Journal article
Legalization of Medical Cannabis and Site of Death: Evidence From National Vital Statistics Mortality Data
Journal of applied gerontology, Vol.41(3), pp.806-816
12/20/2021
DOI: 10.1177/07334648211058720
PMID: 34930063
Abstract
We examined whether Medical Marijuana Legislation (MML) was associated with site of death. Using state-level data (1992–2018) from the National Vital Statistics System (NVSS), we employed difference-in-differences method to compare changes in death rate among older adults at four sites—nursing home (NH), hospital, home, hospice/other—over time in states with and without MML. Heterogeneity analyses were conducted by timing of MML adoption, and by decedent characteristics. Results show a negative association between MML implementation and NH deaths. Among early adopters (states with weakly regulated programs) and decedents with musculoskeletal disorders, there was a positive association between MML implementation and hospital deaths, whereas among late adopters (states with “medicalized” programs), there was a positive association between MML implementation and hospice deaths. Decline in NH deaths may reflect increased likelihood of transfers due to threat of Federal enforcement, penalties for poor outcomes, and liability concerns. Future studies should examine these associations further.
Details
- Title: Subtitle
- Legalization of Medical Cannabis and Site of Death: Evidence From National Vital Statistics Mortality Data
- Creators
- Divya Bhagianadh - Department of Health Management and Policy, University of Iowa, Iowa City, IA, USAKanika Arora - Department of Health Management and Policy, University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Journal of applied gerontology, Vol.41(3), pp.806-816
- DOI
- 10.1177/07334648211058720
- PMID
- 34930063
- ISSN
- 0733-4648
- eISSN
- 1552-4523
- Grant note
- name: Robert Wood Johnson Foundation, The Dartmouth Clinical and Translational Science Institute, award: UL1TR001086; name: National Institute of Aging, award: U01 AG046830
- Language
- English
- Date published
- 12/20/2021
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984221639802771
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