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

Working Paper: NBER ID: w31609

Authors: Dhaval M. Dave; Bilge Erten; Pinar Keskin; Shuo Zhang

Abstract: We provide the first study of the downstream effects of a key supply-side intervention – the abuse-deterrent reformulation of a widely-diverted opioid, OxyContin – on intimate partner violence (IPV), the most common form of violence experienced by women. Leveraging administrative data on victim-reported incidents to law enforcement, combined with quasi-experimental methods, we find robust evidence that the reformulation significantly reduced IPV exposure for women. This overall decline, however, masks heterogeneity across subpopulations, and a notable uptick in heroin-involved IPV, underscoring the importance of identifying populations at high risk of substitution to illicit opioids and moderating this risk with evidence-based policies.

Keywords: opioid policies; intimate partner violence; spillover effects; abuse-deterrent reformulation; OxyContin

JEL Codes: H0; I12; I18; K0


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Reformulation of OxyContin (O30)Decline in IPV rates (J12)
Increase in pre-reformulation exposure to prescription opioids (I14)Decline in IPV rates (J12)
Reformulation of OxyContin (O30)Increase in heroin-involved IPV incidents (J12)
Reformulation of OxyContin (O30)Identification of populations at higher risk of transitioning to illicit opioids (R23)

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