Prescription opioid use and employment : A nationwide Finnish register study
| Autor: | Mika Haapanen, Petri Böckerman, Jari Vainiomäki, Christian Hakulinen |
|---|---|
| Přispěvatelé: | Doctoral Programme in Cognition, Learning, Instruction and Communication, Helsinki Inequality Initiative (INEQ), Department of Psychology and Logopedics, Faculty Common Matters (Faculty of Education), Psychosocial factors and health, Tampere University, Business Studies |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
väestötutkimus
ENGLAND työmarkkinat Population-based Toxicology 3124 Neurology and psychiatry Labor market VARIABLES työmarkkina-asema opioidit 0302 clinical medicine Per capita Economics Pharmacology (medical) 030212 general & internal medicine Finland media_common Aged 80 and over education.field_of_study Short run Instrumental variable PRIMARY-CARE PAIN Middle Aged 3. Good health Analgesics Opioid Psychiatry and Mental health Prescriptions employment 8. Economic growth 511 Economics Developed country Adult Employment prescription drugs lääkemääräykset media_common.quotation_subject Population DRUG-USE Young Adult 03 medical and health sciences Humans Medical prescription education Aged Pharmacology Estimation Prescription drugs työllisyys opioids Opioid-Related Disorders population-based 3141 Health care science Opioids STATES Unemployment PATTERNS Demographic economics labor market 030217 neurology & neurosurgery |
| Popis: | Background: The secular decline in labor market participation and the concurrent increase in opioid use in many developed countries have sparked a policy debate on the possible connection between these two trends. We examined whether the use of prescription opioids was connected to labor market outcomes relating to participation, employment and unemployment among the Finnish population. Methods: The working-age population (aged 19–64 years) living in Finland during the period 1995–2016 was used in the analyses (consisting of 67 903 701 person-year observations). Lagged values of prescription opioid use per capita were used as the exposure. Instrumental variables (IV) estimation method was used to identify causal effects, where opioid use per capita for the elderly (65–95-year-old) was used as an instrument for the opioid use per capita for the working-age population of the same gender, education and region. Results: Increased opioid use led to worse labor market outcomes in the long run, with the effect size of 16 % and 20 %, compared to the standard deviation of the employment and participation rates. On the contrary, in the short run, increased opioid use had positive employment effects. Conclusions: Policymakers should take the contradictory short- and long-term effects into account while considering regulation and monitoring of opioid use. Regulating and monitoring long-term prescription opioids is crucial for reducing their negative labor market consequences. publishedVersion |
| Databáze: | OpenAIRE |
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