Opioid use disorder suppresses Missouri’s labor force participation rate by an estimated 3% among workers ages 25 to 54, according to a study by the American Action Forum. Only Arkansas and West Virginia experience greater losses in labor force participation due to opioid addiction.

University of Missouri Extension researchers built on this study to estimate the economic impacts of opioid use disorder in eight key sectors—agriculture, mining, utilities, construction, manufacturing, wholesale trade, transportation and warehousing, and health care. This analysis found that the Missouri economy loses an estimated 26,400 workers due to opioid addiction in a given year, but these impacts are far greater considering the ripple effects that these losses have in the form of reduced productivity, loss of output, diminished spending power and indirect job losses in other parts of the economy.