IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v291y2021ics0277953621008297.html
   My bibliography  Save this article

A crisis in my community? Local-level awareness of the opioid epidemic and political consequences

Author

Listed:
  • Gollust, Sarah E.
  • Haselswerdt, Jake

Abstract

The opioid epidemic has had a profound effect on American public health, and studies suggest it has had a profound effect on American politics as well. Research suggests a relationship between the severity of the opioid crisis in a community and aggregate-level political behavior, including voting for Donald Trump in 2016, but there is very little individual-level data establishing the mechanism for this relationship. Using a question on a nationally representative survey fielded after the 2018 election, we explore Americans’ perceptions of the severity of the opioid epidemic in their community, and whether these perceptions predict political behavior and attitudes. We find that relative estimates of local opioid overdoses are significantly influenced by the actual county-level overdose death rate, and that the relationship between reality and perception is strongest for the most knowledgeable and informed citizens. There is also evidence that the social construction of the opioid epidemic as a crisis primarily affecting White suburban or rural Americans affects these perceptions, as both White and non-urban respondents are significantly more attentive to objective mortality rates than others. Turning to political behavior, we find no evidence that these estimates affected validated voter turnout or U.S. House vote choice in the 2018 midterm election. Assessing public approval outcomes, we found a nonlinear effect of these estimates on support for President Trump, a pattern which is partially consistent with the existing literature. We also observed that those who believed the opioid epidemic to be worse than average in their communities reported lower approval of their state legislatures, though we found no such relationship for ratings of governors. These findings raise important questions about the micro-level mechanisms that link aggregate-level public health with political outcomes.

Suggested Citation

  • Gollust, Sarah E. & Haselswerdt, Jake, 2021. "A crisis in my community? Local-level awareness of the opioid epidemic and political consequences," Social Science & Medicine, Elsevier, vol. 291(C).
    • Handle: RePEc:eee:socmed:v:291:y:2021:i:c:s0277953621008297
    DOI: 10.1016/j.socscimed.2021.114497
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953621008297
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2021.114497?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Schneider, Anne & Ingram, Helen, 1993. "Social Construction of Target Populations: Implications for Politics and Policy," American Political Science Review, Cambridge University Press, vol. 87(2), pages 334-347, June.
    2. Jason H Wasfy & Charles Stewart III & Vijeta Bhambhani, 2017. "County community health associations of net voting shift in the 2016 U.S. presidential election," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-11, October.
    3. Johanna Dunaway & Regina P. Branton & Marisa A. Abrajano, 2010. "Agenda Setting, Public Opinion, and the Issue of Immigration Reform," Social Science Quarterly, Southwestern Social Science Association, vol. 91(2), pages 359-378, June.
    4. Hsee, Christopher K., 1996. "The Evaluability Hypothesis: An Explanation for Preference Reversals between Joint and Separate Evaluations of Alternatives," Organizational Behavior and Human Decision Processes, Elsevier, vol. 67(3), pages 247-257, September.
    5. Aaron R Kaufman & Eitan D Hersh, 2020. "The political consequences of opioid overdoses," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-10, August.
    6. Bor, J., 2017. "Diverging life expectancies and voting patterns in the 2016 US Presidential Election," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1560-1562.
    7. repec:aph:ajpbhl:10.2105/ajph.2017.303945_8 is not listed on IDEAS
    8. Wasow, Omar, 2020. "Agenda Seeding: How 1960s Black Protests Moved Elites, Public Opinion and Voting," American Political Science Review, Cambridge University Press, vol. 114(3), pages 638-659, August.
    9. Eyler, A.A. & Nguyen, L. & Kong, J. & Yan, Y. & Brownson, R., 2012. "Patterns and predictors of enactment of state childhood obesity legislation in the united states: 2006-2009," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 2294-2302.
    10. Stimson, James A. & Mackuen, Michael B. & Erikson, Robert S., 1995. "Dynamic Representation," American Political Science Review, Cambridge University Press, vol. 89(3), pages 543-565, September.
    11. Bilal, Usama & Knapp, Emily A. & Cooper, Richard S., 2018. "Swing voting in the 2016 presidential election in counties where midlife mortality has been rising in white non-Hispanic Americans," Social Science & Medicine, Elsevier, vol. 197(C), pages 33-38.
    12. Wasfy, Jason H. & Healy, Emma W. & Cui, Jinghan & Stewart, Charles, 2020. "Relationship of public health with continued shifting of party voting in the United States," Social Science & Medicine, Elsevier, vol. 252(C).
    13. Jacob M. Montgomery & Brendan Nyhan & Michelle Torres, 2018. "How Conditioning on Posttreatment Variables Can Ruin Your Experiment and What to Do about It," American Journal of Political Science, John Wiley & Sons, vol. 62(3), pages 760-775, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nicole Siegal, 2023. "Exposure to Deaths of Despair and U.S. Presidential Election Outcomes," Working Papers 202307, University of Hawaii at Manoa, Department of Economics.
    2. Helena Biancuzzi & Francesca Dal Mas & Valerio Brescia & Stefano Campostrini & Marco Cascella & Arturo Cuomo & Lorenzo Cobianchi & Ander Dorken-Gallastegi & Anthony Gebran & Haytham M. Kaafarani & Fra, 2022. "Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies," IJERPH, MDPI, vol. 19(18), pages 1-17, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gregori Galofre-Vila & Maria Gomez-Leon & David Stuckler, 2021. "A Lesson from History? The 1918 Inuenza pandemic and the rise of Italian Fascism: A cross-city quantitative and historical text qualitative analysis," Documentos de Trabajo - Lan Gaiak Departamento de Economía - Universidad Pública de Navarra 2102, Departamento de Economía - Universidad Pública de Navarra.
    2. Wasfy, Jason H. & Healy, Emma W. & Cui, Jinghan & Stewart, Charles, 2020. "Relationship of public health with continued shifting of party voting in the United States," Social Science & Medicine, Elsevier, vol. 252(C).
    3. Cotti, Chad D. & Gordanier, John M. & Ozturk, Orgul D., 2020. "The relationship of opioid prescriptions and the educational performance of children," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Niederdeppe, Jeff & Avery, Rosemary J. & Liu, Jiawei & Gollust, Sarah E. & Baum, Laura & Barry, Colleen L. & Welch, Brendan & Tabor, Emmett & Lee, Nathaniel W. & Fowler, Erika Franklin, 2021. "Exposure to televised political campaign advertisements aired in the United States 2015–2016 election cycle and psychological distress," Social Science & Medicine, Elsevier, vol. 277(C).
    5. Periloux C. Peay & John D. Rackey, 2021. "When good trouble sparks agenda change: Disentangling the evolution of the Congressional Black Caucus' positions on police reform," Social Science Quarterly, Southwestern Social Science Association, vol. 102(7), pages 3158-3169, December.
    6. Jason Barabas & Jennifer Jerit, 2009. "Estimating the Causal Effects of Media Coverage on Policy‐Specific Knowledge," American Journal of Political Science, John Wiley & Sons, vol. 53(1), pages 73-89, January.
    7. Maddison, Jonathan & Watts, Richard, 2011. "The technological fix as a frame in media debates about tailpipe emissions," Technology in Society, Elsevier, vol. 33(3), pages 294-303.
    8. Fritz Sager & Yvan Rielle, 2013. "Sorting through the garbage can: under what conditions do governments adopt policy programs?," Policy Sciences, Springer;Society of Policy Sciences, vol. 46(1), pages 1-21, March.
    9. Bruch, Sarah K. & van der Naald, Joseph & Gornick, Janet C., 2022. "Poverty Reduction through Federal and State Policy Mechanisms: Variation Over Time and Across the U.S. States," SocArXiv jz5xp, Center for Open Science.
    10. Lucius Caviola & Nadira Faulmüller & Jim. A. C. Everett & Julian Savulescu & Guy Kahane, 2014. "The evaluability bias in charitable giving: Saving administration costs or saving lives?," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 9(4), pages 303-315, July.
    11. Alexandra Rausch & Alexander Brauneis, 2015. "It’s about how the task is set: the inclusion–exclusion effect and accountability in preprocessing management information," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 23(2), pages 313-344, June.
    12. Armèn Hakhverdian, 2009. "Capturing Government Policy on the Left–Right Scale: Evidence from the United Kingdom, 1956–2006," Political Studies, Political Studies Association, vol. 57(4), pages 720-745, December.
    13. Moore, Don A., 1999. "Order Effects in Preference Judgments: Evidence for Context Dependence in the Generation of Preferences, ," Organizational Behavior and Human Decision Processes, Elsevier, vol. 78(2), pages 146-165, May.
    14. Stefania Pighin & Lucia Savadori & Elisa Barilli & Rino Rumiati & Sara Bonalumi & Maurizio Ferrari & Laura Cremonesi, 2013. "Using Comparison Scenarios to Improve Prenatal Risk Communication," Medical Decision Making, , vol. 33(1), pages 48-58, January.
    15. Li, Xilin & Hsee, Christopher K., 2021. "Free-riding and cost-bearing in discrimination," Organizational Behavior and Human Decision Processes, Elsevier, vol. 163(C), pages 80-90.
    16. Frank R. Baumgartner & Christine Mahoney, 2008. "Forum Section: The Two Faces of Framing," European Union Politics, , vol. 9(3), pages 435-449, September.
    17. Christoph Dworschak, 2024. "Bias mitigation in empirical peace and conflict studies: A short primer on posttreatment variables," Journal of Peace Research, Peace Research Institute Oslo, vol. 61(3), pages 462-476, May.
    18. Sarah K. Bruch & Janet C. Gornick & Joseph van der Naald, 2020. "Geographic Inequality in Social Provision: Variation across the US States," NBER Chapters, in: Measuring Distribution and Mobility of Income and Wealth, pages 499-527, National Bureau of Economic Research, Inc.
    19. Jie, Yun, 2020. "Responding to requests for help: Effects of payoff schemes with small monetary units," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 88(C).
    20. Giliberto Capano & Andrea Lippi, 2017. "How policy instruments are chosen: patterns of decision makers’ choices," Policy Sciences, Springer;Society of Policy Sciences, vol. 50(2), pages 269-293, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:291:y:2021:i:c:s0277953621008297. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.