With a Little Help from My Friends: The Effects of Good Samaritan and Naloxone Access Laws on Opioid-Related Deaths
With a Little Help from My Friends: The Effects of Good Samaritan and Naloxone Access Laws on Opioid-Related Deaths
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DOI：
10.1086/700703
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发表时间：
2019-02-01
影响因子：
2.2
通讯作者：
Latshaw, Joshua
中科院分区：
文献类型：
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作者：
Rees, Daniel I.;Sabia, Joseph J.;Latshaw, Joshua
为了解决阿片类药物的流行，大多数州最近通过了一些版本的好撒玛利亚人法（GSL）和/或纳洛酮获取法（NAL）。好撒玛利亚人法律规定，任何在药物过量情况下寻求医疗援助的人都可以免于因持有毒品而被起诉; NALS允许外行人服用纳洛酮，暂时抵消阿片类药物过量的影响。使用1999-2014年国家生命统计系统多死因死亡率文件的数据，这项研究是第一个研究这些法律对涉及阿片类药物过量死亡的影响的研究。GSL对阿片类药物相关死亡率的估计影响始终是负面的，但没有统计学意义。采用NAL与阿片类药物相关死亡率统计学显著降低9%-10%相关，尽管NAL与阿片类药物相关死亡率之间的负相关似乎是由早期采用者-在2011年之前通过立法的国家驱动的。
In an effort to address the opioid epidemic, a majority of states recently passed some version of a Good Samaritan law (GSL) and/or a naloxone access law (NAL). Good Samaritan laws provide immunity from prosecution for drug possession to anyone who seeks medical assistance in the event of a drug overdose; NALs allow laypersons to administer naloxone, which temporarily counteracts the effects of an opioid overdose. Using data from the National Vital Statistics System multiple-cause-of-death mortality files for 1999-2014, this study is the first to examine the effects of these laws on overdose deaths involving opioids. The estimated effects of GSLs on opioid-related mortality are consistently negative but not statistically significant. Adoption of an NAL is associated with a statistically significant 9-10 percent reduction in opioid-related mortality, although the negative association between NALs and opioid-related mortality appears to be driven by early adopters-states that passed legislation before 2011.