Drug induced homicide laws may worsen opioid related harms: An example from rural North Carolina

Drug induced homicide laws may worsen opioid related harms: An example from rural North Carolina
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DOI:
10.1016/j.drugpo.2021.103406
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发表时间:
2021-08-12
影响因子:
4.4
通讯作者:
Bennett, Jesse
Bennett, Jesse
中科院分区:
医学2区
文献类型:
--
作者:
Carroll, Jennifer J.;Ostrach, Bayla;Bennett, Jesse

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药物引起的杀人(DIH)法律通常允许起诉药物分销导致过量死亡,相当于杀人或过失杀人。尽管关于DIH法律作为对过量用药的反应的适当性进行了激烈的辩论,但这种日益普遍的起诉策略对公共健康的影响仍然未知。在这一政策分析中,我们采取的问题,如何DIH起诉影响当地人和社区通过透镜的高调DIH的信念,发生在海伍德县,农村县位于西部北卡罗来纳州的阿巴拉契亚地区。描述从海伍德县进行的两项不相关但重叠的研究中获得的见解,我们确定了几个合理的机制,DIH法律可能会对公共卫生产生负面影响。其中包括对当地毒品市场的破坏,以及在目睹吸毒过量时拨打911的威慑。随着DIH起诉数量的迅速增长,迫切需要对DIH法律的公共卫生影响进行更多的研究。
Drug-induced homicide (DIH) laws typically allow for the prosecution of drug distribution resulting in an overdose fatality as equivalent to homicide or manslaughter. Despite vigorous debate about the appropriateness of DIH laws as a response to overdose, the public health impacts of this increasingly common prosecutorial strategy remain unknown. In this policy analysis, we take up the question of how DIH prosecutions impact local persons and communities through the lens of a high-profile DIH conviction that took place in Haywood County, a rural county located in the Appalachian region of western North Carolina. Describing insights gained from two unrelated but overlapping studies carried out in Haywood County, we identify several plausible mechanisms through which DIH laws may negatively impact public health. Among these are disruptions to the local drug market and deterrence from calling 911 when witnessing an overdose. With the number of DIH prosecutions growing rapidly, more research on the public health impacts of DIH laws is urgently needed.