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The Effect of Alcohol Access on Sexually Transmitted Diseases: Evidence From the Minimum Legal Drinking Age

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  • Vijetha Koppa

    (Department of Economics and Finance, Stephen F. Austin State University. The findings of this paper reflect the views of the author alone and not of any other organization koppav@sfasu.edu Author email: koppav@sfasu.edu)

Abstract

This paper evaluates the effect of alcohol use on the spread of sexually transmitted diseases by exploiting the discrete change in legal access to alcohol at the minimum legal drinking age of 21 years. With administrative data from California, I implement a regression discontinuity model to compare the number of gonorrhea cases in men—an infection with a short incubation period of two weeks or less—contracted just before and after the 21st birthday. Results show no evidence of an increase in STDs in the overall population, or within racial and county subgroups with the highest infection rates. These results suggest that the relationship between alcohol and STDs, which is conventionally believed to be causal, is more likely to be driven by unobserved heterogeneity, at least among the college-age population.

Suggested Citation

  • Vijetha Koppa, 2018. "The Effect of Alcohol Access on Sexually Transmitted Diseases: Evidence From the Minimum Legal Drinking Age," American Journal of Health Economics, University of Chicago Press, vol. 4(2), pages 164-184, Spring.
    • Handle: RePEc:ucp:amjhec:v:4:y:2018:i:2:p:164-184
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    as
    1. Crost, Benjamin & Guerrero, Santiago, 2012. "The effect of alcohol availability on marijuana use: Evidence from the minimum legal drinking age," Journal of Health Economics, Elsevier, vol. 31(1), pages 112-121.
    2. Yörük, BarIs K. & Yörük, Ceren Ertan, 2011. "The impact of minimum legal drinking age laws on alcohol consumption, smoking, and marijuana use: Evidence from a regression discontinuity design using exact date of birth," Journal of Health Economics, Elsevier, vol. 30(4), pages 740-752, July.
    3. Bisakha Sen, 2003. "Can Beer Taxes Affect Teen Pregnancy? Evidence Based on Teen Abortion Rates and Birth Rates," Southern Economic Journal, John Wiley & Sons, vol. 70(2), pages 328-343, October.
    4. Carrell, Scott E. & Hoekstra, Mark & West, James E., 2011. "Does drinking impair college performance? Evidence from a regression discontinuity approach," Journal of Public Economics, Elsevier, vol. 95(1-2), pages 54-62, February.
    5. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    6. Christopher Carpenter & Carlos Dobkin, 2009. "The Effect of Alcohol Consumption on Mortality: Regression Discontinuity Evidence from the Minimum Drinking Age," American Economic Journal: Applied Economics, American Economic Association, vol. 1(1), pages 164-182, January.
    7. Michael Grossman & Sarah Markowitz, 2005. "I Did What Last Night? Adolescent Risky Sexual Behaviors and Substance Abuse," Eastern Economic Journal, Eastern Economic Association, vol. 31(3), pages 383-405, Summer.
    8. Christopher Carpenter & Carlos Dobkin, 2011. "The Minimum Legal Drinking Age and Public Health," Journal of Economic Perspectives, American Economic Association, vol. 25(2), pages 133-156, Spring.
    9. Thomas S. Dee, 2001. "The Effects of Minimum Legal Drinking Ages on Teen Childbearing," Journal of Human Resources, University of Wisconsin Press, vol. 36(4), pages 823-838.
    10. Carpenter, Christopher, 2004. "How do Zero Tolerance Drunk Driving Laws work?," Journal of Health Economics, Elsevier, vol. 23(1), pages 61-83, January.
    11. Chesson, Harrell & Harrison, Paul & Kassler, William J, 2000. "Sex Under the Influence: The Effect of Alcohol Policy on Sexually Transmitted Disease Rates in the United States," Journal of Law and Economics, University of Chicago Press, vol. 43(1), pages 215-238, April.
    12. Rashad, Inas & Kaestner, Robert, 2004. "Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors," Journal of Health Economics, Elsevier, vol. 23(3), pages 493-503, May.
    13. Coate, Douglas & Grossman, Michael, 1988. "Effects of Alcoholic Beverage Prices and Legal Drinking Ages on Youth Alcohol Use," Journal of Law and Economics, University of Chicago Press, vol. 31(1), pages 145-171, April.
    14. Frank J. Chaloupka & Henry Wechsler, 1996. "Binge Drinking In College: The Impact Of Price, Availability, And Alcohol Control Policies," Contemporary Economic Policy, Western Economic Association International, vol. 14(4), pages 112-124, October.
    15. Carpenter, Christopher, 2005. "Youth alcohol use and risky sexual behavior: evidence from underage drunk driving laws," Journal of Health Economics, Elsevier, vol. 24(3), pages 613-628, May.
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    Cited by:

    1. Dehos, Fabian T., 2022. "Underage access to alcohol and its impact on teenage drinking and crime," Journal of Health Economics, Elsevier, vol. 81(C).
    2. Dehos, Fabian & Mensen, Anne, 2022. "Binge drinking and alcohol related hospital stays: Does a legal drinking age matter for minors?," Ruhr Economic Papers 958, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    3. Marigee Bacolod & Jesse M. Cunha & Yu‐Chu Shen, 2020. "When young soldiers drink: The impact of legal access to alcohol among U.S. Army soldiers," Southern Economic Journal, John Wiley & Sons, vol. 87(2), pages 576-607, October.
    4. Dehos, Fabian, 2020. "Legal access to alcohol and its impact on drinking and crime," Ruhr Economic Papers 884, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    5. Baggio, Michele & Chong, Alberto & Simon, David, 2020. "Sex, marijuana and baby booms," Journal of Health Economics, Elsevier, vol. 70(C).

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    More about this item

    Keywords

    alcohol; minimum legal drinking age; sexually transmitted diseases;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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