Opioid Death Rate in States & D.C. That Legalized Marijuana during 2010-2016 and in States That Did Not


Data from CDC WONDER (click here)

Annual and monthly data are analyzed for difference between states and D.C. that legalized marijuana during 2010-2016 and states that, as of December 2016, had not.  Bleyer A, Barnes B. Opioid death rate acceleration in jurisdictions legalizing marijuana use. JAMA Int Med.  2018;178(9 Sept):1280-1281.

Analyses include opioid death rates in legalizing entities that are both included and excluded before legalization implementation, the latter as recommended by Hockenberry and Wen (JAMA Int Med.  2018;178(9 Sept):1282).
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Multiple Cause of Death 1999-2016 on CDC WONDER Online Database, released December, 2017. Accessed at http://wonder.cdc.gov/mcd-icd10.html on April 14, 2018.
Joinpoint Regression Program: Version 4.6.0.0. April, 2018; Statistical Research and Applications Branch, National Cancer Institute. Statistical Research and Applications Branch, National Cancer Institute. Kim HJ, Fay MP, Feuer EJ, Midthune DN. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med 2000;19:335-351 (correction: 2001;20:655).
Analyzers: Archie Bleyer, MD, Clinical Research Professor, Oregon Health and Science University, Portland, OR and Brian Barnes, CSWA, MAC, CADC III, Central City Concern, Old Town Clinic, Portland, OR and PhD Student, Integral and Transpersonal Psychology, California Institute of Integral Studies. San Francisco, CA


Opioid Mortality in States & D.C. vs. Marijuana Legalization (click here)

This Excel datafile [AB2018-11-21-A] contains annual and monthly cumulative death opioid death data up to December 2016 in a composite of all states (and the District of Columbia)  that implemented marijuana legalization and in states that did not. The file contains various analyses conducted relative to marijuana legalization implementation, both for medicinal and recreational use, including joinpoint regression.   For assistance in navigating the worksheets, please contact Archie Bleyer, MD (ableyer@gmail.com).


Opioid Deaths in Each State & D.C. vs. Marijuana Legalization (click here)

This Excel datafile [AB2018-11-21-B] contains annual and monthly death opioid death data of each state in the U.S. and the District of Columbia from 1999 to 2016 relative to marijuana legalization implementation, both for medicinal and recreational use, including joinpoint regressions.   For assistance in navigating the worksheets, please contact Archie Bleyer, MD (ableyer@gmail.com).