Determinants of Drug Injection Behavior: Economic Factors, HIV Injection Risk and Needle Exchange Programs

This study examines the effects of local cocaine and heroin prices, AIDS rates, and needle exchange programs on drug injection and needle sharing by adult male arrestees in 24 large U.S. cities during 1989 1995. Regressions that control for personal characteristics including income, fixed city and year effects, and city-specific trends indicate that needle exchange programs decrease both injection and sharing. Increases in previous year AIDS prevalence reduce injection by both sharers and non-sharers, leaving the proportion of injectors who share unchanged. Higher cocaine prices lead to less cocaine injection and more sharing, but heroin prices do not effect injection or sharing.

Adolescent Drinking and High School Dropout

This paper estimates the effect of binge and frequent drinking by adolescents on subsequent high school dropout using data from the National Longitudinal Survey of Youth 1979 Young Adults. We estimate an instrumental variables model with an indicator of any past month alcohol use, which is by definition correlated with heavy drinking but should have minimal additional impact on educational outcomes, as the identifying instrument, and also control for a rich set of potentially confounding variables, including maternal characteristics and dropout risk factors measured before and during adolescence. In comparison, OLS provides conservative estimates of the causal impact of heavy drinking on dropping out, implying that binge or frequent drinking among 15 %uF81816 year old students lowers the probability of having graduated or being enrolled in high school four years later by at least 11 percent. Overidentification tests using two measures of maternal youthful alcohol use as additional instruments support our identification strategy.

The Effect of Child Access Prevention Laws on Non-Fatal Gun Injuries

Many states have passed child access prevention (CAP) laws, which hold the gun owner responsible if a child gains access to a gun that is not securely stored. Previous CAP law research has focused exclusively on gun-related deaths even though most gun injuries are not fatal. We use annual hospital discharge data from 1988-2001 to investigate whether CAP laws decrease non-fatal gun injuries. Results from Poisson regressions that control for various hospital, county and state characteristics, including state-specific fixed effects and time trends, indicate that CAP laws substantially reduce non-fatal gun injuries among both children and adults. Our interpretation of the estimates as causal impacts is supported by the absence of effects on self-inflicted gun injuries among adults, non-gun self-inflicted injuries, and knife assaults, the failure of violent crime levels and law leads to attain significance or alter estimated law coefficients, and larger coefficient magnitudes in states where the law covers older children.

Compensating Wage Differentials and AIDS Risk

We examine the effect of HIV/AIDS infection risks on the earnings of registered nurses (RNs) and other health care workers by combining data on metropolitan statistical area (MSA) AIDS prevalence rates with annual 1987 --2001 Current Population Survey (CPS) and quadrennial 1988 --2000 National Sample Survey of Registered Nurses (SRN) data. Holding constant wages of control groups that are likely not exposed to AIDS risks and group-specific MSA fixed effects, a 10 percent increase in the AIDS rate raises RN earnings by about 0.8 percent in post-1992 samples, when AIDS rates were falling but a more comprehensive categorization of AIDS was used by the CDC. AIDS wage differentials are much larger for RNs and non-nursing health practitioners than for other nursing and health care workers, suggesting that this differential represents compensation paid for job-related exposure to potentially HIV-infected blood.

BINGE DRINKING AND RISKY SEX AMONG COLLEGE STUDENTS

This study examines the relationship between binge drinking and sexual behavior in nationally representative data on age 18–24 four-year college students. For having sex, overall or without condoms, large and significant positive associations are eliminated upon holding constant proxies for time-invariant sexual activity and drinking preferences. However, strong relationships persist for sex with multiple recent partners, overall and without condoms, even controlling for substance use, risk aversion, mental health, sports participation, and sexual activity frequency. Promiscuity is unrelated with non-binge drinking but even more strongly related with binge drinking on multiple occasions. Results from a rudimentary instrumental variables strategy and accounting for whether sex is immediately preceded by alcohol use suggest that binge drinking directly leads to risky sex. Some binge drinking-induced promiscuity seems to occur among students, especially males, involved in long-term relationships. Effects are concentrated among non-Hispanic whites and are not apparent for students in two-year schools.Consumer/Household Economics, Health Economics and Policy, Risk and Uncertainty,

Airline Schedule Recovery after Airport Closures: Empirical Evidence Since September 11th

Since the September 11, 2001 terrorist attacks, repeated airport closures due to potential security breaches have imposed substantial costs on travelers, airlines, and government agencies in terms of flight delays and cancellations. Using data from the year following September 11th, this study examines how airlines recover flight schedules upon reopening of airports that have been closed for security reasons. As such, this is the first study to examine service quality during irregular operations. Our results indicate that while outcomes of flights scheduled during airport closures are difficult to explain, a variety of factors, including potential revenue per flight and logistical variables such as flight distance, seating capacity and shutdown severity, significantly predict outcomes of flights scheduled after airports reopen. Given the likelihood of continued security-related airport closings, understanding the factors that determine schedule recovery is potentially important.

Does School Choice Increase School Quality?

Federal No Child Left Behind' legislation, which enables students of low-performing schools to exercise public school choice, exemplies a widespread belief that competing for students will spur public schools to higher achievement. We investigate how the introduction of school choice in North Carolina, via a dramatic increase in the number of charter schools across the state, affects the performance of traditional public schools on statewide tests. We find test score gains from competition that are robust to a variety of specifications. The introduction of charter school competition causes an approximate one percent increase in the score, which constitutes about one quarter of the average yearly growth.

Determinants of Drug Injection Behavior: Economic Factors, HIV Injection Risk and Needle Exchange Programs

I thank the National Archive of Criminal Justice Data for granting access to Drug Use Forecasting data, Bob Janice of the Drug Enforcement Administration for helping me acquire and understand the drug price data, Dave Purchase of the North American Syringe Exchange Network for finding and providing information on start dates for needle exchange programs in several cities, Mark Holmes, Sara Markowitz and Nick Rupp for suggestions that substantially improved the paper, participants in the 2002 NBER Health Economics Summer Institute and an ECU economics seminar for helpful comments, and Mike MacKenzie for excellent research assistance. The views expressed herein are those of the authors and not necessarily those of the Nationa