But another thing might be involved ... heroin is WAY cheaper than Rx opioids, AND more 'accepted' in the black community ... which means your average black opioid user is more likely to be a heroin user than say, oxycontin or opana like the average white opioid user.
Why does that matter? Seems like it'd be WORSE then, right? Well for a couple reasons, it may not be.
It's like this: heroin addicts tend to become extremely opioid tolerant, some are able to take in as much dope as would kill 20-30 people if they were taking opioids for the first time. That's a built-in anti-OD mechanism.
In turn, being a heroin user (esp. a black one, as there's a significant 'community' of them) also means you're 'taught' by other users 'how to get high', it's a much more complex process, and everyone involved has an awareness of the 'unknowns' involved ... mostly with regards to strength/purity, so people are taught to be careful, IOW.
Then there's cost ... average heroin user (esp. a black addict) is poor, living hand to mouth basically, and at any given time is buying like $10-$20 bags ... they could shoot that whole thing and not OD. They never have ENOUGH dope ... to OD with, because they're poor.
Your average white person trying to get high on opioids is doing it by like ... buying from a casual friend or co-worker or stealing from mom/dad/grandparents. There's no 'community of experienced users' involved in the process. Nobody teaching them the difference between a 5mg Vicodin and a 80MG Oxycontin. And they probably buy, I dunno, a bunch of pills when they do so. In some cases, they physically are 'holding' ... enough to kill them, esp. mixed with booze.
Thus, I'd bet that most people who die from opioid OD are relatively opioid 'naive' as they say ... in both senses of the word (tolerance and proper usage). Because in order to live long enough to actually become a serious addict ... that only happens when you 'know what you're doing' along the way.
Also a SIGNIFICANT majority of opioid deaths ALSO include alcohol use. These two drugs are synergistic, you see ...
I'd be willing to bet opioid OD's amongst people receiving their drugs via a qualified pain doctor, who are taking it AS PRESCRIBED, who are NOT mixing it with alcohol ... are almost unheard of. Thus this 'overprescribing to whites' ... is most likely BS. Legit pain patients taking as Rx'd ... are NOT the people dying of OD in the vast majority of cases.
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