Income inequality and opioid prescribing rates: Exploring rural/urban differences in pathways via residential stability and social isolation
By: Yong, T.C. ,Kim, S. and Shoff, C
.
Material type: 
BookPublisher: Rural Sociology Description: 86(1), Mar, 2021: p.26-49.Subject(s): Income inequality, Opioid prescribing rates
In:
Rural SociologySummary: While opioid prescribing rates have drawn researchers' atten-
tion, little is known about the mechanisms through which income inequal-
ity affects opioid prescribing rates and even less focuses on whether there
is a rural/urban difference in mediating pathways. Applying mediation
analysis techniques to a unique ZIP code level dataset from several sources
maintained by the Centers for Medicare and Medicaid Services, we explicitly
examine two mechanisms through residential stability and social isolation by
rural/urban status and find that (1) income inequality is not directly related
to opioid prescribing rates, but it exerts its influence on opioid prescribing
via poor residential stability and elevated social isolation; (2) social isolation
accounts for two-thirds of the mediating effect of income inequality on opioid
prescribing rates among urban ZIP codes, but the proportion halves among
rural ZIP codes; (3) residential stability plays a larger role in understanding
how income inequality matters in rural than in urban ZIP codes; and (4) ben-
eficiary characteristics only matter in urban ZIP codes. These findings offer
nuanced insight into how income inequality affects opioid prescribing rates
and suggests that the determinants of opioid prescribing rates vary by rural/ urban status. Future research may benefit from identifying place-specific fac-tors for opioid prescribing rates. Reproduced
| Item type | Current location | Call number | Vol info | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
Articles
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Indian Institute of Public Administration | 86(1), Mar, 2021: p.26-49 | Available | AR125859 |
While opioid prescribing rates have drawn researchers' atten-
tion, little is known about the mechanisms through which income inequal-
ity affects opioid prescribing rates and even less focuses on whether there
is a rural/urban difference in mediating pathways. Applying mediation
analysis techniques to a unique ZIP code level dataset from several sources
maintained by the Centers for Medicare and Medicaid Services, we explicitly
examine two mechanisms through residential stability and social isolation by
rural/urban status and find that (1) income inequality is not directly related
to opioid prescribing rates, but it exerts its influence on opioid prescribing
via poor residential stability and elevated social isolation; (2) social isolation
accounts for two-thirds of the mediating effect of income inequality on opioid
prescribing rates among urban ZIP codes, but the proportion halves among
rural ZIP codes; (3) residential stability plays a larger role in understanding
how income inequality matters in rural than in urban ZIP codes; and (4) ben-
eficiary characteristics only matter in urban ZIP codes. These findings offer
nuanced insight into how income inequality affects opioid prescribing rates
and suggests that the determinants of opioid prescribing rates vary by rural/ urban status. Future research may benefit from identifying place-specific fac-tors for opioid prescribing rates. Reproduced
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