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New studies find wide racial disparities in opioid overdose treatment

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kentuckylantern.com – Nada Hassanein – 2025-07-04 04:50:00


A JAMA Network Open study found emergency rooms refer Black opioid overdose patients to outpatient treatment significantly less than white patients—5.7% versus 9.6%. The study analyzed 1,683 cases from nine states between 2020 and 2023. While opioid deaths decreased among white Americans from 2021 to 2022, rates rose for American Indian, Alaska Native, Asian, Black, and Hispanic populations. Only 18% of all patients received outpatient referrals, 43% got naloxone kits, and 8.4% were prescribed buprenorphine. A related study confirmed racial disparities in buprenorphine prescriptions, with Black and Hispanic patients less likely than white patients to receive it.

by Nada Hassanein, Kentucky Lantern
July 4, 2025

A study published Wednesday in the medical journal JAMA Network Open found that emergency room clinicians were much less likely to refer Black opioid overdose patients for outpatient treatment compared with white patients.

The researchers looked at the medical records of 1,683 opioid overdose patients from emergency rooms in nine states: California, Colorado, Georgia, Michigan, Missouri, New Jersey, New York, Oregon and Pennsylvania.

About 5.7% of Black patients received referrals for outpatient treatment, compared with 9.6% of white patients, according to the researchers, who received a federal grant from the National Institute on Drug Abuse to conduct the analysis.

While the nation saw a decrease in opioid overdose deaths in white people between 2021 and 2022, overdose death rates increased for American Indian, Alaska Native, Asian, Black and Hispanic people. Patients visiting ERs for opioid overdoses are more likely to die from an overdose after the visit, the authors wrote, underscoring the importance of gaining “an improved understanding of disparities in [emergency department] treatment and referral.”

In total, roughly 18% of the patients received a referral for outpatient treatment, 43% received a naloxone kit or prescription, and 8.4% received a prescription for buprenorphine, the first-line medication for treating opioid use disorder.

The researchers used records from 10 hospital sites participating in a national consortium collecting data on overdoses from fentanyl and its related drugs. The patient records were from September 2020 to November 2023.

Another study in JAMA Network Open, released Thursday, found similar disparities: Black and Hispanic patients were significantly less likely than white patients to receive buprenorphine. Black patients had a 17% chance, and Hispanic patients a 16% chance, to be prescribed the therapy, compared with a 20% chance for white patients.

The authors of that study, from the Icahn School of Medicine at Mount Sinai in New York City, looked at data from 176,000 records of opioid-related events between 2017 and 2022 across all 50 states.

This story is republished from Stateline, a sister publication to the Kentucky Lantern and part of the nonprofit States Newsroom network.

Kentucky Lantern is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Kentucky Lantern maintains editorial independence. Contact Editor Jamie Lucke for questions: info@kentuckylantern.com.

The post New studies find wide racial disparities in opioid overdose treatment appeared first on kentuckylantern.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

This content focuses on racial disparities in healthcare responses to opioid overdoses, highlighting systemic inequities faced by Black and Hispanic patients compared to white patients. The emphasis on government-funded research, public health interventions, and racial justice in medical treatment aligns with themes commonly associated with center-left perspectives that advocate for social equity and expanded healthcare access. The article’s balanced presentation of data and reliance on credible studies maintain an informational tone, without overt partisan or ideological framing, situating it moderately left of center.

News from the South - Kentucky News Feed

Kansas man accused of child sex crimes in Kentucky

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www.wnky.com – WNKY Staff – 2025-08-22 17:04:00

SUMMARY: A Kansas man, 41-year-old Justin R. Bevitt of Topeka, is accused of meeting and engaging in sexual activities with a 15-year-old Kentucky girl. Kentucky State Police began investigating after receiving a report of a juvenile leaving home with Bevitt. The investigation revealed multiple past encounters between Bevitt and the minor. With help from the Warren County Commonwealth Attorney’s Office and the Kansas Bureau of Investigation, authorities searched Bevitt’s Topeka residence on August 22, leading to his arrest. He faces charges including procuring a minor, unlawful transactions, and distributing sexual material involving a minor. Extradition and additional charges are pending. The case remains under investigation.

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Quintissa Peake, ‘sickle cell warrior’ and champion for blood donation, dies at 44

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lexingtonky.news – The Daily Yonder – 2025-08-22 13:18:00

SUMMARY: Quintissa Sherri Peake, a dedicated advocate for blood donation and sickle cell disease awareness, passed away at 44. Diagnosed with sickle cell disease as an infant, she received over 500 blood transfusions and called herself a “sickle cell warrior.” Peake worked at Kentucky Blood Center and volunteered extensively, inspiring many with her resilience and faith. A University of Kentucky graduate, she contributed to various community organizations in Eastern Kentucky, earning the Carolyn Sundy Award for leadership. Remembered for her fierce love of family and commitment to social justice, Peake’s legacy is one of strength, perseverance, and impactful advocacy.

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Library receives donations to replace books church leaders targeted for LGBTQ+ themes

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kentuckylantern.com – Jack Brammer – 2025-08-22 04:50:00


In Shelbyville, Kentucky, leaders of the Reformation Church urged members to check out and not return 16 LGBTQ+ themed books from the Shelby County Public Library, calling it “civil disobedience” to protect children. The library’s executive director, Pamela Federspiel, called the act theft and has raised nearly $1,000 in donations to replace the books. Kentucky law treats failure to return library books as a civil matter, not criminal theft. The controversy has sparked national attention and debate over morality, legality, and free speech. The Shelby County Democratic Party supports the library, encouraging donations to replace the missing books.

by Jack Brammer, Kentucky Lantern
August 22, 2025

In a matter of a few days, nearly $1,000 has been donated to the Shelby County Public Library to replace 16 LGBTQ+ books a local church had recommended to check out and never return.

“The response to the missing books has been overwhelming and mostly positive for the library,” said Pamela W. Federspiel, the library’s executive director, on Thursday. “We will use the donated money to replace the books and buy more like them.”

Theft or civil disobedience?

The Kentucky Lantern reported Aug. 18 that three leaders of the Reformation Church of Shelbyville urged its members to remove books from the Shelby County Public Library by checking them out and never returning them. The books portray gay characters and historical figures or explore LGBTQ+ themes.

The  church  leaders — pastors Jerry Dorris and Tanner Cartwright and Austin Keeler, an evangelist with the church mission, Reformation Frontline Missions — defended what they call an “act of civil disobedience.”

But librarian Federspiel said the action is tantamount to “stealing.” She contacted a collection agency to retrieve the books but so far it has not been successful.

The library has “lost” 16 books valued at $410.85 since a member of the church checked them out with due dates in late June 2024. Neither Federspiel nor the church leaders have identified the library patron.

“Since the story came out, people have made almost $1,000 in donations to replace the books,” Federspiel said.  “One anonymous donor gave $500, and we hear more may be coming.”

The Shelby County Democratic Party has encouraged its members to donate money to the library. In an email this week, the political party said the Reformation Church of Shelbyville “seems to believe it can remove books from the local library and not return them on purpose (at the direction of their pastor) because they have decided for all of Shelby County that some of the content should not be available for reading or even in our library.

“Is this ‘civil disobedience’ as claimed or is it theft?”

The party asks people to help the library replace the missing books by donating through shelbydemocrats.org and marking the contribution for “Books.”

Pastor Jerry Dorris, Aug. 5, 2025. (Kentucky Lantern photo by David Stephenson)

Asked what the library would do if the new books are checked out again and not returned, Federspiel said she is talking to a lawyer about what precautions to take.

Asked if he would still urge removal of new books the library uses as replacements, Dorris said, “I am just an individual Christian.  I will keep on saying what I think should be done.”

Dorris posted on Facebook that the removal of the books “is not theft — it is civil disobedience rooted in God’s law, carried out in love for our neighbor and aimed at protecting children.”  He called the books in question “groomer material.”

He claims that under Kentucky law, failure to return a library book is not prosecuted as theft but handled as a civil matter, with fines, collection notices or suspension of borrowing privileges. 

“This is not grand larceny — it is treated like an unpaid bill. By man’s law, and more importantly by God’s, it does not belong in the category of theft,” he said.

A Kentucky law addressing failure to return a library record classifies it as a civil matter.

“The law deals with civil liability but not any criminal defense,” Dorris said.

Shelby County Attorney Carrie McIntyre said a state law — KRS 172.150 — makes failing to return library books a civil matter not a criminal offense.

“Failing to return books would make the borrower liable for double the cost thereof,” McIntyre said in an email Friday morning.

The library is in the city of Shelbyville, noted McIntyre. “I am unaware whether a report of theft has been filed with the Shelbyville Police Department.”

Shelbyville Police Chief Bruce Gentry said Friday afternoon that no complaint has been filed with his office.

McIntyre said her office is not an investigative body. “Among many other roles, we prosecute cases that are investigated by law enforcement agencies in the county. As of yet, this particular issue has not been brought to me by anyone,” she said.

Concerning the church pastors’ urging members to remove books, the county attorney said, “I assume the church would rely on the First Amendment to defend their actions. Since they aren’t threatening physical harm or yelling ‘fire’ in a crowded theater, as the law school examples like to say, I’m not sure there is anything illegal about the speech aspect of it.”

She called the issue interesting “both morally and legally.”

“Also, given the number and value of the books at issue, it is no small amount, especially for a small town library.”

Dorris, who said he has received one death threat and many vitriolic emails and comments for his stance, noted that some of his critics are using the biblical commandment “Thou shalt not steal” to attack him. 

“Many who cheered riots and looting now clutch the Ten Commandments to condemn us for suggesting vile books be removed from libraries. Their sudden zeal for “Thou shalt not steal” is not love for God’s law — but hatred of it, wielded to defend perversion,” he said.

“When Christians check out such materials and refuse to return them, they are not stealing private possessions but resisting the misuse of common funds for wicked purposes,” he said.

The controversy has created a social media frenzy and has garnered national attention from various Christian, atheist and gay organizations and news outlets.

This story has been updated with comments from Shelby County Attorney Carrie McIntyre and Shelbyville Police Chief Bruce Gentry.

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Kentucky Lantern is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Kentucky Lantern maintains editorial independence. Contact Editor Jamie Lucke for questions: info@kentuckylantern.com.

The post Library receives donations to replace books church leaders targeted for LGBTQ+ themes appeared first on kentuckylantern.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Right

This content presents a controversy involving a local church’s opposition to LGBTQ+ themed books in a public library, framing the church’s actions as “civil disobedience” rooted in religious beliefs. The article includes perspectives from both the church leaders and the library, but it highlights the church’s conservative Christian viewpoint and their framing of the issue as a moral and legal matter rather than theft. The inclusion of criticism from the Shelby County Democratic Party and the emphasis on the church’s language about “groomer material” and biblical justification suggest a right-leaning perspective that is critical of LGBTQ+ content in public institutions. Overall, the piece leans center-right by focusing on conservative religious objections and framing the conflict around traditional values and legal interpretations favoring the church’s stance.

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