The associations of medical marijuana policies with opioid-related health care utilization.
Analgesics, Opioid
/ administration & dosage
Drug Utilization
/ statistics & numerical data
Drug and Narcotic Control
/ legislation & jurisprudence
Emergency Service, Hospital
/ statistics & numerical data
Health Policy
Humans
Medical Marijuana
Opioid-Related Disorders
/ epidemiology
Socioeconomic Factors
emergency department
hospitalizations
medical marijuana policies
opioids
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
pubmed:
28
1
2021
medline:
12
10
2021
entrez:
27
1
2021
Statut:
ppublish
Résumé
To examine the associations between medical marijuana policies and opioid-related hospitalizations and emergency department visits. We utilized quarterly rates of hospital discharge data from the Healthcare Cost and Utilization Project's (HCUP) Fast Stats Database from 2005 to 2016 along with state-level sociodemographic data from US Census Bureau and Bureau of Labor Statistics and opioid-related state health policy data from publicly available sources for the analysis. Analyses were carried out using a difference-in-differences regression approach. We estimate heterogeneous effects of medical marijuana policies such as initial policy, presence of active dispensary, and home cultivation on opioid-related hospitalizations and emergency department visits related to opioids. Publicly available secondary data were collected, linked, and analyzed. Observations with missing values for explanatory variables were excluded from the analysis. Regression results indicate that type of medical marijuana policy has varying effects on opioid-related hospitalizations and emergency department visits. States that allow home cultivation of medical marijuana experienced significant positive associations with opioid-related hospitalizations and emergency department visits, while no effect was observed with medical marijuana dispensaries. Moreover, recreational marijuana policies were positively associated with opioid-related hospitalizations. The findings indicate that the effects of medical marijuana policies on opioid-related hospitalizations and emergency department visits vary depending on the type of medical marijuana policy. Our findings indicate that the implementation of home cultivation of marijuana is positively associated with hospitalizations and emergency department visits related to opioids, suggesting that easier access to marijuana among opioid users may result in adverse health conditions that need treatment.
Identifiants
pubmed: 33501701
doi: 10.1111/1475-6773.13632
pmc: PMC7969206
doi:
Substances chimiques
Analgesics, Opioid
0
Medical Marijuana
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
299-309Informations de copyright
© 2021 Health Research and Educational Trust.
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