Rates of neonatal abstinence syndrome (NAS), which occurs in newborns who were exposed to opioids in the womb, have increased dramatically over the past decade. This web-based tool displays the rates of NAS per 1,000 hospital births from 2009 to 2015 by county in eight states: Florida, Kentucky, Massachusetts, Michigan, New York, North Carolina, Tennessee, and Washington.

The data can be customized by such county characteristics as percentage unemployment, number of obstetricians, and percentage of manufacturing jobs. Characteristics also include whether the county is a Primary Care Shortage Area or a Mental Health Shortage Area. Viewers can see the baseline predicted NAS and actual NAS rates alongside the customizable predicted NAS rate based on the chosen characteristics.

View the Tool

Research conducted by

This tool was prepared for the National Institute on Drug Abuse by RAND Health Care.

This report is part of the RAND Corporation tool series. RAND tools may include models, databases, calculators, computer code, GIS mapping tools, practitioner guidelines, web applications, and various toolkits. All RAND tools undergo rigorous peer review to ensure both high data standards and appropriate methodology in keeping with RAND's commitment to quality and objectivity.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.