenges faced by older Black men.
Health disparities likely contribute to this trend, with Black individuals facing discrimination in healthcare settings, undertreated pain, and barriers to accessing substance use treatment. NIDA’s Racial Equity Initiative aims to illuminate these barriers and inform the development of targeted approaches to overcome them.
Addressing this crisis will require coordinated efforts involving health service providers, community coalitions, policymakers, and individuals with lived experience of substance use. Researchers play a crucial role in developing and demonstrating effective interventions to reach those most in need, particularly in underserved communities.
See “Older Black men are disproportionately affected by the overdose crisis” (August 30, 2024)
