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Center for Policy Research

Policy Brief

States’ COVID-19 Restrictions were Associated with Increases in Drug Overdose Deaths in 2020

Douglas A. Wolf, Shannon M. Monnat, Jennifer Karas Montez, Emily Wiemers, and Elyse Grossman

C.P.R. Policy Brief No. 12

May 2024

Douglas A. Wolf

Douglas A. Wolf


Shannon Monnat

Shannon Monnat


Jennifer Karas Montez

Jennifer Karas Montez


Emily Wiemers

Emily Wiemers


Drug overdoses surged in the U.S. during the COVID-19 pandemic. Public health experts raised concerns in the pandemic’s early months about how the pandemic and the policies enacted to stem it might increase overdose risk. This brief summarizes the findings of a paper that used national data to identify how states’ COVID-19 policies affected drug overdose rates among U.S. adults ages 25-64 during the first year of the pandemic. Results show that counties located in states that adopted more aggressive in-person activity restrictions experienced larger increases in 2020 than counties located in states with fewer limitations. State economic support policies helped reduce overdose mortality rates, but not enough to offset the effects of the physical distancing policies.

CPR Policy Briefs present concise summaries of findings from recent research conducted by CPR affiliates in the areas of crime and the law, economic wellbeing and poverty, education, energy and the environment, families, health, public finance, social welfare, urban and regional economics, and other policy-relevant domains.


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