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Study Designs and Statistical Methods for Studies of Child and Adolescent Health Policies

9/8/20--Rigorous empirical studies of the effect of a policy intervention seek to consider (or estimate) what outcomes are (or would be) with the policy compared with what outcomes are (or would be) without the policy. Read

Intervention to Prevent Illicit Drug Use in Children, Adolescents, and Young Adults

5/26/20--The US Preventive Services Task Force (USPSTF) has recently published recommendations on primary care–based interventions to prevent illicit drug use in youths. The main intervention is counseling sessions, which can take on various formats. Read

Association of cannabinoid administration with experimental pain in healthy adults

11/8/18--This systematic review and meta-analysis of 18 studies including 442 adults found that cannabinoid drugs were associated with modest increases in experimental pain threshold and tolerance, no reduction in the intensity of ongoing experimental pain, reduced perceived unpleasantness of painful stimuli, and no reduction of mechanical hyperalgesia. Read

Both urgency and balance needed in addressing opioid epidemic

8/1/17--The ongoing opioid crisis is at the intersection of 2 substantial public health challenges: improving the treatment of pain and minimizing the harms that can arise from use of opioid medications. Recent Viewpoints in JAMA highlighted this tension. In one article, the authors emphasized that “there is no evidence that opioids are effective in chronic pain conditions and significant evidence that they cause harm.” In another article, the authors expressed dismay that federal policy has “disproportionately focused on reducing opioid use rather than increasing pain relief.” Read

US Adult Illicit Cannabis Use, Cannabis Use Disorder, and Medical Marijuana Laws

6/1/17--In a JAMA Psychiatry published analysis using US national survey data collected in 1991-1992, 2001-2002, and 2012-2013 from 118 497 participants, the risk for cannabis use and cannabis use disorders increased at a significantly greater rate in states that passed medical marijuana laws than in states that did not. Read

Opioids out, cannabis in

11/1/16--With the nationwide epidemic of opioid abuse, dependence, and fatalities, clinicians are being asked by federal agencies and professional societies to control their prescribing of narcotic medications for pain. Reduction in opioid prescribing leaves a vacuum that will be filled with other therapies, including cannabis. According to an article published in JAMA, the mandated transition to limit the use of opioids, paired with the current climate about liberalizing cannabis, may lead to patients' substitution of cannabis for opioids. Read