Local restrictions, population movement, and spillovers during the pandemic: Evidence from Japan's restaurant restriction

IF 2 3区 医学 Q2 ECONOMICS Health economics Pub Date : 2024-06-10 DOI:10.1002/hec.4864
Zihan Xu, Satoru Shimokawa
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Abstract

We investigate how a local restaurant restriction aimed at containing the COVID-19 pandemic influenced population movement and COVID-19 prevalence within and outside the restricted districts. Using data on restaurant location and hourly population at the 500-m-mesh level and on COVID-19 prevalence at both prefecture and municipality level in Japan, we employ a triple-difference approach and a difference-in-differences approach with fixed effects. While the policy decreased population movement to restaurant areas in the restricted districts, it caused spillovers of increasing population movement to restaurant areas in the neighboring nonrestricted districts. Consequently, COVID-19 prevalence worsened in the neighboring nonrestricted districts but improved in the restricted districts. Our findings suggest that imposing such local restrictions in the context of the pandemic may contain the pandemic only in the restricted districts while sacrificing economic activities within these districts and public health in neighboring nonrestricted districts.

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大流行病期间的地方限制、人口流动和溢出效应:来自日本餐馆限制的证据。
我们研究了旨在遏制 COVID-19 流行的地方餐馆限制措施如何影响限制区内外的人口流动和 COVID-19 流行率。我们利用日本 500 网目级别的餐馆位置和小时人口数据,以及都道府县和直辖市级别的 COVID-19 流行率数据,采用了三重差分法和带有固定效应的差分法。虽然该政策减少了人口向限制区内餐饮区的流动,但却造成了人口向邻近非限制区内餐饮区流动增加的溢出效应。因此,COVID-19 的流行率在邻近的非限制区有所恶化,但在限制区却有所改善。我们的研究结果表明,在大流行病背景下实施此类地方限制措施可能只能在限制区内遏制大流行病,而牺牲了这些区内的经济活动和邻近非限制区的公共卫生。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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