Neonatal Abstinence Syndrome Rates

Neonatal Abstinence Syndrome (NAS) has increased over the last two decades, and new research1 shows a significant association between higher long-term unemployment, higher mental health provider shortages, and higher NAS at the county level.

To help better understand and explore these connections, researchers from the Vanderbilt Center for Child Health Policy and RAND Corporation have created the interactive tools below.
Select your state and county to see actual rates of neonatal abstinence syndrome per 1000 hospital births from 2009 to 2015. Change the county characteristics using the drop-down boxes and sliders to see the predicted rates of NAS in your county given your choice of differing economic conditions and levels of health provider access. Click the box at the bottom to show the baseline predicted rates of NAS in your county based on actual county characteristics in each year, as determined by our research.
Hover over any line in a given year to see NAS rates and actual county characteristic figures for that year.

Select your state and drag the slider to see county-level rates of neonatal abstinence syndrome from 2009 to 2015.

1Patrick SW, Faherty LJ, Dick AW, Scott TA, Dudley J, Stein BD. Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome. Journal of the American Medical Association, 2019; 321(4): 385-393.

Visualization created by CCHP Biostatistician Elizabeth McNeer