Historique
Article de Périodique
Prescription opioids and economic hardship in France (2023)
Auteur(s) :
NATALI, I. ;
DEWATRIPONT, M. ;
GINSBURGH, V. ;
GOLDMAN, M. ;
LEGROS, P.
Année
2023
Page(s) :
1473-1504
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
67
Domaine :
Autres substances / Other substances
Discipline :
SAN (Santé publique / Public health)
Thésaurus géographique
FRANCE
Thésaurus mots-clés
ECONOMIE
;
OPIOIDES
;
PRESCRIPTION MEDICALE
;
GEOGRAPHIE
;
DISPOSITIF DE SOIN
;
SANTE PUBLIQUE
;
AMM
;
VENTE
;
BASE DE DONNEES
;
EVOLUTION
;
MODELE STATISTIQUE
;
ECONOMETRIE
;
ANTALGIQUES
;
PAUVRETE
;
PROFIL SOCIO-DEMOGRAPHIQUE
Résumé :
This paper studies how opioid analgesic sales are empirically related to socioeconomic disparities in France, with a focus on poverty. This analysis is made possible using the OpenHealth database, which provides retail sales data for opioid analgesics available on the French market. We exploit firm-level data for each of the 94 departments in Metropolitan France between 2008 and 2017. We show that increases in the poverty rate are associated with increases in sales: a one percentage point increase in poverty is associated with approximately a 5% increase in mild opioid sales. Our analysis further shows that opioid sales are positively related to the share of middle-aged people and individuals with basic education only, while they are negatively related to population density. The granularity and longitudinal nature of these data allow us to control for a large pool of potential confounding factors. Our results suggest that additional interventions should be more intensively addressed toward the most deprived areas. We conclude that a combination of policies aimed at improving economic prospects and strictly monitoring access to opioid medications would be beneficial for reducing opioid-related harm.
Affiliation :
Université Libre de Bruxelles, Brussels, Belgium
European Center for Advanced Research in Economics and Statistics (ECARES), Université Libre de Bruxelles, Brussels, Belgium
Institute for Interdisciplinary Innovation in Healthcare (I3h), Université Libre de Bruxelles, Brussels, Belgium
Toulouse School of Economics (TSE), Université Toulouse 1 Capitole, Toulouse, France
European Center for Advanced Research in Economics and Statistics (ECARES), Université Libre de Bruxelles, Brussels, Belgium
Institute for Interdisciplinary Innovation in Healthcare (I3h), Université Libre de Bruxelles, Brussels, Belgium
Toulouse School of Economics (TSE), Université Toulouse 1 Capitole, Toulouse, France