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Laws that punish drug use during pregnancy likely lead to worse health outcomes for families, study finds

Date:
March 18, 2024
Source:
Columbia University's Mailman School of Public Health
Summary:
Contrary to some claims, laws that criminalize or otherwise punish drug use during pregnancy are more likely to worsen rather than improve health outcomes. The study is the first to systematically review the literature on punitive prenatal drug laws -- an increasingly common state policy strategy for addressing rising rates of prenatal drug use.
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Contrary to some claims, laws that criminalize or otherwise punish drug use during pregnancy are more likely to worsen rather than improve health outcomes, according to a paper by researchers at Columbia University Mailman School of Public Health. The study is the first to systematically review the literature on punitive prenatal drug laws -- an increasingly common state policy strategy for addressing rising rates of prenatal drug use. The findings are published in the International Journal on Drug Policy.

The authors collected data on the number of states with laws that explicitly allow criminal prosecution, involuntary commitment or that revoke custody rights following allegations of drug use during pregnancy. They then evaluated existing studies testing whether the enactment of such laws was associated health improvements, either for pregnant people themselves or their babies.

Of the 16 studies reviewed, the authors found that contrary to the intent of legislation, most evidence suggested that punitive laws either had no beneficial effects or made things worse. For example, four of the reviewed studies tested whether the adoption of punitive laws was associated with reductions in neonatal drug withdrawal syndrome (NDWS) -- a condition that can occur after exposure to opioids and other drugs in utero. Two of the studies found little change while the two others found increased NWDS after a punitive law was adopted.

"There has been considerable concern from within legal, medical and public health communities that punitive prenatal drug policies might increase potential harms. Our findings support this premise and suggest that such approaches constitute ineffective policy," said lead author Emilie Bruzelius, PhD, a postdoctoral research fellow in the Department of Epidemiology.

"Identifying effective policy strategies to support pregnant people with drug use disorder outside of the criminal-legal system is an important priority," noted Silvia S. Martins, MD, PhD, professor of Epidemiology at Columbia Mailman School, and senior author.

Co-authors include Melanie S. Askari, Sandhya Kajeepta, Lisa Bates, Seth J. Prins (Columbia University Mailman School of Public Health), Kristen Underhill (Cornell University Law School), and Marian Jarlenski (Pittsburgh School of Public Health).

The study was supported by the National Institutes on Drug Abuse (R01DA045872 and R01DA053745 and T32DA031099).


Story Source:

Materials provided by Columbia University's Mailman School of Public Health. Note: Content may be edited for style and length.


Journal Reference:

  1. Emilie Bruzelius, Kristen Underhill, Melanie S. Askari, Sandhya Kajeepeta, Lisa Bates, Seth J. Prins, Marian Jarlenski, Silvia S. Martins. Punitive legal responses to prenatal drug use in the United States: A survey of state policies and systematic review of their public health impacts. International Journal of Drug Policy, 2024; 126: 104380 DOI: 10.1016/j.drugpo.2024.104380

Cite This Page:

Columbia University's Mailman School of Public Health. "Laws that punish drug use during pregnancy likely lead to worse health outcomes for families, study finds." ScienceDaily. ScienceDaily, 18 March 2024. <www.sciencedaily.com/releases/2024/03/240318142303.htm>.
Columbia University's Mailman School of Public Health. (2024, March 18). Laws that punish drug use during pregnancy likely lead to worse health outcomes for families, study finds. ScienceDaily. Retrieved April 24, 2024 from www.sciencedaily.com/releases/2024/03/240318142303.htm
Columbia University's Mailman School of Public Health. "Laws that punish drug use during pregnancy likely lead to worse health outcomes for families, study finds." ScienceDaily. www.sciencedaily.com/releases/2024/03/240318142303.htm (accessed April 24, 2024).

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