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The Hazards of Unwinding the Prescription Opioid Epidemic: Implications for Child Maltreatment

Author

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  • Mary F. Evans
  • Matthew C. Harris
  • Lawrence M. Kessler

Abstract

Child maltreatment has significant and long-lasting consequences. We examine how two interventions designed to curtail prescription opioid misuse, the reformulation of OxyContin and the implementation of must-access prescription drug monitoring programs (PDMPs), affected child maltreatment. Our results suggest counties with greater initial rates of prescription opioid usage experienced relatively larger increases in child physical abuse and neglect after OxyContin's reformulation. We also find some evidence of increases in alleged physical abuse and neglect due to must-access PDMP implementation. Our results uncover unintended consequences for children of reducing the supply of an addictive good without adequate support for dependent users.

Suggested Citation

  • Mary F. Evans & Matthew C. Harris & Lawrence M. Kessler, 2022. "The Hazards of Unwinding the Prescription Opioid Epidemic: Implications for Child Maltreatment," American Economic Journal: Economic Policy, American Economic Association, vol. 14(4), pages 192-231, November.
  • Handle: RePEc:aea:aejpol:v:14:y:2022:i:4:p:192-231
    DOI: 10.1257/pol.20200301
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    Citations

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    Cited by:

    1. Adamopoulou, Effrosyni & Greenwood, Jeremy & Guner, Nezih & Kopecky, Karen, 2024. "The Role of Friends in the Opioid Epidemic," CEPR Discussion Papers 18803, C.E.P.R. Discussion Papers.
    2. Mir M. Ali & Thanh Lu & Johanna Catherine Maclean & Angélica Meinhofer, 2024. "Mental Health, Substance Use, and Child Maltreatment," NBER Working Papers 32895, National Bureau of Economic Research, Inc.
    3. Sim, Yongbo, 2023. "The effect of opioids on crime: Evidence from the introduction of OxyContin," International Review of Law and Economics, Elsevier, vol. 74(C).
    4. Buckles, Kasey & Evans, William N. & Lieber, Ethan M.J., 2023. "The drug crisis and the living arrangements of children," Journal of Health Economics, Elsevier, vol. 87(C).

    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • K32 - Law and Economics - - Other Substantive Areas of Law - - - Energy, Environmental, Health, and Safety Law
    • K42 - Law and Economics - - Legal Procedure, the Legal System, and Illegal Behavior - - - Illegal Behavior and the Enforcement of Law
    • L65 - Industrial Organization - - Industry Studies: Manufacturing - - - Chemicals; Rubber; Drugs; Biotechnology; Plastics

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