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Lerner Center for Public Health Promotion and Population Health

Population Health Research Brief Series

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

May 2024

Abstract

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.

Population Health Brief Series

This series presents population health research findings to inform the public and policymakers.

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Research by Lerner affiliates is regularly funded by the National Institutes of Health, Robert Wood Johnson Foundation, Russell Sage Foundation and many other federal agencies and foundations. The Lerner Center also funds population health research at Syracuse University through its Faculty Fellows Program.

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Lerner Center for Public Health Promotion and Population Health

Population Health Research Brief Series

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

May 2024

Abstract

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.

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Lerner Center for Public Health Promotion and Population Health