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dc.contributor.authorBöckerman, Petri
dc.contributor.authorHaapanen, Mika
dc.contributor.authorHakulinen, Christian
dc.contributor.authorVainiomäki, Jari
dc.date.accessioned2021-09-09T04:59:59Z
dc.date.available2021-09-09T04:59:59Z
dc.date.issued2021
dc.identifier.citationBöckerman, P., Haapanen, M., Hakulinen, C., & Vainiomäki, J. (2021). Prescription opioid use and employment : a nationwide Finnish register study. <i>Drug and Alcohol Dependence</i>, <i>227</i>, Article 108967. <a href="https://doi.org/10.1016/j.drugalcdep.2021.108967" target="_blank">https://doi.org/10.1016/j.drugalcdep.2021.108967</a>
dc.identifier.otherCONVID_100336805
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/77701
dc.description.abstractBackground 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.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesDrug and Alcohol Dependence
dc.rightsCC BY 4.0
dc.subject.otheropioids
dc.subject.otherprescription drugs
dc.subject.otherlabor market
dc.subject.otheremployment
dc.subject.otherpopulation-based
dc.titlePrescription opioid use and employment : a nationwide Finnish register study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202109094819
dc.contributor.laitosKauppakorkeakoulufi
dc.contributor.laitosSchool of Business and Economicsen
dc.contributor.oppiaineEmpirical Microeconomicsfi
dc.contributor.oppiainePolitiikkarelevantti taloustiede (painoala)fi
dc.contributor.oppiaineTaloustiedefi
dc.contributor.oppiaineBasic or discovery scholarshipfi
dc.contributor.oppiaineEmpirical Microeconomicsen
dc.contributor.oppiainePolicy-Relevant Economics (focus area)en
dc.contributor.oppiaineEconomicsen
dc.contributor.oppiaineBasic or discovery scholarshipen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.relation.issn0376-8716
dc.relation.volume227
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 The Author(s). Published by Elsevier B.V.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber314208 TAY
dc.relation.grantnumber6621
dc.subject.ysoopioidit
dc.subject.ysolääkemääräykset
dc.subject.ysotyöllisyys
dc.subject.ysotyömarkkina-asema
dc.subject.ysoväestötutkimus
dc.subject.ysotyömarkkinat
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p6030
jyx.subject.urihttp://www.yso.fi/onto/yso/p5840
jyx.subject.urihttp://www.yso.fi/onto/yso/p6357
jyx.subject.urihttp://www.yso.fi/onto/yso/p23554
jyx.subject.urihttp://www.yso.fi/onto/yso/p11417
jyx.subject.urihttp://www.yso.fi/onto/yso/p8831
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1016/j.drugalcdep.2021.108967
dc.relation.funderSuomen Akatemiafi
dc.relation.funderYrjö Jahnssonin säätiöfi
dc.relation.funderAcademy of Finlanden
dc.relation.funderYrjö Jahnsson Foundationen
jyx.fundingprogramStrategisen tutkimuksen ohjelmat STN, SAfi
jyx.fundingprogramStrategic research programmes, AoFen
jyx.fundinginformationFunding from the Academy of Finland (314208 to P.B., M.H. & J.V. and 310591 to C.H.), OP Group Research Foundation (to M.H.) and Yrjö Jahnsson Foundation (6621 to M.H.) is acknowledged.


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