Article ; Online: Prescription opioids and economic hardship in France.
The European journal of health economics : HEPAC : health economics in prevention and care
2023 Volume 24, Issue 9, Page(s) 1473–1504
Abstract: 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 ... ...
| Abstract | 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. |
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| MeSH term(s) | Middle Aged ; Humans ; Analgesics, Opioid/therapeutic use ; Financial Stress ; Poverty ; Prescriptions ; France |
| Chemical Substances | Analgesics, Opioid |
| Language | English |
| Publishing date | 2023-01-30 |
| Publishing country | Germany |
| Document type | Journal Article |
| ZDB-ID | 2045253-6 |
| ISSN | 1618-7601 ; 1618-7598 |
| ISSN (online) | 1618-7601 |
| ISSN | 1618-7598 |
| DOI | 10.1007/s10198-022-01557-4 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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