解除处方阿片类药物流行的危害:对儿童虐待的影响

IF 5.6 1区经济学 Q1 ECONOMICS

American Economic Journal-Economic Policy Pub Date : 2022-11-01 DOI:10.1257/pol.20200301

M. Evans, Matthew C. Harris, Lawrence M. Kessler

{"title":"解除处方阿片类药物流行的危害:对儿童虐待的影响","authors":"M. Evans, Matthew C. Harris, Lawrence M. Kessler","doi":"10.1257/pol.20200301","DOIUrl":null,"url":null,"abstract":"Child maltreatment has significant and long-lasting consequences. We examine how two interventions designed to curtail prescription opioid misuse, the reformulation of OxyContin and the implementation of must-access prescription drug monitoring programs (PDMPs), affected child maltreatment. Our results suggest counties with greater initial rates of prescription opioid usage experienced relatively larger increases in child physical abuse and neglect after OxyContin’s reformulation. We also find some evidence of increases in alleged physical abuse and neglect due to must-access PDMP implementation. Our results uncover unintended consequences for children of reducing the supply of an addictive good without adequate support for dependent users. (JEL I12, I18, J13, K32, K42, L65)","PeriodicalId":48093,"journal":{"name":"American Economic Journal-Economic Policy","volume":"198 1","pages":""},"PeriodicalIF":5.6000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"8","resultStr":"{\"title\":\"The Hazards of Unwinding the Prescription Opioid Epidemic: Implications for Child Maltreatment\",\"authors\":\"M. Evans, Matthew C. Harris, Lawrence M. Kessler\",\"doi\":\"10.1257/pol.20200301\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Child maltreatment has significant and long-lasting consequences. We examine how two interventions designed to curtail prescription opioid misuse, the reformulation of OxyContin and the implementation of must-access prescription drug monitoring programs (PDMPs), affected child maltreatment. Our results suggest counties with greater initial rates of prescription opioid usage experienced relatively larger increases in child physical abuse and neglect after OxyContin’s reformulation. We also find some evidence of increases in alleged physical abuse and neglect due to must-access PDMP implementation. Our results uncover unintended consequences for children of reducing the supply of an addictive good without adequate support for dependent users. (JEL I12, I18, J13, K32, K42, L65)\",\"PeriodicalId\":48093,\"journal\":{\"name\":\"American Economic Journal-Economic Policy\",\"volume\":\"198 1\",\"pages\":\"\"},\"PeriodicalIF\":5.6000,\"publicationDate\":\"2022-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Economic Journal-Economic Policy\",\"FirstCategoryId\":\"96\",\"ListUrlMain\":\"https://doi.org/10.1257/pol.20200301\",\"RegionNum\":1,\"RegionCategory\":\"经济学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ECONOMICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Economic Journal-Economic Policy","FirstCategoryId":"96","ListUrlMain":"https://doi.org/10.1257/pol.20200301","RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}

引用次数: 8

摘要

虐待儿童具有严重和持久的后果。我们研究了两种旨在减少处方阿片类药物滥用的干预措施，即奥施康定的重新配方和必须获得的处方药监测计划(PDMPs)的实施，如何影响儿童虐待。我们的研究结果表明，在奥施康定重新配方后，处方阿片类药物使用率较高的县，儿童身体虐待和忽视的增加幅度相对较大。我们还发现一些证据表明，由于必须进入PDMP的实施，所谓的身体虐待和忽视有所增加。我们的研究结果揭示了在没有对依赖用户提供足够支持的情况下减少成瘾产品的供应对儿童产生的意想不到的后果。(jel i12, i18, j13, k32, k42, l65)

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The Hazards of Unwinding the Prescription Opioid Epidemic: Implications for Child Maltreatment

Child maltreatment has significant and long-lasting consequences. We examine how two interventions designed to curtail prescription opioid misuse, the reformulation of OxyContin and the implementation of must-access prescription drug monitoring programs (PDMPs), affected child maltreatment. Our results suggest counties with greater initial rates of prescription opioid usage experienced relatively larger increases in child physical abuse and neglect after OxyContin’s reformulation. We also find some evidence of increases in alleged physical abuse and neglect due to must-access PDMP implementation. Our results uncover unintended consequences for children of reducing the supply of an addictive good without adequate support for dependent users. (JEL I12, I18, J13, K32, K42, L65)

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

American Economic Journal-Economic Policy ECONOMICS-

CiteScore

8.20

自引率

1.90%

发文量

期刊介绍： The American Economic Review (AER) is a general-interest economics journal. The journal publishes 12 issues containing articles on a broad range of topics. Established in 1911, the AER is among the nation's oldest and most respected scholarly journals in economics. American Economic Journal: Economic Policy publishes papers covering a range of topics, the common theme being the role of economic policy in economic outcomes. Subject areas include public economics; urban and regional economics; public policy aspects of health, education, welfare and political institutions; law and economics; economic regulation; and environmental and natural resource economics.