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The Role of Friends in the Opioid Epidemic

Effrosyni Adamopoulou, Jeremy Greenwood, Nezih Guner and Karen Kopecky

No 24-04, Working Papers from Federal Reserve Bank of Cleveland

Abstract: The role of friends in the US opioid epidemic is examined. Using data from the National Longitudinal Survey of Adolescent Health (Add Health), adults aged 25-34 and their high school best friends are focused on. An instrumental variable technique is employed to estimate peer effects in opioid misuse. Severe injuries in the previous year are used as an instrument for opioid misuse in order to estimate the causal impact of someone misusing opioids on the probability that their best friends also misuse. The estimated peer effects are significant: Having a best friend with a reported serious injury in the previous year increases the probability of own opioid misuse by around 7 percentage points in a population where 17 percent ever misuses opioids. The effect is driven by individuals without a college degree and those who live in the same county as their best friends.

Keywords: opioid; peer-group effects; friends; instrumental variables; Add Health; severe injuries (search for similar items in EconPapers)
JEL-codes: C26 D10 I12 J11 (search for similar items in EconPapers)
Pages: 22
Date: 2024-02-20
New Economics Papers: this item is included in nep-hea, nep-net, nep-soc and nep-ure
References: Add references at CitEc
Citations: View citations in EconPapers (2)

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Related works:
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The Role of Friends in the Opioid Epidemic (2024) Downloads
Working Paper: The role of friends in the opioid epidemic (2024) Downloads
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DOI: 10.26509/frbc-wp-202404

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