TABLE 1.
State-Level Factors Possibly Associated With a State’s Adoption of Psychotropic Drugs on AIDS Drug Assistance Program Drug Formularies: United States, 1997–2008
| Variable | Hypothesis | Measurement | Data Sources |
|---|---|---|---|
| Case burden | States with larger HIV-infected populations will be more likely to adopt psychotropic drugs on their ADAP formularies. | Annual AIDS incidence, log-transformed | Centers for Disease Control and Prevention |
| Federal allocation for RW | States with larger federal dollar-per-case allocations have more slack resources to include psychotropic drugs on their ADAP formularies. | Quintile of federal RW allocation, divided by case count | Health Resources and Services Administration, Centers for Disease Control and Prevention, Government Accountability Office |
| Political orientation | States with a Democratic political orientation will be more likely to fund generous public health programs, including adopting psychotropic drugs on their ADAP formularies. | Sum of political party control for state house, senate, and governor | Council of State Governments |
| State wealth | Wealthier states have more resources available to include psychotropic drugs on their ADAP formularies. | Total taxable resources, log-transformed and adjusted for inflation | Department of the Treasury |
| Passage of mental health parity law | States that have successfully passed mental health parity laws have more political support for public programs to treat mental health, making them more likely to adopt psychotropic drugs on their ADAP formularies. | Implementation of state parity law = 1 | National Alliance for the Mentally Ill |
| No. of psychiatrists per population | States with a higher concentration of psychiatrists would be more likely to adopt psychotropic drugs on their ADAP formularies. | Number of psychiatrists, log-transformed | Area Resource File and US Census |
| Size of mental health budget | States with larger mental health budgets have more political support for programs to treat mental health, making them more likely to adopt psychotropic drugs on their ADAP formularies. | Expenditures for state mental health departments, log-transformed and adjusted for inflation | National Association of State Mental Health Program Directors Research Institute, Inc |
Note. ADAP = AIDS Drug Assistance Program; RW= Ryan White HIV/AIDS Program.