The Causes and Consequences of Opioid Use among Older Americans: A Panel Survey Approach
dc.contributor.author | Armour, Philip | |
dc.contributor.author | Smart, Rosanna | |
dc.contributor.author | Brennan, Elliott | |
dc.date.accessioned | 2022-03-03T14:12:41Z | |
dc.date.available | 2022-03-03T14:12:41Z | |
dc.date.issued | 2021-03 | |
dc.identifier.citation | Armour, Philip, Rosanna Smart, and Elliott Brennan. 2021. “The Causes and Consequences of Opioid Use Among Older Americans: A Panel Survey Approach.” Ann Arbor, MI. University of Michigan Retirement and Disability Research Center (MRDRC) Working Paper; MRDRC WP 2021-419. https://mrdrc.isr.umich.edu/publications/papers/pdf/wp419.pdf | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/171783 | en |
dc.description | working paper | en_US |
dc.description.abstract | This study examines the effects of prescription opioid analgesic use for older Americans, specifically with regard to work disability and disability program participation. We draw on the long-panel structure of the Health and Retirement Study and a newly available 2009 survey module measuring prescription drug use and initiation. We pursue regression-adjustment and nearest neighbor matching approaches, using rich 2008 HRS measures on health, disability, sociodemographic characteristics, and economic status, to account for selection into prescription opioid use, since supply-side instruments used in the opioid literature have little relevance to opioid use for this population in 2009. Pre-2008 comparisons between individuals with 2009 opioid prescriptions and controls demonstrate face validity of the analytic approach; we then estimate opioid use effects on mortality, self-reported health, labor force participation, work-limiting health conditions, and disability program participation, spanning from 2010 to 2018. We find substantial and significant mortality effects starting in 2010; in estimating effects on other outcomes, we account for differential attrition through mortality via inverse probability reweighting. Our findings are significant, both statistically and economically: up through 2018, individuals with 2009 opioid prescriptions were nearly 40% more likely to develop a health condition that limited their ability to work than those without a prescription. This difference in work disability led to substantial differences in disability program participation: those using opioids were nearly 300% more likely to apply for or receive Social Security disability benefits by 2018. | en_US |
dc.description.sponsorship | U.S. Social Security Administration, RDR18000002-02, UM20-14 | en_US |
dc.language.iso | en_US | en_US |
dc.relation.ispartofseries | WP 2021-419 | en_US |
dc.subject | Opioids, disability program participation, prescription drugs | en_US |
dc.title | The Causes and Consequences of Opioid Use among Older Americans: A Panel Survey Approach | en_US |
dc.type | Working Paper | en_US |
dc.subject.hlbsecondlevel | Population and Demography | |
dc.subject.hlbtoplevel | Social Sciences | |
dc.contributor.affiliationum | Michigan Retirement Research Center | en_US |
dc.contributor.affiliationother | RAND Corporation | en_US |
dc.contributor.affiliationother | RAND Corporation | en_US |
dc.contributor.affiliationother | RAND Corporation | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/171783/1/wp419.pdf | |
dc.identifier.doi | https://dx.doi.org/10.7302/4174 | |
dc.description.filedescription | Description of wp419.pdf : working paper | |
dc.description.depositor | SELF | en_US |
dc.working.doi | 10.7302/4174 | en_US |
dc.owningcollname | Retirement and Disability Research Center, Michigan (MRDRC) |
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