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B = 0.24, P= 0.001), high-dose prescriptions (0.21, P = 0.008), rural status (0.19, P = 0.012), percentage white race (-0.28, P = 0.012), and percentage high school graduates (-0.68, P 0.001). Unemployment and earnings were bivariate correlates with FAED visits (Rho = 0.42, P 0.001 and -0.32, P 0.001, respectively) but were not significant in the multivariable model. In addition to recognized nonfatal consequences of the opioid crisis, firearm violence appears to be a corollary impact, particularly in rural counties. Fire