Academic Journal
Laboratories of Harm Reduction and Treatment: Determinants of States' Policy Adoptions to Address the Opioid Epidemic.
| Τίτλος: | Laboratories of Harm Reduction and Treatment: Determinants of States' Policy Adoptions to Address the Opioid Epidemic. |
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| Συγγραφείς: | Nagao H; University of Oregon., Shamsuddin R; Oklahoma State University., Flournoy E; Oklahoma Bureau of Narcotics and Dangerous Drugs., Goad A; Oklahoma State University., Hatungimana W; University of Oregon., Jansa JM; Oklahoma State University. |
| Πηγή: | Journal of health politics, policy and law [J Health Polit Policy Law] 2026 Oct 01; Vol. 51 (5), pp. 667-692. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Duke Univ. Press Country of Publication: United States NLM ID: 7609331 Publication Model: Print Cited Medium: Internet ISSN: 1527-1927 (Electronic) Linking ISSN: 03616878 NLM ISO Abbreviation: J Health Polit Policy Law Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Durham, N. C., Duke Univ. Press. |
| Ιατρικοί όροι (MeSH): | Opioid Epidemic*/prevention & control , Opioid-Related Disorders*/epidemiology , Opioid-Related Disorders*/prevention & control , Harm Reduction* , Health Policy* , State Government*, United States/epidemiology ; Humans ; Policy Making ; Politics |
| Περίληψη: | Context: In the US federal system, states have adopted a wide array of opioid-related policies over the past 30 years to address the ongoing overdose crisis. The underlying factors driving this variation remain unclear. Understanding what influences states to adopt more comprehensive policies-and whether they prioritize harm reduction or opioid use disorder treatment-has important implications for public health strategy and policy making. Methods: This study develops state-level indexes using dozens of policy indicators to measure the comprehensiveness of opioid-related policies across two dimensions: harm reduction and treatment. Feature rank analysis and multilevel mixed-effects regression are employed to assess the influence of various political, epidemiological, and socioeconomic factors. Findings: The authors find that decreases in conservative citizen ideology, increases in the severity of the overdose crisis, and increases in states' economic resources are the most consistent factors influencing adoptions of more comprehensive policies. These factors shaped both the overall robustness of state responses and the emphasis on specific policy dimensions. Conclusions: This study highlights key drivers behind the variation in state-level opioid policy comprehensiveness, offering a clearer picture of how political and contextual factors influence public health policy making. These insights can guide future research on state-level health policy adoption. (Copyright © 2026 by Duke University Press.) |
| Contributed Indexing: | Keywords: federalism; harm reduction; opioid epidemic; opioid use disorder treatment; state politics |
| Entry Date(s): | Date Created: 20260320 Date Completed: 20260831 Latest Revision: 20260831 |
| Update Code: | 20260901 |
| DOI: | 10.1215/03616878-12513804 |
| PMID: | 41860248 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1527-1927 |
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| DOI: | 10.1215/03616878-12513804 |