What Is Driving the Drug Overdose Epidemic in the United States?
Dados Bibliográficos
| AUTOR(ES) | |
|---|---|
| AFILIAÇÃO(ÕES) | Boston College, Chestnut Hill, MA, USA, University of North Texas, Northeastern University, Boston, MA, USA |
| ANO | 2020 |
| TIPO | Artigo |
| PERIÓDICO | Journal of Health and Social Behavior |
| ISSN | 0022-1465 |
| E-ISSN | 2150-6000 |
| EDITORA | JSTOR (United States) |
| DOI | 10.1177/0022146520939514 |
| CITAÇÕES | 5 |
| ADICIONADO EM | 2025-08-18 |
Resumo
The demand-side perspective argues that the drug overdose epidemic is a consequence of changes in the economy that leave behind working-class people who lack a college education. In contrast, the supply-side perspective maintains that the epidemic is primarily due to changes in the licit and illicit drug environment, whereas a third, distinct perspective argues that income inequality is likely a key driver of the epidemic. To evaluate these competing perspectives, we use a two-level random intercept model and U.S. state-level data from 2006 to 2017. Contrary to the demand-side approach, we find that educational attainment is not associated with drug-related mortality. In support of the supply-side approach, we provide evidence indicating that opioid prescription rates are positively associated with drug-related mortality. We also find that income inequality is a key driver of the epidemic, particularly the lack of resources going to the bottom 20% of earners. We conclude by arguing that considerations of income inequality are an important way to link the arguments made by the demand-side and the supply-side perspectives.