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Federal Reserve Bank of Cleveland
Working Papers
Opioids and the Labor Market
Dionissi Aliprantis
Kyle Fee
Mark E. Schweitzer
Abstract

This paper studies the relationship between local opioid prescription rates and labor market outcomes. We improve the joint measurement of labor market outcomes and prescription rates in the rural areas where nearly 30 percent of the US population lives. We find that increasing the local prescription rate by 10 percent decreases the prime-age employment rate by 0.50 percentage points for men and 0.17 percentage points for women. This effect is larger for white men with less than a BA (0.70 percentage points) and largest for minority men with less than a BA (1.01 percentage points). Geography is an obstacle to giving a causal interpretation to these results, especially since they were estimated in the midst of a large recession and recovery that generated considerable cross-sectional variation in local economic performance. We show that our results are not sensitive to most approaches to controlling for places experiencing either contemporaneous labor market shocks or persistently weak labor market conditions. We also present evidence on reverse causality, finding that a short-term unemployment shock did not increase the share of people abusing prescription opioids. Our estimates imply that prescription opioids can account for 44 percent of the realized national decrease in men's labor force participation between 2001 and 2015


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Dionissi Aliprantis & Kyle Fee & Mark E. Schweitzer, Opioids and the Labor Market, Federal Reserve Bank of Cleveland, Working Papers 180701, 01 Mar 2019.
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Note: Revision of Working Paper 1807, first published in May 2018.
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Keywords: Opioid Prescription Rate; Labor Force Participation; Great Recession; Opioid Abuse
DOI: 10.26509/frbc-wp-201807r
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