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Lerner Center for Public Health Promotion and Population Health

Population Health Research Brief Series

More Police Spending is Linked to Higher Opioid Overdose Mortality Rates

Michah W. Rothbart, Zoe Lindenfeld, Diana Silver, and Amanda I. Mauri

January 2025

Abstract

In the United States, over 100,000 people die from drug overdoses every year. County fiscal policies, particularly police spending and revenue generated from fines and forfeitures, not only shape the resources available for health interventions but may also influence how those resources are used to prevent overdoses. This brief highlights findings from a study that used data from the U.S. Census of Governments to examine how counties use of extractive policing practices (fines and forfeitures) as well as spending on health and policing were related to opioid overdose deaths from 2017 to 2020. Findings show that higher county-level police spending is associated with higher overdose death rates, especially in areas where extractive policing practices (revenue generation through fines and forfeitures) is prevalent.

Lerner Center for Public Health Promotion and Population Health