4.3 Article

The Opioid Epidemic and Homicide in the United States

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SAGE PUBLICATIONS INC
DOI: 10.1177/0022427820986848

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violence; drug abuse; drugs; communities and crime; causes; correlates; crime

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The study found that the opioid-related overdose death rate is positively associated with homicide rates in the United States, indicating a link between violent dynamics of street drug markets and substance abuse. However, further research is needed to understand the mechanisms connecting opioid demand and homicide.
Objectives: Evaluate the relationship between the opioid epidemic and homicide rates in the United States. Methods: A county-level cross-sectional analysis covering the period 1999 to 2015. The race-specific homicide rate and the race-specific opioid-related overdose death rate are regressed on demographic, social, and economic covariates. Results: The race-specific opioid-related overdose death rate is positively associated with race-specific homicide rates, net of controls. The results are generally robust across alternative samples and model specifications. Conclusions: We interpret the results as reflecting the violent dynamics of street drug markets, although more research is needed to draw definitive conclusions about the mechanisms linking opioid demand and homicide.

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