Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
Factors associated with state legislators' support for opioid use disorder parity laws
The International journal of drug policy, v 82, pp 102792-102792
01 Aug 2020
PMID: 32540516
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: In the United States, state behavioral health parity laws play a crucial role in ensuring equitable insurance coverage and access to substance use disorder treatment and services for people that need them. State legislators have the exclusive authority to adopt these laws. The purpose of this study was to identify legislator beliefs independently associated with "strong support" for opioid use disorder (OUD) parity.
Methods: Data were from a 2017 cross-sectional, state-stratified, multi-modal survey of state legislators (N = 475). The dependent variable was "strong support" for OUD parity. Primary independent variables were beliefs about state parity laws. Bivariate analyses and mixed effects logistic regression were conducted.
Results: Legislators who "strongly supported" OUD parity were significantly more likely than legislators who did not "strongly support" OUD parity to be female (64.1% vs. 46.5%, p<.001), Democrat (76.2% vs. 29.3%, p<.001), and have liberal, compared to conservative, ideology (85.6% vs. 27.1%, p<.001). After adjusting for legislator demographics and state-level covariates, beliefs such as agreeing that state parity laws do not increase health insurance premium costs (aOR=6.77, p<.01) and that substance use disorder treatments can be effective (aOR=5.00, p<.001) remained associated with "strong support" for OUD parity. These state legislators' beliefs were more strongly associated with "strong support" for OUD parity than political party, ideology, and other demographic and state-level characteristics.
Conclusions: Dissemination materials and communication strategies to cultivate support for OUD parity laws among state legislators should focus on the fiscal impacts of parity laws and the effectiveness of substance use disorder treatments.
Metrics
Details
- Title
- Factors associated with state legislators' support for opioid use disorder parity laws
- Creators
- Katherine L. Nelson - Drexel UniversityJonathan Purtle - Drexel University
- Publication Details
- The International journal of drug policy, v 82, pp 102792-102792
- Publisher
- Elsevier
- Number of pages
- 8
- Grant note
- R21 MH111806; P50 MH113662-A1 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) (McKay)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000566930300020
- Scopus ID
- 2-s2.0-85086365960
- Other Identifier
- 991019168791504721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Substance Abuse