The Relationships Between Healthcare Access, Gender, and Psychedelics and Their Effects on Distress
Healthcare May 16, 2025 DOI: 10.3390/healthcare13101158 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Observational cohort Peer reviewed |
|---|---|
| Sample size | 484,732 |
| Population | Participants in the National Survey on Drug Use and Health (2008–2019) |
| Keywords | Distress Health care Clinical psychology |
| Citations | 5 |
| Key findings | Psychedelic use reinforced the protective pattern of private insurance on distress and intensified distress among those with public coverage, with gender-specific effects. |
Abstract
Background: Structural inequalities in healthcare access may influence how individuals experience the psychological effects of psychedelic substances, potentially limiting positive outcomes among vulnerable populations.
Objectives: This study uses data from the National Survey on Drug Use and Health (2008–2019; N = 484,732) to examine how public and private health insurance moderate the association between psychedelic use and psychological distress.
Methods: Ordinary least squares (OLS) regression models indicate that private health insurance is associated with lower psychological distress, while public insurance is associated with higher distress.
Results: Psychedelic use moderates these associations, reinforcing the protective pattern linked to private insurance and intensifying distress among those with public coverage. These patterns vary by gender: among men, psychedelic use does not significantly alter the association between insurance type and distress; among women, however, psilocybin and lysergic acid diethylamide (LSD) use are associated with lower distress among those with private insurance, but with higher distress among those with public insurance.
Conclusions: These findings indicate that while psychedelics may interact with existing healthcare conditions, they do not mitigate structural inequalities and may, in some cases, exacerbate them.