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Native American “Deaths of Despair” and Economic Conditions

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Abstract

Non-Hispanic whites who do not have a college degree have experienced an increase in “deaths of despair” – deaths caused by suicide, drug use, and alcohol use. Yet, deaths of despair are proportionally largest among Native Americans and the rate of increase of these deaths matches that of non-Hispanic white Americans. Native American women and girls face the largest differentials: deaths of despair comprise over 10% of all deaths among Native American women and girls – almost four times as high as the proportion of deaths for non-Hispanic white women and girls. However, the factors related to these patterns are very different for Native Americans than they are for non-Hispanic white Americans. Improvements in economic conditions are associated with decreased deaths from drug use, alcohol use, and suicide for non-Hispanic white Americans. On the other hand, in counties with higher labor force participation rates, lower unemployment, and higher ratios of employees to residents, there are significantly higher Native American deaths attributed to suicide and drug use. These results suggest that general improvements in local labor market conditions may not be associated with a reduction in deaths of despair for all groups.

Suggested Citation

  • Randall Akee & Donn L. Feir & Marina Mileo Gorzig & Samuel Myers Jr., 2022. "Native American “Deaths of Despair” and Economic Conditions," Opportunity and Inclusive Growth Institute Working Papers 062, Federal Reserve Bank of Minneapolis.
    • Handle: RePEc:fip:fedmoi:95874
    DOI: 10.21034/iwp.62
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    1. Christopher J. Ruhm, 2022. "Living and Dying in America: An Essay on Deaths of Despair and the Future of Capitalism," Journal of Economic Literature, American Economic Association, vol. 60(4), pages 1159-1187, December.
    2. Geronimus, A.T. & Hicken, M. & Keene, D. & Bound, J., 2006. ""Weathering" and age patterns of allostatic load scores among blacks and whites in the United States," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 826-833.
    3. Donna L. Feir, 2016. "The long‐term effects of forcible assimilation policy: The case of Indian boarding schools," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 49(2), pages 433-480, May.
    4. Hollingsworth, Alex & Ruhm, Christopher J. & Simon, Kosali, 2017. "Macroeconomic conditions and opioid abuse," Journal of Health Economics, Elsevier, vol. 56(C), pages 222-233.
    5. Ann H. Stevens & Douglas L. Miller & Marianne E. Page & Mateusz Filipski, 2015. "The Best of Times, the Worst of Times: Understanding Pro-cyclical Mortality," American Economic Journal: Economic Policy, American Economic Association, vol. 7(4), pages 279-311, November.
    6. Matias Fontenla & Fidel Gonzalez & Troy Quast, 2011. "Are recessions good for everyone's health? The association between mortality and the business cycle by race/ethnicity in the US," Applied Economics Letters, Taylor & Francis Journals, vol. 18(3), pages 207-212.
    7. Stein, E.M. & Gennuso, K.P. & Ugboaja, D.C. & Remington, P.L., 2017. "The epidemic of despair among white americans: Trends in the leading causes of premature death, 1999-2015," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1541-1547.
    8. Douglas L. Miller & Marianne E. Page & Ann Huff Stevens & Mateusz Filipski, 2009. "Why Are Recessions Good for Your Health?," American Economic Review, American Economic Association, vol. 99(2), pages 122-127, May.
    9. Karl Eschbach, 1993. "Changing identification among American Indians and Alaska natives," Demography, Springer;Population Association of America (PAA), vol. 30(4), pages 635-652, November.
    10. Donn L Feir & Rob Gillezeau & Maggie E C Jones, 2024. "The Slaughter of the Bison and Reversal of Fortunes on the Great Plains," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 91(3), pages 1634-1670.
    11. van den Berg, Gerard J. & Gerdtham, Ulf-G. & von Hinke, Stephanie & Lindeboom, Maarten & Lissdaniels, Johannes & Sundquist, Jan & Sundquist, Kristina, 2017. "Mortality and the business cycle: Evidence from individual and aggregated data," Journal of Health Economics, Elsevier, vol. 56(C), pages 61-70.
    12. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    13. Carpenter, Christopher S. & McClellan, Chandler B. & Rees, Daniel I., 2017. "Economic conditions, illicit drug use, and substance use disorders in the United States," Journal of Health Economics, Elsevier, vol. 52(C), pages 63-73.
    14. Karl Eschbach & Khalil Supple & C. Snipp, 1998. "Changes in racial identification and the educational attainment of American Indians, 1970–1990," Demography, Springer;Population Association of America (PAA), vol. 35(1), pages 35-43, February.
    15. Jones, D.S., 2006. "The persistence of American Indian health disparities," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2122-2134.
    16. Anderson, R.N. & Copeland, G. & Hayes, J.M., 2014. "Linkages to improve mortality data for American Indians and Alaska Natives: A new model for death reporting?," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 258-262.
    17. Sameem, Sediq & Sylwester, Kevin, 2017. "The business cycle and mortality: Urban versus rural counties," Social Science & Medicine, Elsevier, vol. 175(C), pages 28-35.
    18. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    19. Stehr-Green, P. & Bettles, J. & Robertson, L.D. & Wilson, C., 2002. "Effect of racial/ethnic misclassification of American Indians and Alaskan natives on Washington State death certificates, 1989-1997," American Journal of Public Health, American Public Health Association, vol. 92(3), pages 443-444.
    20. repec:aph:ajpbhl:10.2105/ajph.2017.303941_0 is not listed on IDEAS
    21. Espey, D.K. & Jim, M.A. & Cobb, N. & Bartholomew, M. & Becker, T. & Haverkamp, D. & Plescia, M., 2014. "Leading causes of death and all-cause mortality in American Indians and Alaska Natives," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 303-311.
    22. Luo, F. & Florence, C.S. & Quispe-Agnoli, M. & Ouyang, L. & Crosby, A.E., 2011. "Impact of business cycles on US suicide rates, 1928-2007," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1139-1146.
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    More about this item

    Keywords

    Economic conditions; Deaths of despair; Native American; Public health;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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