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From Addiction to Aggression: The Spillover Effects of Opioid Policies on Intimate Partner Violence

Author

Listed:
  • Dhaval M. Dave
  • Bilge Erten
  • Pinar Keskin
  • Shuo Zhang

Abstract

Substance abuse is a major risk factor for intimate partner violence (IPV). We investigate how a key supply-side intervention – the abuse-deterrent reformulation of a widely-diverted opioid, OxyContin – affected IPV. Our results indicate counties with greater baseline rates of prescription opioid usage experienced relatively larger declines in IPV after OxyContin’s reformulation. The reformulation reduced IPV only in states with small illicit drug markets, while states with large illicit drug markets experienced increased heroin-involved IPV due to substitution towards illicit opioids. Our results underscore the importance of identifying populations at high risk of substitution to illicit opioids and moderating this risk with evidence-based policies.

Suggested Citation

  • Dhaval M. Dave & Bilge Erten & Pinar Keskin & Shuo Zhang, 2023. "From Addiction to Aggression: The Spillover Effects of Opioid Policies on Intimate Partner Violence," NBER Working Papers 31609, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:31609
    Note: CH EH LE PE
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    Cited by:

    1. Bradford, Ashley C. & Fu, Wei & You, Shijun, 2024. "The devastating dance between opioid and housing crises: Evidence from OxyContin reformulation," Journal of Health Economics, Elsevier, vol. 98(C).
    2. Dhaval Dave & Bilge Erten & David Hummel & Pinar Keskin & Shuo Zhang, 2025. "Fighting abuse with prescription tracking: mandatory drug monitoring and intimate partner violence," Journal of Population Economics, Springer;European Society for Population Economics, vol. 38(3), pages 1-27, September.
    3. Piette Durrance, Christine & Wang, Yang & Wolfe, Barbara, 2024. "Do mandatory waiting periods for abortion increase intimate partner violence?," Journal of Health Economics, Elsevier, vol. 98(C).
    4. Andrei Barbos & Minglu Sun, 2025. "Opioid Control Policies Can Also Reduce Domestic Violence," Health Economics, John Wiley & Sons, Ltd., vol. 34(7), pages 1295-1308, July.

    More about this item

    JEL classification:

    • H0 - Public Economics - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • K0 - Law and Economics - - General

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