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Exposure to Deaths of Despair and U.S. Presidential Election Outcomes

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  • Nicole Siegal

    (University of Hawaii Manoa)

Abstract

This paper evaluates how a community's exposure to deaths from suicide, drug overdose, alcohol poisoning, and liver disease (commonly referred to as Òdeaths of despairÓ) affects outcomes in U.S. Presidential elections. Using county-level panel data and two-way fixed effects regressions, I find that a standard deviation increase in the deaths of despair mortality rate led to an increase in the Republican (GOP) vote share of 2.36 percentage points. Prior studies have linked voting outcomes to economic trends such as income inequality, import competition, and financial crises, but controlling for these and other economic and demographic factors does not substantially change my estimates. Estimates are larger and only statistically significant in later years (2016-2020), compared to earlier years (2004-2012). There were stronger effects in counties that the GOP candidate won in the previous election, and in counties with higher White population percentages. The results are maintained when using an instrumental variables approach to mitigate endogeneity concerns.

Suggested Citation

  • Nicole Siegal, 2023. "Exposure to Deaths of Despair and U.S. Presidential Election Outcomes," Working Papers 202307, University of Hawaii at Manoa, Department of Economics.
    • Handle: RePEc:hai:wpaper:202307
    as

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    File URL: http://www.economics.hawaii.edu/research/workingpapers/WP_23-07.pdf
    File Function: First version, 2023
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    References listed on IDEAS

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    1. David Autor & David Dorn & Gordon Hanson & Kaveh Majlesi, 2020. "Importing Political Polarization? The Electoral Consequences of Rising Trade Exposure," American Economic Review, American Economic Association, vol. 110(10), pages 3139-3183, October.
    2. Justin R. Pierce & Peter K. Schott, 2020. "Trade Liberalization and Mortality: Evidence from US Counties," American Economic Review: Insights, American Economic Association, vol. 2(1), pages 47-64, March.
    3. Carl Benedikt Frey & Thor Berger & Chinchih Chen, 2018. "Political machinery: did robots swing the 2016 US presidential election?," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 34(3), pages 418-442.
    4. David H. Autor & David Dorn & Gordon H. Hanson, 2013. "The China Syndrome: Local Labor Market Effects of Import Competition in the United States," American Economic Review, American Economic Association, vol. 103(6), pages 2121-2168, October.
    5. De Benedictis-Kessner, Justin & Hankinson, Michael, 2019. "Concentrated Burdens: How Self-Interest and Partisanship Shape Opinion on Opioid Treatment Policy," American Political Science Review, Cambridge University Press, vol. 113(4), pages 1078-1084, November.
    6. repec:cup:apsrev:v:113:y:2019:i:04:p:1078-1084_00 is not listed on IDEAS
    7. Paul Goldsmith-Pinkham & Isaac Sorkin & Henry Swift, 2020. "Bartik Instruments: What, When, Why, and How," American Economic Review, American Economic Association, vol. 110(8), pages 2586-2624, August.
    8. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    9. Timothy J. Bartik, 1991. "Who Benefits from State and Local Economic Development Policies?," Books from Upjohn Press, W.E. Upjohn Institute for Employment Research, number wbsle, August.
    10. Justin R. Pierce & Peter K. Schott, 2016. "The Surprisingly Swift Decline of US Manufacturing Employment," American Economic Review, American Economic Association, vol. 106(7), pages 1632-1662, July.
    11. Leonardo Baccini & Abel Brodeur & Stephen Weymouth, 2021. "The COVID-19 pandemic and the 2020 US presidential election," Journal of Population Economics, Springer;European Society for Population Economics, vol. 34(2), pages 739-767, April.
    12. Ruhm, Christopher J., 2019. "Drivers of the fatal drug epidemic," Journal of Health Economics, Elsevier, vol. 64(C), pages 25-42.
    13. Gollust, Sarah E. & Haselswerdt, Jake, 2021. "A crisis in my community? Local-level awareness of the opioid epidemic and political consequences," Social Science & Medicine, Elsevier, vol. 291(C).
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    Cited by:

    1. Carolina Arteaga & Victoria Barone, 2023. "Democracy and The Opioid Epidemic," Working Papers tecipa-765, University of Toronto, Department of Economics.

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    More about this item

    Keywords

    deaths of despair; elections; opioid epidemic; political polarization;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I1 - Health, Education, and Welfare - - Health
    • D72 - Microeconomics - - Analysis of Collective Decision-Making - - - Political Processes: Rent-seeking, Lobbying, Elections, Legislatures, and Voting Behavior
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs

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