From the 2017 Distressed Communities Index, produced by the Economic Innovation Group (eig.org)
“Mental and substance abuse
disorders take their heaviest toll on
distressed counties.
Mortality rates from mental and
substance abuse disorders are 64 percent
higher in distressed counties than in
prosperous ones: 10 deaths per 100,000
people in 2014 in the average prosperous
county compared to 16.5 in the average
distressed one.
The most severe pockets of these
diseases are located in Appalachia
(particularly southern West Virginia
and eastern Kentucky) and on Native
American reservations in the West. In
McDowell and Wyoming Counties, West
Virginia, the mortality rate climbs to
nearly 60 per 100,000 people—that is
four and a half times the national rate
of 13.4. In such corners of Appalachia,
mortality rates from mental and
substance abuse disorders have
increased by more than 1,000 percent
since 1980. In Rio Arriba County, New
Mexico, the mortality rate from these
disorders spikes even further to 73.2
deaths per 100,000 adults.”
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