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Evaluating the Effectiveness of Opioid Legislation in the United States

Description

To address and evaluate opioid legislation in the United States and its effectiveness in combating the opioid epidemic.
This paper will assess current and past legislation, on both the state and federal level, in terms of its effectiveness by cross-examining it with existing data. This paper also examines failures on…

To address and evaluate opioid legislation in the United States and its effectiveness in combating the opioid epidemic.
This paper will assess current and past legislation, on both the state and federal level, in terms of its effectiveness by cross-examining it with existing data. This paper also examines failures on the state and federal levels to properly target at-risk groups. Furthermore, this paper makes recommendations for future legislation to properly allocate resources to localities most affected by the opioid epidemic, and contribute to the decrease in opioid-related overdose deaths.

ContributorsKelly, John C (Co-author) / Kapadia, Kajol (Co-author) / Hill, Alexander (Thesis director) / Foote, Nicola (Committee member) / Department of Economics (Contributor) / Dean, W.P. Carey School of Business (Contributor, Contributor) / Barrett, The Honors College (Contributor)

Created2020-05

The Economic Impact of the Opioid Crisis in the United States

Description

This study examines the economic impact of the opioid crisis in the United States. Primarily testing the years 2007-2018, I gathered data from the Census Bureau, Centers for Disease Control, and Kaiser Family Foundation in order to examine the relative impact of a one dollar increase in GDP per Capita…

This study examines the economic impact of the opioid crisis in the United States. Primarily testing the years 2007-2018, I gathered data from the Census Bureau, Centers for Disease Control, and Kaiser Family Foundation in order to examine the relative impact of a one dollar increase in GDP per Capita on the death rates caused by opioids. By implementing a fixed-effects panel data design, I regressed deaths on GDP per Capita while holding the following constant: population, U.S. retail opioid prescriptions per 100 people, annual average unemployment rate, percent of the population that is Caucasian, and percent of the population that is male. I found that GDP per Capita and opioid related deaths are negatively correlated, meaning that with every additional person dying from opioids, GDP per capita decreases. The finding of this research is important because opioid overdose is harmful to society, as U.S. life expectancy is consistently dropping as opioid death rates rise. Increasing awareness on this topic can help prevent misuse and the overall reduction in opioid related deaths.

ContributorsRavi, Ritika Lisa (Author) / Goegan, Brian (Thesis director) / Hill, John (Committee member) / Department of Economics (Contributor) / Department of Information Systems (Contributor) / Barrett, The Honors College (Contributor)

Created2019-05

A Cross-State Longitudinal Study of Opioid-Related Deaths Associated with Opioid and Naloxone Prescribing and Prevention Laws

Description

More than 40% of all U.S. opioid overdose deaths in 2016 involved a prescription opioid, with more than 46 people dying every day from overdoses involving prescription opioids, (CDC, 2017). Over the years, lawmakers have implemented policies and laws to address the opioid epidemic, and many of these vary from…

More than 40% of all U.S. opioid overdose deaths in 2016 involved a prescription opioid, with more than 46 people dying every day from overdoses involving prescription opioids, (CDC, 2017). Over the years, lawmakers have implemented policies and laws to address the opioid epidemic, and many of these vary from state to state. This study will lay out the basic guidelines of common pieces of legislation. It also examines relationships between 6 state-specific prescribing or preventative laws and associated changes in opioid-related deaths using a longitudinal cross-state study design (2007-2015). Specifically, it uses a linear regression to examine changes in state-specific rates of opioid-related deaths after implementation of specific policies, and whether states implementing these policies saw smaller increases than states without these policies. Initial key findings of this study show that three policies have a statistically significant association with opioid related overdose deaths are—Good Samaritan Laws, Standing Order Laws, and Naloxone Liability Laws. Paradoxically, all three policies correlated with an increase in opioid overdose deaths between 2007 and 2016. However, after correcting for the potential spurious relationship between state-specific timing of policy implementation and death rates, two policies have a statistically significant association (alpha <0.05) with opioid overdose death rates. First, the Naloxone Liability Laws were significantly associated with changes in opioid-related deaths and was correlated with a 0.33 log increase in opioid overdose death rates, or a 29% increase. This equates to about 1.39 more deaths per year per 100,000 people. Second, the legislation that allows for 3rd Party Naloxone prescriptions correlated with a 0.33 log decrease in opioid overdose death rates, or a 29% decrease. This equates to 1.39 fewer deaths per year per 100,000 people.

ContributorsDavis, Joshua Alan (Author) / Hruschka, Daniel (Thesis director) / Gaughan, Monica (Committee member) / School of Human Evolution & Social Change (Contributor) / Barrett, The Honors College (Contributor)

Created2019-05

The Role of the Pharmaceutical Industry in America's Current Opioid Crisis

Description

The current American opioid crisis is seeing an exponential number of fatalities. The opioid epidemic is a problem with massive scope, and while no clear reason has been identified, many causal relationships have been linked to its genesis. This thesis examines the role of the pharmaceutical industry in perpetuating the…

The current American opioid crisis is seeing an exponential number of fatalities. The opioid epidemic is a problem with massive scope, and while no clear reason has been identified, many causal relationships have been linked to its genesis. This thesis examines the role of the pharmaceutical industry in perpetuating the abuse rates we see today. Topics of sociological norms and values, economic incentives that benefitted private business practices, and political-legal means of restitution and market completion are examined to make sense of specific mechanisms that the pharmaceutical industry took advantage of, and the future trajectory of what is to come from the industry as well. Combined with policies (or, lack thereof) that do not provide adequate checks against opioid marketing strategies and incentives, governmental interferences come too little, too late in attempting to solve the issue.

ContributorsHouang, Michael (Author) / Brian, Jennifer (Thesis director) / Silverman, Daniel (Committee member) / Department of Economics (Contributor) / School of Politics and Global Studies (Contributor) / W.P. Carey School of Business (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)

Created2018-05

The Pharmaceutical Industry and the Opioid Epidemic: The Case of Purdue Pharma and OxyContin

Description

This thesis elucidates the responsibility of the pharmaceutical industry for the current opioid epidemic, an epidemic which caused over 40,000 American deaths in 2016 alone. Twenty years prior, Purdue Pharma unleashed an extended-release formulation of the opioid oxycodone: OxyContin. With this, Purdue began a highly aggressive advertising campaign with the…

This thesis elucidates the responsibility of the pharmaceutical industry for the current opioid epidemic, an epidemic which caused over 40,000 American deaths in 2016 alone. Twenty years prior, Purdue Pharma unleashed an extended-release formulation of the opioid oxycodone: OxyContin. With this, Purdue began a highly aggressive advertising campaign with the primary intention of guaranteeing the success of this drug; however, in doing so, they often neglected to ensure that the information they were propagating was wholly accurate. Previous reform attempts aimed at mollifying this crisis have ultimately fallen short, as they have failed to recognize the true extent of Purdue Pharma's involvement, especially with regard to the underlying issues that led to the initiation and progression of the epidemic. Future improvements should be targeted at the reform of regulatory agencies and insurance companies, as well as the cultural attitudes regarding pain and pain treatment that have been cultivated over the last several years. Ultimately, however, these reforms will likely prove to be insufficient unless the failings of the current healthcare system, including the pharmaceutical industry, are also taken into account.

ContributorsOzeran, Rachel Hoku Lii (Author) / Fong, Benjamin (Thesis director) / Brian, Jennifer (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)

Created2018-05

The Opioid Epidemic: Impact of Heroin on Prosocial Interests in Rodents

Description

Cases of heroin use and overdose are on the rise in the United States which has created what some call a public health crisis. Previous studies have investigated the beneficial effect of social interaction recovering addicts, and in animal models of addiction, social interaction can prevent or reverse the conditioned…

Cases of heroin use and overdose are on the rise in the United States which has created what some call a public health crisis. Previous studies have investigated the beneficial effect of social interaction recovering addicts, and in animal models of addiction, social interaction can prevent or reverse the conditioned rewarding effects of cocaine. This study sought to determine if social interaction would prevent or diminish a conditioned preference for a heroin-paired context. Following establishment of baseline place preference, adult male Sprague-Dawley rats underwent once daily conditioning with either saline, heroin (1 mg/kg), or the animal's cage-mate for a total of 8 conditioning sessions. Assessment of post-conditioning place preference revealed that both the heroin injections and the presence of the cage-mate produced a place preference . In contrast to the findings of previous studies using cocaine as the conditioning drug, it was determined that rats preferred the heroin-paired context over that paired with the cage-mate.. These findings suggest that the protective effects of social interaction found in prior studies using cocaine as the conditioning drug may not extend to opiates, perhaps a result of stronger contextual conditioning and/or rewarding effects of this class of abused drugs.

ContributorsMarble, Krista Lillian (Author) / Olive, M. Foster (Thesis director) / Tomek, Seven (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)

Created2017-12

Opioid Overdose Education, Knowledge, and Behavior Among First-Year Sorority and Fraternity Members at Arizona State University

Description

The opioid crisis is a dangerous public health issue on the rise among college students involved in Greek organizations. This study investigated what first-year students involved in National Panhellenic Conference (NPC) sororities and Interfraternity Council (IFC) fraternities at Arizona State University (ASU) know about opioids and how to react in…

The opioid crisis is a dangerous public health issue on the rise among college students involved in Greek organizations. This study investigated what first-year students involved in National Panhellenic Conference (NPC) sororities and Interfraternity Council (IFC) fraternities at Arizona State University (ASU) know about opioids and how to react in the event of an opioid overdose to provide recommendations for ASU. Data was collected by surveying first-year NPC and IFC students at ASU on their knowledge and behavior patterns regarding opioids and overdoses. Additionally, a series of interviews with large public universities in the United States were conducted to discuss resources available to students. It was found that the fraternity and sorority members surveyed have an inadequate amount of knowledge about opioids and overdoses, but have less experiences with opioids and/or overdoses compared to non-Greek affiliated students at ASU. It is believed that with proper education and access to resources, students will decrease their risk of experiencing an overdose. This research provided the basis to argue for educational programs and resources being provided to students at ASU.

ContributorsKatzman, McKenna (Author) / Sher, Olivia (Co-author) / Kappes, Janelle (Thesis director) / Wynn, Bridgette (Committee member) / Barrett, The Honors College (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Hugh Downs School of Human Communication (Contributor)

Created2023-05

Opioid Overdose Education, Knowledge, and Behavior Among First-Year Sorority and Fraternity Members at Arizona State University

Description

The opioid crisis is a dangerous public health issue on the rise among college students involved in Greek organizations. This study investigated what first-year students involved in National Panhellenic Conference (NPC) sororities and Interfraternity Council (IFC) fraternities at Arizona State University (ASU) know about opioids and how to react in…

The opioid crisis is a dangerous public health issue on the rise among college students involved in Greek organizations. This study investigated what first-year students involved in National Panhellenic Conference (NPC) sororities and Interfraternity Council (IFC) fraternities at Arizona State University (ASU) know about opioids and how to react in the event of an opioid overdose to provide recommendations for ASU. Data was collected by surveying first-year NPC and IFC students at ASU on their knowledge and behavior patterns regarding opioids and overdoses. Additionally, a series of interviews with large public universities in the United States were conducted to discuss resources available to students. It was found that the fraternity and sorority members surveyed have an inadequate amount of knowledge about opioids and overdoses, but have less experiences with opioids and/or overdoses compared to non-Greek affiliated students at ASU. It is believed that with proper education and access to resources, students will decrease their risk of experiencing an overdose. This research provided the basis to argue for educational programs and resources being provided to students at ASU.

ContributorsShami Sher, Olivia (Author) / Katzman, McKenna (Co-author) / Kappes, Janelle (Thesis director) / Wynn, Bridgette (Committee member) / Barrett, The Honors College (Contributor) / Department of Marketing (Contributor) / Department of Management and Entrepreneurship (Contributor)

Created2023-05