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Table 3 Outer-contextual state-level variables

From: An audience research study to disseminate evidence about comprehensive state mental health parity legislation to US State policymakers: protocol

Domain

Measure

Data source

Independent variables

State MH parity statusa

Nominal: C-SMHPL; limited-SMHPL; non-parity law in place in respondent’s on date of survey completion

National Conference of State Legislatures [17]

Interest group pressure for

C-SMHPLa

Continuous: Number of years that the National Alliance on Mental Illness has been in existence in respondent’s state on date of survey completion

Encyclopedia of Associations: Regional, State and Local Organizations [81]

Economic pressure against C-SMHPLa

Continuous: Seasonally adjusted unemployment rate in respondent’s state in most recent full month prior to the date of survey completion

US Bureau of Labor Statistics [82]

State government ideologya

Continuous: Government ideology in respondent’s state as measured by roll-call voting scores of state congressional delegations (range 1 to 100) in most recent full year prior to the date of survey completion

Berry et al. 2010 [83]

State government partisanship

Nominal: Republican control (Republicans hold majority of seats in state legislature, Republic Governor); Democrat control (Democrat hold majority of seats in state legislature, Democrat Governor); Divided control (one party holds majority of seats in state legislature, Governor is of a different party) in respondent’s state on date of survey completion

National Conference of State Legislatures [84]

State prioritization of access to MH services

Ordinal: Quartile rank of composite Access to Care Score (based on nine metrics) for respondent’s state for most recent year available prior to the date of survey completion

Mental Health America [87]

Mass shootings as focusing events that affect attitudes towards MH and MI

Continuous: Number of mass shootingb events in respondent’s state in the two years prior to the date of survey completion

Continuous: Number of people injured mass shooting events in respondent’s state in the two years prior to the date of survey completion

Stanford Mass Shootings of America Database [86]

  1. MH = mental health, MI = mental illness, EBTs = evidence-based mental health treatments, C-SMHPL = comprehensive state mental health parity legislation
  2. aUsed in Hernandez and Uggen’s study of C-SMHPL implementation [52]
  3. bA mass shooting is defined as an event in which three or more people are injured