Association of Medical and Adult-Use Marijuana Laws With Opioid Prescribing for Medicaid Enrollees
03 de Maio de 2018
IMPORTANCE Overprescribing of opioids is considered a major driving force behind the opioid
epidemic in the United States. Marijuana is one of the potential nonopioid alternatives that
can relieve pain at a relatively lower risk of addiction and virtually no risk of overdose.
Marijuana liberalization, including medical and adult-use marijuana laws, has made marijuana
available to more Americans.
OBJECTIVE To examine the association of state implementation of medical and adult-use
marijuana laws with opioid prescribing rates and spending among Medicaid enrollees.
DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study used a quasi-experimental
difference-in-differences design comparing opioid prescribing trends between states that
started to implement medical and adult-use marijuana laws between 2011 and 2016 and the
remaining states. This population-based study across the United States included all Medicaid
fee-for-service and managed care enrollees, a high-risk population for chronic pain, opioid
use disorder, and opioid overdose.
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