Do medical marijuana laws reduce addictions and deaths related to pain killers?

被引：209

作者：

Powell, David ^{[1
]}

Pacula, Rosalie Liccardo ^{[1
,2
]}

Jacobson, Mireille ^{[2
,3
]}

机构：

[1] RAND, Santa Monica, CA 90401 USA

[2] NBER, Cambridge, MA 02138 USA

[3] Univ Calif Irvine, Irvine, CA USA

来源：

JOURNAL OF HEALTH ECONOMICS | 2018年 / 58卷

关键词：

Medical marijuana; Opioids; Pain killers; Dispensaries; Mortality; Substance abuse; DRUG-MONITORING PROGRAMS; UNITED-STATES; OPIOID OVERDOSE; CANNABIS; HEALTH; LEGALIZATION; ADOLESCENT; COLORADO; ALCOHOL; RATES;

D O I：

10.1016/j.jhealeco.2017.12.007

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

Recent work finds that medical marijuana laws reduce the daily doses filled for opioid analgesics among Medicare Part-D and Medicaid enrollees, as well as population-wide opioid overdose deaths. We replicate the result for opioid overdose deaths and explore the potential mechanism. The key feature of a medical marijuana law that facilitates a reduction in overdose death rates is a relatively liberal allowance for dispensaries. As states have become more stringent in their regulation of dispensaries, the protective value generally has fallen. These findings suggest that broader access to medical marijuana facilitates substitution of marijuana for powerful and addictive opioids. (C) 2018 Elsevier B.V. All rights reserved.

引用

页码：29 / 42

页数：14

共 51 条

[21]

Hall W.D., 2003, CANNABIS USE DEPENDE

[22] Pharmaceutical Overdose Deaths, United States, 2010 [J].