Direct and Spillover Effects of Middle School Vaccination Requirements

Autor: Emily C. Lawler, Christopher S. Carpenter
Rok vydání: 2019
Předmět:
Zdroj: American Economic Journal: Economic Policy. 11:95-125
ISSN: 1945-774X
1945-7731
Popis: We study the direct and spillover effects of state requirements that middle school youths obtain a tetanus, diphtheria, and pertussis (Tdap) booster prior to middle school entry. These mandates significantly increased Tdap vaccine take-up and reduced pertussis (whooping cough) incidence by about 32 percent. We also document cross-vaccine spillovers: the mandates significantly increased adolescent vaccination rates for meningococcal disease and human papillomavirus (HPV)—which is responsible for 98 percent of cervical cancers—by 8–34 percent, with particularly large effects for children from low SES households. We find important roles for both parents and providers in generating these spillovers. (JEL H75, I12, I18, I21, I28, J13)
Databáze: OpenAIRE