The Changing Face of Heroin Use in the United States

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Abstract
In recent years, there have been a number of mainstream media reports that the abuse of heroin has migrated from low-income urban areas with large minority populations to more affluent suburban and rural areas with primarily white populations.1-8 Large-scale epidemiological studies have documented significant increases in heroin use9,10 and overdose-related hospitalizations9,11 nationwide, particularly over the past 10 years, but there have been few systematic studies on the demographics of today’s heroin users compared with those who used heroin 40 to 50 years ago who were primarily young men from minority groups living in urban areas.12-19

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