Did the 2016 election cause changes in substance use? An intersectional approach

Abstract

This paper examines the impact of the 2016 election on substance use. One of Donald Trump's major campaign initiatives was to build a wall at the American/Mexican border, and he frequently made negative comments about various underrepresented groups. I hypothesize that this unorthodox rhetoric, coupled with Donald Trump's proposed policies during his campaign, created an exogenous shock of discrimination for women, and ethnic and racial minority groups when he was elected. The Behavioral Risk Factor Surveillance System dataset, which has a variety of health measures and demographic information compiled at the individual level, is utilized to empirically examine the hypothesis. I examine the average treatment effects of the election using a difference-in-differences estimation strategy. The results indicate that there has been an increase in cigarette use for Hispanic individuals. These results highlight the impact that discriminatory rhetoric by political leaders and public figures has on marginalized groups within society. Policy implications include new ways to target substance use by targeting discrimination.