Employment Outcomes for Social Security Disability Insurance Applicants Who Use Opioids

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Bibliographic Details
Title: Employment Outcomes for Social Security Disability Insurance Applicants Who Use Opioids
Language: English
Authors: Denise Hoffman (ORCID 0000-0002-6677-1698), April Yanyuan Wu, Paul O'Leary
Source: Journal of Disability Policy Studies. 2025 36(3):154-164.
Availability: SAGE Publications and Hammill Institute on Disabilities. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 11
Publication Date: 2025
Sponsoring Agency: Social Security Administration (SSA)
Document Type: Journal Articles
Reports - Research
Descriptors: Drug Abuse, Narcotics, Employment Level, Disabilities, Welfare Services, Probability, Individual Characteristics, Eligibility
DOI: 10.1177/10442073241304108
ISSN: 1044-2073
1538-4802
Abstract: In this article, we examine the relationship between self-reported opioid use and employment outcomes among Social Security Disability Insurance (SSDI) applicants who applied to SSDI in 2009. We use a machine learning method to identify opioids recorded in text fields on SSDI applications. Studying outcomes for 4 years after the U.S. Social Security Administration (SSA) determined the application outcome, we find a negative and statistically significant association between self-reported opioid use at application and post-determination employment-related outcomes. Notably, opioid use at the time of application was associated with a 3% point decline in the likelihood of employment in the first 4 years after determination and represents a 7.5% decline relative to the mean employment rate for the period. Results from a reduced-form model estimating the relationship between local opioid prescribing patterns and employment outcomes suggest that a 10% increase in the local opioid prescribing rate is associated with employment that is, at most, 0.3% points lower, which is similar to the documented association among the broader U.S. population. However, the potential implications for SSDI applicants are particularly notable because opioid use is about 50% higher among SSDI applicants.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1489637
Database: ERIC
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