{
  "alt": "Line chart of three crude death rates by tenth of county deprivation. The suicide line and the overdose line both rise from the least deprived tenth on the left to the more deprived tenths on the right, with overdose higher throughout. The alcohol-induced line stays in a narrow band across the first nine tenths and is highest in the most deprived tenth, with a wide interval.",
  "caption": "The suicide and overdose lines are higher in the most deprived tenth than in the least deprived, by {fact:g_su_diff} and {fact:g_od_diff} deaths per hundred thousand residents (differences of pooled rates, with intervals from draws shared by the two tenths), while the alcohol-induced line is level until the most deprived tenth, where it is {fact:g_alc_d10} against {fact:g_alc_d1} in the least deprived. Each line plots the pooled crude rate of a tenth of the {fact:g_n} counties in the figure, with 95% intervals from a bootstrap over counties. The population-weighted correlation with deprivation is higher for overdose than for alcohol by {fact:g_diff_od_alc} and higher for suicide than for alcohol by {fact:g_diff_su_alc}. Counting every county once, the correlations are {fact:g_adi_su_u} for suicide, {fact:g_adi_od_u} for overdose and {fact:g_adi_alc_u} for alcohol-induced deaths.",
  "data": [
    {
      "cause": "Overdose",
      "conf_high": 24.8022,
      "conf_low": 20.036,
      "decile": 1,
      "estimate": 21.9907,
      "n_units": 52
    },
    {
      "cause": "Overdose",
      "conf_high": 27.345,
      "conf_low": 20.9359,
      "decile": 2,
      "estimate": 24.0089,
      "n_units": 53
    },
    {
      "cause": "Overdose",
      "conf_high": 31.3561,
      "conf_low": 23.4908,
      "decile": 3,
      "estimate": 27.6377,
      "n_units": 52
    },
    {
      "cause": "Overdose",
      "conf_high": 29.4195,
      "conf_low": 23.0008,
      "decile": 4,
      "estimate": 26.0634,
      "n_units": 53
    },
    {
      "cause": "Overdose",
      "conf_high": 30.5418,
      "conf_low": 22.7093,
      "decile": 5,
      "estimate": 27.0649,
      "n_units": 52
    },
    {
      "cause": "Overdose",
      "conf_high": 39.7779,
      "conf_low": 26.379,
      "decile": 6,
      "estimate": 32.0564,
      "n_units": 53
    },
    {
      "cause": "Overdose",
      "conf_high": 41.9806,
      "conf_low": 27.9412,
      "decile": 7,
      "estimate": 34.5538,
      "n_units": 52
    },
    {
      "cause": "Overdose",
      "conf_high": 45.3724,
      "conf_low": 30.7217,
      "decile": 8,
      "estimate": 37.2584,
      "n_units": 53
    },
    {
      "cause": "Overdose",
      "conf_high": 39.619,
      "conf_low": 29.7329,
      "decile": 9,
      "estimate": 34.907,
      "n_units": 52
    },
    {
      "cause": "Overdose",
      "conf_high": 40.0006,
      "conf_low": 25.2045,
      "decile": 10,
      "estimate": 32.2864,
      "n_units": 53
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 14.0416,
      "conf_low": 10.7782,
      "decile": 1,
      "estimate": 12.5404,
      "n_units": 52
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 15.5154,
      "conf_low": 11.989,
      "decile": 2,
      "estimate": 13.7631,
      "n_units": 53
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 16.5646,
      "conf_low": 12.243,
      "decile": 3,
      "estimate": 14.4372,
      "n_units": 52
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 14.2162,
      "conf_low": 10.9346,
      "decile": 4,
      "estimate": 12.3043,
      "n_units": 53
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 15.5835,
      "conf_low": 12.0651,
      "decile": 5,
      "estimate": 13.4219,
      "n_units": 52
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 17.3939,
      "conf_low": 11.9662,
      "decile": 6,
      "estimate": 14.2996,
      "n_units": 53
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 15.2189,
      "conf_low": 12.2205,
      "decile": 7,
      "estimate": 13.4806,
      "n_units": 52
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 16.8626,
      "conf_low": 14.3629,
      "decile": 8,
      "estimate": 15.575,
      "n_units": 53
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 16.0504,
      "conf_low": 13.6032,
      "decile": 9,
      "estimate": 14.7054,
      "n_units": 52
    },
    {
      "cause": "Alcohol-induced causes",
      "conf_high": 22.7428,
      "conf_low": 13.8847,
      "decile": 10,
      "estimate": 17.5669,
      "n_units": 53
    },
    {
      "cause": "Suicide",
      "conf_high": 11.0542,
      "conf_low": 9.07114,
      "decile": 1,
      "estimate": 9.89842,
      "n_units": 52
    },
    {
      "cause": "Suicide",
      "conf_high": 14.5625,
      "conf_low": 11.7625,
      "decile": 2,
      "estimate": 13.0725,
      "n_units": 53
    },
    {
      "cause": "Suicide",
      "conf_high": 16.0869,
      "conf_low": 12.5493,
      "decile": 3,
      "estimate": 14.3548,
      "n_units": 52
    },
    {
      "cause": "Suicide",
      "conf_high": 14.5346,
      "conf_low": 12.3848,
      "decile": 4,
      "estimate": 13.2717,
      "n_units": 53
    },
    {
      "cause": "Suicide",
      "conf_high": 15.8768,
      "conf_low": 11.9826,
      "decile": 5,
      "estimate": 13.7211,
      "n_units": 52
    },
    {
      "cause": "Suicide",
      "conf_high": 16.5078,
      "conf_low": 13.2383,
      "decile": 6,
      "estimate": 14.6104,
      "n_units": 53
    },
    {
      "cause": "Suicide",
      "conf_high": 16.505,
      "conf_low": 14.0575,
      "decile": 7,
      "estimate": 15.0819,
      "n_units": 52
    },
    {
      "cause": "Suicide",
      "conf_high": 17.5623,
      "conf_low": 15.0475,
      "decile": 8,
      "estimate": 16.2683,
      "n_units": 53
    },
    {
      "cause": "Suicide",
      "conf_high": 16.9851,
      "conf_low": 14.7067,
      "decile": 9,
      "estimate": 15.7325,
      "n_units": 52
    },
    {
      "cause": "Suicide",
      "conf_high": 18.9321,
      "conf_low": 14.2449,
      "decile": 10,
      "estimate": 16.4955,
      "n_units": 53
    }
  ],
  "id": "despair_gradient",
  "notes": [
    "The figure uses the {fact:g_n} counties whose drug, alcohol and suicide counts WONDER publishes in every year from 2018 to 2024, which hold {fact:g_pop} of residents outside Connecticut. WONDER withholds county-year counts above zero and below {fact:w_floor}, which would drop the low-count years of a small county and bias its rate. The tenths are tenths of these counties ranked by deprivation, with equal numbers of counties, so the most deprived tenth here is not the most deprived tenth of all counties.",
    "These counties are selected on the outcome as well as on size (see Figure 4), so the correlations describe them and not counties in general. In all counties with a modeled rate, the population-weighted correlation with deprivation is {fact:p_adi_su} for suicide and {fact:p_adi_od} for overdose (Figure 2), and {fact:p_adi_su_u} and {fact:p_adi_od_u} counting every county once.",
    "Rates are crude, not age-adjusted. A suicide by drug poisoning is counted in both the overdose and the suicide rate. The most deprived tenth includes counties with large American Indian and Alaska Native populations, where alcohol-induced death rates are high."
  ],
  "source": "CDC WONDER underlying cause of death, 2018-2024, and Area Deprivation Index 2023; crude rates, population-weighted (person-years)",
  "spec": {
    "bandSeries": [
      "Overdose",
      "Suicide",
      "Alcohol-induced causes"
    ],
    "colors": {
      "Alcohol-induced causes": "alcohol",
      "Homicide": "homicide",
      "Overdose": "overdose",
      "Suicide": "suicide"
    },
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n_units",
    "series": "cause",
    "x": "decile",
    "xDomain": [
      1,
      10
    ],
    "xLabel": "Tenth of the counties in the figure by Area Deprivation Index (1 = least deprived, 10 = most deprived)",
    "xTicks": [
      1,
      2,
      3,
      4,
      5,
      6,
      7,
      8,
      9,
      10
    ],
    "y": "estimate",
    "yDomain": [
      0,
      50
    ],
    "yFormat": {
      "digits": 1
    },
    "yLabel": "Deaths per 100,000 residents"
  },
  "subtitle": "Crude death rates per 100,000 residents by tenth of counties ranked by Area Deprivation Index, counties with a published count in every year for all three kinds of death, 2018 to 2024, weighted by person-years",
  "title": "Among counties with published counts in every year, the population-weighted correlation of deprivation is {fact:g_adi_su} with suicide and {fact:g_adi_od} with overdose death rates, against {fact:g_adi_alc} with alcohol-induced death rates",
  "type": "line"
}