Prescription opioids and economic hardship in France.
France
Opioid crisis
Prescription opioids
Socioeconomic conditions
Journal
The European journal of health economics : HEPAC : health economics in prevention and care
ISSN: 1618-7601
Titre abrégé: Eur J Health Econ
Pays: Germany
ID NLM: 101134867
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
15
03
2022
accepted:
01
12
2022
medline:
6
10
2023
pubmed:
30
1
2023
entrez:
29
1
2023
Statut:
ppublish
Résumé
This paper studies how opioid analgesic sales are empirically related to socioeconomic disparities in France, with a focus on poverty. This analysis is made possible using the OpenHealth database, which provides retail sales data for opioid analgesics available on the French market. We exploit firm-level data for each of the 94 departments in Metropolitan France between 2008 and 2017. We show that increases in the poverty rate are associated with increases in sales: a one percentage point increase in poverty is associated with approximately a 5% increase in mild opioid sales. Our analysis further shows that opioid sales are positively related to the share of middle-aged people and individuals with basic education only, while they are negatively related to population density. The granularity and longitudinal nature of these data allow us to control for a large pool of potential confounding factors. Our results suggest that additional interventions should be more intensively addressed toward the most deprived areas. We conclude that a combination of policies aimed at improving economic prospects and strictly monitoring access to opioid medications would be beneficial for reducing opioid-related harm.
Identifiants
pubmed: 36710287
doi: 10.1007/s10198-022-01557-4
pii: 10.1007/s10198-022-01557-4
pmc: PMC9884604
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1473-1504Subventions
Organisme : H2020 European Research Council
ID : 339950
Informations de copyright
© 2023. The Author(s).
Références
Brookings Pap Econ Act. 2017 Spring;2017:397-476
pubmed: 29033460
Proc Natl Acad Sci U S A. 2015 Dec 8;112(49):15078-83
pubmed: 26575631
JAMA Intern Med. 2020 Feb 1;180(2):254-262
pubmed: 31886844
J Health Econ. 2019 Dec;68:102243
pubmed: 31734583
N Engl J Med. 2008 Jun 5;358(23):2468-81
pubmed: 18525043
Can J Psychiatry. 1997 Apr;42(3):285-90
pubmed: 9114944
Int J Drug Policy. 2019 Feb;64:87-94
pubmed: 30641450
Eur J Surg Oncol. 2016 Jan;42(1):51-8
pubmed: 26490007
Curr Drug Abuse Rev. 2015;8(1):3-14
pubmed: 26084418
J Pain. 2012 Oct;13(10):988-96
pubmed: 23031398
JAMA. 2020 Oct 27;324(16):1615-1617
pubmed: 32945831
BMJ. 2019 Nov 5;367:l6015
pubmed: 31690553
Health Aff (Millwood). 2015 May;34(5):836-43
pubmed: 25941286
Gastroenterol Clin Biol. 2004 Apr;28(4):378-83
pubmed: 15146154
Eur J Health Econ. 2016 May;17(4):453-70
pubmed: 25951924
Soc Sci Med. 2001 May;52(9):1371-90
pubmed: 11286362
PLoS One. 2014 Oct 15;9(10):e106907
pubmed: 25330004
Age Ageing. 2017 Jul 1;46(4):607-613
pubmed: 28064169
Eur J Health Econ. 2021 Mar;22(2):311-327
pubmed: 33387139
N Engl J Med. 2018 Apr 26;378(17):1567-1569
pubmed: 29694805
JAMA Intern Med. 2018 Jun 1;178(6):861-863
pubmed: 29799955
Int J Epidemiol. 2015 Oct;44(5):1474-83
pubmed: 26613712
J Health Econ. 2019 Mar;64:25-42
pubmed: 30784811
Public Health. 2009 Jan;123(1):e29-34
pubmed: 19117581
Demography. 2019 Oct;56(5):1747-1764
pubmed: 31452094
Brookings Pap Econ Act. 2017 Fall;2017(2):1-87
pubmed: 30739945
Eur J Pain. 2019 Jan;23(1):124-134
pubmed: 30051548
Addict Behav. 2017 Nov;74:63-66
pubmed: 28582659
PLoS One. 2012;7(4):e34387
pubmed: 22509296
Am J Health Econ. 2018 Summer;4(3):383-410
pubmed: 30498764
Orthop Traumatol Surg Res. 2015 Feb;101(1):5-10
pubmed: 25583235
J Health Econ. 2017 Dec;56:222-233
pubmed: 29128677
Clinicoecon Outcomes Res. 2018 Jan 18;10:53-65
pubmed: 29403296
Pain Physician. 2013 Jan;16(1):89-100
pubmed: 23340537
JAMA Netw Open. 2019 Jan 4;2(1):e186007
pubmed: 30657529
Am J Public Health. 2022 Apr;112(S2):S128-S132
pubmed: 35349315
Neuropharmacology. 2021 May 1;188:108518
pubmed: 33716076
Eur J Health Econ. 2020 Dec;21(9):1391-1398
pubmed: 32748104
Soc Sci Med. 2015 Mar;128:316-26
pubmed: 25577953
Demography. 2022 Apr 1;59(2):607-628
pubmed: 35195250
Health Policy. 2014 Nov;118(2):215-21
pubmed: 25260910
Science. 2018 Aug 10;361(6402):588-590
pubmed: 30093595
Soc Sci Med. 2010 Apr;70(8):1176-84
pubmed: 20137844