Research

Published Research
Chris Ruhm JAMA Covid paper

How State Policies Impacted Death Rates During COVID

Despite considerable prior research, it remains unclear whether and by how much state COVID-19−related restrictions affected the number of pandemic deaths in the US. In a paper in the JAMA Health Forum, Professor Chris Ruhm finds that on the whole, stricter restrictions saved a substantial number of lives. 

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Published Research
Health Policy and Research

Estimated Prevalence of and Factors Associated With Clinically Significant Anxiety and Depression Among US Adults During the First Year of the COVID-19 Pandemic

Authors: Christopher J. Ruhm, Ronald C. Kessler, Victor Puac-Polanco

How much did clinically significant anxiety and depression increase among US adults during the first year of the COVID-19 pandemic? In this survey study of more than 1.4 million respondents in the US Behavioral Risk Factor Surveillance System survey, responses to a screening question calibrated to a 4-item Patient Health Questionnaire score of 6 or greater suggested that aggregate prevalence of clinically significant anxiety and depression increased only modestly overall among US adults in 2020 compared with 2017 to 2019.

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Published Research

Oklahoma Wanted $17 Billion To Fight Its Opioid Crisis: What's The Real Cost?

The state's plan — and the basis of that $17 billion ask — was looking at abatement for the next three decades.

That 30-year plan was authored by Christopher Ruhm, a professor of public policy and economics at the University of Virginia. He says you can easily get into the billions when you consider the costs of dealing with this epidemic in the long term.

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Published Research

Time Preferences and Consumer Behavior

Authors: Christopher J. Ruhm, David Bradford, Charles Courtemanche, Garth Heutel, Patrick McAlvanah

We investigate the predictive power of survey-elicited time preferences. The discount factor elicited from choice experiments using real payments predicts various health, energy, and financial outcomes, including overall self-reported health, smoking, installing energy-efficient lighting, and credit card balance. 

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Published Research

Drug Involvement in Fatal Overdoses

Death certificate data from the Multiple Cause of Death (MCOD) files were analyzed to better understand the drug categories most responsible for the increase in fatal overdoses occurring between 1999 and 2014. Statistical adjustment methods were used to account for the understatement in reported drug involvement occurring because death certificates frequently do not specify which drugs were involved in the deaths.

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Published Research

Macroeconomic Conditions and Opioid Abuse

Authors: Christopher J. Ruhm, Alex Hollingsworth, Kosali Simon

We examine how deaths and emergency department (ED) visits related to use of opioid analgesics (opioids) and other drugs vary with macroeconomic conditions. As the county unemployment rate increases by one percentage point, the opioid death rate per 100,000 rises by 0.19 (3.6%) and the opioid overdose ED visit rate per 100,000 increases by 0.95 (7.0%).

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Published Research

Paid Family Leave, Fathers’ Leave-Taking, and Leave-Sharing in Dual-Earner Households

Authors: Christopher J. Ruhm, Ann P. Bartel, Maya Rossin-Slater, Jenna Stearns, Jane Waldfogel

Using difference‐in‐difference and difference‐in‐difference‐in‐difference designs, we study California’s Paid Family Leave (CA‐PFL) program, the first source of government‐provided paid parental leave available to fathers in the Unites States. Relative to the pre‐treatment mean, fathers of infants in California are 46 percent more likely to be on leave when CA‐PFL is available. 

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Published Research

Health Effects of Economic Crises

This analysis summarizes prior research and uses national, US state and county‐level data from 1976 to 2013 to examine whether the mortality effects of economic crises differ in kind from those of the more typical fluctuations. The tentative conclusion is that economic crises affect mortality rates (and presumably other measures of health) in the same way as less severe downturns – leading to improvements in physical health.

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