Crystal Clear? The Relationship Between Methamphetamine Use and Sexually Transmitted Infections

B-Tier
Journal: Health Economics
Year: 2016
Volume: 25
Issue: 3
Pages: 292-313

Authors (3)

Hugo M. Mialon (not in RePEc) Erik T. Nesson (Wake Forest University) Michael C. Samuel (not in RePEc)

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Public health officials have cited methamphetamine control as a tool with which to decrease HIV and other sexually transmitted infections, based on previous research that finds a strong positive correlation between methamphetamine use and risky sexual behavior. However, the observed correlation may not be causal, as both methamphetamine use and risky sexual behavior could be driven by a third factor, such as a preference for risky behavior. We estimate the effect of methamphetamine use on risky sexual behavior using monthly data on syphilis diagnoses in California and quarterly data on syphilis, gonorrhea, and chlamydia diagnoses across all states. To circumvent possible endogeneity, we use a large exogenous supply shock in the US methamphetamine market that occurred in May 1995 and a later shock stemming from the Methamphetamine Control Act, which went into effect in October 1997. While the supply shocks had large negative effects on methamphetamine use, we find no evidence that they decreased syphilis, gonorrhea, or chlamydia rates. Our results have broad implications for public policies designed to decrease sexually transmitted infection rates. Copyright © 2014 John Wiley & Sons, Ltd.

Technical Details

RePEc Handle
repec:wly:hlthec:v:25:y:2016:i:3:p:292-313
Journal Field
Health
Author Count
3
Added to Database
2026-01-26