Multi-level associations between medical marijuana laws and substance use disorder treatment

医用大麻法与物质使用障碍治疗之间的多层次关联

• 批准号: 10450840
• 负责人: Pia M. Mauro
• 金额: $ 17.2万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10450840
• 关键词: Accounting; Admission activity; Adopted; Adult; Affect; American; Area; Black Populations; Communities; Complex; Crime; Criminal Justice; Crystallization; Data; Data Set; Data Sources; Development; Development Plans; Disadvantaged; Disease; District of Columbia; Drug usage; Ethnic Origin; Ethnic group; Freedom; Gender; Goals; Health; Health Care Reform; Health Policy; Health financing; Healthcare; Individual; Inpatients; Insurance; Latino Population; Laws; Lead; Light; Literature; Low income; Marijuana; Medicaid; Medical; Medical Marijuana; Medicare/Medicaid; Mentored Research Scientist Development Award; Mentorship; National Institute of Drug Abuse; Opioid; Outcome; Perception; Personal Satisfaction; Persons; Policies; Prevalence; Provider; Public Health; Race; Reporting; Research; Role; Sampling; Services; Social outcome; Source; Substance Use Disorder; Surveys; System; Testing; Time; Training; United States; Universities; Visit; Woman; base; behavioral health; care providers; career development; cohort; cost; economic evaluation; health care disparity; health economics; improved; improved outcome; interdisciplinary approach; low socioeconomic status; male; marijuana use; marijuana use disorder; men; opioid epidemic; opioid use; public health priorities; racial and ethnic; racial disparity; screening; service utilization; social stigma; substance use; substance use treatment; uptake

TITLE: Multi-level associations between medical marijuana laws and substance use disorder treatment Medical marijuana laws (MMLs) have been increasingly adopted throughout the United States; more than half of people live in states that permit medical use of marijuana. While MMLs have been associated with treatment admissions for substance use disorders (SUDs), the relationship between MML and SUD treatment is complex and dynamic and can vary based on specific MML provisions. Marijuana dispensaries, for example, have been associated with increases in marijuana treatment and decreases in opioid treatment admissions. However, there are critical gaps in the literature regarding the mechanisms through which MMLs can affect SUD treatment use and related outcomes. The proposed research takes a multidisciplinary approach to understand and isolate the effects of MML on SUD treatment across gender and racial/ethnic groups, accounting for individual- (e.g., perceptions), community- (e.g., criminal justice), and state-level (e.g., Medicaid expansion) factors. Estimating the effect of structural factors such as MMLs on SUD treatment use could have significant public health impact, as SUDs are associated with a variety of negative health consequences, and the majority of people who meet SUD criteria do not receive SUD treatment. MML effects on individual SUD treatment need and perceptions will be estimated using data from the restricted use National Survey on Drug Use and Health from 2004 onwards. MML effects on criminal justice referrals to SUD treatment will be estimated using the 1992-2014 Treatment Episodes Data Set. The effects of MMLs on health outcomes and service costs between 2004 and 2014 will be assessed in a cohort of adults with Medicare/Medicaid. Interactions between gender and race/ethnicity will be tested in order to determine whether MMLs are contributing to changes in health care disparities. The research in this K01 proposal supports the National Institute on Drug Abuse objective to “assess the impact of federal, state-, and systems-level policies related to drug use and substance use disorders on public health and well-being.” Three specific training areas will be incorporated to carry out the research aims, including: (a) structural contributors to health care disparities in SUD treatment; (b) dynamics between criminal justice, health policy, and treatment systems; and (c) health financing and health economics analysis. The ambitious training and research aims are feasible in the 5-year K01 award with the support of the interdisciplinary mentorship team at Columbia University (Drs. Martins, Metsch, Hasin, and Muennig) and collaborators (Dr. Fagan, Crystal and Alexandre), culminating in the development of an R01. The career development plan will support the applicant’s goals and trajectory towards research independence.

标题：医用大麻法律与物质使用障碍治疗之间的多层次关联

项目成果

Measuring polysubstance use over the life course: implications for multilevel interventions.

测量生命过程中多物质的使用：对多层次干预的影响。

• DOI: 10.1016/s2215-0366(19)30328-1
• 发表时间: 2019
• 期刊: The lancet. Psychiatry
• 作者: Philbin,MorganM;Mauro,PiaM
• 通讯作者: Mauro,PiaM

Medical, Nonmedical, and Illegal Stimulant Use by Sexual Identity and Gender.

• DOI: 10.1016/j.amepre.2020.05.025
• 发表时间: 2020-11
• 期刊: American journal of preventive medicine
• 影响因子: 5.5
• 作者: Philbin MM;Greene ER;Martins SS;LaBossier NJ;Mauro PM
• 通讯作者: Mauro PM

Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019.

2005 年至 2019 年成人心理健康治疗使用中种族差异的趋势。

• DOI: 10.1176/appi.ps.202100700
• 发表时间: 2023
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Kaur,Navdep;Esie,Precious;Finsaas,MeganC;Mauro,PiaM;Keyes,KatherineM
• 通讯作者: Keyes,KatherineM

Medical cannabis laws and medical and non-medical prescription stimulant use among a nationally representative sample of US Adults: Examining the role of sexual identity and gender.

• DOI: 10.1016/j.drugpo.2020.102861
• 发表时间: 2020-10
• 期刊: The International journal on drug policy
• 作者: Philbin MM;Mauro PM;Greene ER;LaBossier NJ;Giovenco DP;Martins SS
• 通讯作者: Martins SS

Racial and Ethnic Differences in Cannabis Use Following Legalization in US States With Medical Cannabis Laws.

• DOI: 10.1001/jamanetworkopen.2021.27002
• 发表时间: 2021-09-01
• 期刊: JAMA network open
• 影响因子: 13.8
• 作者: Martins SS;Segura LE;Levy NS;Mauro PM;Mauro CM;Philbin MM;Hasin DS
• 通讯作者: Hasin DS