Direct and Spillover Effects of Middle School Vaccination Requirements
Autor: | Emily C. Lawler, Christopher S. Carpenter |
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Rok vydání: | 2019 |
Předmět: |
Tetanus
business.industry Incidence (epidemiology) Diphtheria 05 social sciences medicine.disease Meningococcal disease Vaccination 03 medical and health sciences 0302 clinical medicine Spillover effect Family planning Environmental health 0502 economics and business Immunology medicine 030212 general & internal medicine 050207 economics business General Economics Econometrics and Finance Whooping cough |
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 |
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