کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5120164 1486118 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Medical marijuana policies and hospitalizations related to marijuana and opioid pain reliever
ترجمه فارسی عنوان
سیاستهای ماری جوانا و بستری شدن در بیمارستان بستری در ماری جوانا و درد درمانی
کلمات کلیدی
ماری جوانا پزشکی، قانون، ماریجوانا، اپوئید، مصرف بیش از حد، بستری شدن
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
چکیده انگلیسی


- Hospitalizations related to marijuana and opioid have risen by 300%.
- Medical marijuana legalization reduced opioid-related hospitalizations.
- Medical marijuana legalization had no impacts on marijuana-related hospitalizations.

ObjectivesTwenty-eight states in the U.S have legalized medical marijuana, yet its impacts on severe health consequences such as hospitalizations remain unknown. Meanwhile, the prevalence of opioid pain reliever (OPR) use and outcomes has increased dramatically. Recent studies suggested unintended impacts of legalizing medical marijuana on OPR, but the evidence is still limited. This study examined the associations between state medical marijuana policies and hospitalizations related to marijuana and OPR.MethodsState-level annual administrative records of hospital discharges during 1997-2014 were obtained from the State Inpatient Databases (SID). The outcome variables were rates of hospitalizations involving marijuana dependence or abuse, opioid dependence or abuse, and OPR overdose in 1000 discharges. Linear time-series regressions were used to assess the associations of implementing medical marijuana policies to hospitalizations, controlling for other marijuana- and OPR-related policies, socioeconomic factors, and state and year fixed effects.ResultsHospitalizations related to marijuana and OPR increased sharply by 300% on average in all states. Medical marijuana legalization was associated with 23% (p = 0.008) and 13% (p = 0.025) reductions in hospitalizations related to opioid dependence or abuse and OPR overdose, respectively; lagged effects were observed after policy implementation. The operation of medical marijuana dispensaries had no independent impacts on OPR-related hospitalizations. Medical marijuana polices had no associations with marijuana-related hospitalizations.ConclusionMedical marijuana policies were significantly associated with reduced OPR-related hospitalizations but had no associations with marijuana-related hospitalizations. Given the epidemic of problematic use of OPR, future investigation is needed to explore the causal pathways of these findings.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Drug and Alcohol Dependence - Volume 173, 1 April 2017, Pages 144-150
نویسندگان
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