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Persistent criminalization and structural racism in US drug policy: the case of overdose Good Samaritan laws.
Open accessAbstract
The US overdose crisis continues to worsen and is disproportionately harming Black and Hispanic/Latino people. Although the “War on Drugs” continues to shape drug policy—at the disproportionate expense of Black and Hispanic/Latino people—states have taken some steps to reduce War on Drugs–related harms and adopt a public health–centered approach. However, the rhetoric regarding these changes has, in many cases, outstripped reality. Using overdose Good Samaritan Laws (GSLs) as a case study, we argue that public health–oriented policy changes made in some states are undercut by the broader enduring environment of a structurally racist drug criminalization agenda that continues to permeate and constrict most attempts at change. Drawing from our collective experiences in public health research and practice, we describe 3 key barriers to GSL effectiveness: the narrow parameters within which they apply, the fact that they are subject to police discretion, and the passage of competing laws that further criminalize people who use illicit drugs. All reveal a persisting climate of drug criminalization that may reduce policy effectiveness and explain why current reforms may be destined for failure and further disadvantage Black and Hispanic/Latino people who use drugs. (Am J Public Health. 2023;113(S1):S43–S48. https://doi.org/10.2105/AJPH.2022.307037 )
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More than 50 years of drug criminalization has likely had persistent effects on behaviors relevant to overdose mortality, such as hesitation to call 911 to report overdose events and acknowledging a highly stigmatized criminal behavior when seeking treatment.
“Moreover, more than 50 years of drug criminalization has likely had persistent effects on behaviors relevant to overdose mortality, such as hesitation to call 911 to report overdose events,33,34,35 and acknowledging a highly stigmatized criminal behavior when seeking treatment.36,37”
From Drug Decriminalization, Fentanyl, and Fatal Overdoses in Oregon (2024) · cites this paper as [34]
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Drug Decriminalization, Fentanyl, and Fatal Overdoses in Oregon
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Metadata
- Authors
- Pamplin, J. R., Rouhani, S., Davis, C. S., King, C., & Townsend, T. N.
- Affiliations
- Johns Hopkins University (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2023-01
- Volume
- 113
- Issue
- S1
- Pages
- S43-S48
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC9877371
- OpenAlex
- W4318165742
- Cited by
- 59
- References
- 32
- Citations by year
- 2026: 17 · 2025: 18 · 2024: 17 · 2023: 7
- FWCI
- 15.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Social Sciences › Law › Criminal Law and Policy
- Keywords
- criminalization of drug use, structural racism, war on drugs, drug policy reform, public health approach to drug use, police discretion, opioid epidemic, state drug laws, racial disparities in drug enforcement
- MeSH terms
- Systemic Racism, Humans, Public Policy, Illicit Drugs, Police, Drug Overdose
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