A1 Journal article (refereed)
Prescription opioid use and employment : a nationwide Finnish register study (2021)
Böckerman, P., Haapanen, M., Hakulinen, C., & Vainiomäki, J. (2021). Prescription opioid use and employment : a nationwide Finnish register study. Drug and Alcohol Dependence, 227, Article 108967. https://doi.org/10.1016/j.drugalcdep.2021.108967
The research was funded by Strategic Research Council at the Research Council of Finland.
JYU authors or editors
Publication details
All authors or editors: Böckerman, Petri; Haapanen, Mika; Hakulinen, Christian; Vainiomäki, Jari
Journal or series: Drug and Alcohol Dependence
ISSN: 0376-8716
eISSN: 1879-0046
Publication year: 2021
Volume: 227
Article number: 108967
Publisher: Elsevier
Publication country: Ireland
Publication language: English
DOI: https://doi.org/10.1016/j.drugalcdep.2021.108967
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/77701
Abstract
The secular decline in labor market participation and the concurrent increase in opioid use in many developed countries have sparked a policy debate on the possible connection between these two trends. We examined whether the use of prescription opioids was connected to labor market outcomes relating to participation, employment and unemployment among the Finnish population.
Methods
The working-age population (aged 19–64 years) living in Finland during the period 1995–2016 was used in the analyses (consisting of 67 903 701 person-year observations). Lagged values of prescription opioid use per capita were used as the exposure. Instrumental variables (IV) estimation method was used to identify causal effects, where opioid use per capita for the elderly (65–95-year-old) was used as an instrument for the opioid use per capita for the working-age population of the same gender, education and region.
Results
Increased opioid use led to worse labor market outcomes in the long run, with the effect size of 16% and 20%, compared to the standard deviation of the employment and participation rates. On the contrary, in the short run, increased opioid use had positive employment effects.
Conclusions
Policymakers should take the contradictory short- and long-term effects into account while considering regulation and monitoring of opioid use. Regulating and monitoring long-term prescription opioids is crucial for reducing their negative labor market consequences.
Keywords: opioids; prescriptions; labour market; labour status; employment; population research
Free keywords: opioids; prescription drugs; labor market; employment; population-based
Contributing organizations
Related projects
- Work, Inequality and Public Policy/2
- Haapanen, Mika
- Research Council of Finland
- Taloustieteen tutkimusaineistohankintoihin, erityisesti koulutuksen taloustiede
- Haapanen, Mika
- Yrjö Jahnsson Foundation
Ministry reporting: Yes
Reporting Year: 2021
JUFO rating: 2