Giving Teens a Boost?

IF 3.1 2区 经济学 Q1 ECONOMICS American Journal of Health Economics Pub Date : 2020-03-01 DOI:10.1086/707834
Emily C. Lawler
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引用次数: 6

Abstract

This study provides the first quasi-experimental evidence on the effects of nonbinding vaccine recommendations targeted at high school–aged adolescents. Using data from the National Immunization Survey–Teen and the Centers for Disease Control’s disease surveillance system, I find that these simple recommendations significantly increased meningococcal vaccination rates among the targeted population by 21 percentage points, or 133 percent relative to the baseline mean, and substantially reduced meningococcal disease incidence in the population. I also provide evidence that the recommendations primarily affected vaccination rates through changes in provider behavior, and show that they exacerbated preexisting disparities in receipt of preventive care. In particular, groups with lower socioeconomic status, which had lower rates of vaccination and provider contact prior to the recommendation, were also less responsive to the policy.
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鼓励青少年?
这项研究首次提供了针对高中年龄青少年的非约束性疫苗推荐效果的准实验证据。利用国家青少年免疫调查和疾病控制中心疾病监测系统的数据,我发现这些简单的建议显著提高了目标人群脑膜炎球菌疫苗接种率21个百分点,即相对于基线平均值133%,大大降低了人群中脑膜炎球菌病的发病率。我还提供了证据,证明这些建议主要通过提供者行为的变化影响疫苗接种率,并表明它们加剧了先前存在的接受预防性护理的差异。特别是,社会经济地位较低的群体,在建议之前疫苗接种率和提供者接触率较低,对该政策的反应也较低。
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来源期刊
CiteScore
4.30
自引率
2.70%
发文量
34
期刊介绍: The American Journal of Health Economics (AJHE) provides a forum for the in-depth analysis of health care markets and individual health behaviors. The articles appearing in AJHE are authored by scholars from universities, private research organizations, government, and industry. Subjects of interest include competition among private insurers, hospitals, and physicians; impacts of public insurance programs, including the Affordable Care Act; pharmaceutical innovation and regulation; medical device supply; the rise of obesity and its consequences; the influence and growth of aging populations; and much more.
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