Do Class Size Reductions Protect Students from Infectious Diseases?

IF 3.1 2区 经济学 Q1 ECONOMICS American Journal of Health Economics Pub Date : 2022-09-01 DOI:10.1086/719354
M. Oikawa, Ryuichi Tanaka, S. Bessho, H. Noguchi
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Abstract

We evaluate the causal effect of class size (number of students in a classroom) on incidence of class closure due to the flu, as an outcome of an infectious disease epidemic. For identification of causal effects, we apply a regression discontinuity design using discontinuous variation of class sizes, around the class size cap set by regulation, to administrative data of public primary and middle school students in one of the largest municipalities within the Tokyo metropolitan area from 2015 to 2017. Most classrooms in Japan are constructed in accordance with a standard of classroom area, 63 square meters; class size reduction improves social distancing among students in a classroom. We find that class size reduction is effective in reducing class closures due to the flu: a one-unit reduction of class size decreases class closure by about 5 percent. Additionally, forming small classes with 27 students at most, satisfying the social distancing of 1.5 meters recommended to prevent droplet infection including influenza and COVID-19, reduces class closure by about 90 percent. Moreover, we find that the older the students, the larger the effects of class size reduction. Our findings provide evidence for the effectiveness of social distancing policy in primary and middle schools to protect students from droplet infectious disease spread, including COVID-19.
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缩减班级规模能保护学生免受传染病的侵害吗?
我们评估了班级规模(教室里的学生人数)对流感导致的停课发生率的因果影响,流感是传染病流行的结果。为了确定因果效应,我们将回归不连续设计应用于2015年至2017年东京都内最大城市之一的公立中小学生的行政数据,该设计使用了班级规模的不连续变化,围绕法规设定的班级规模上限。日本的大多数教室都是按照63平方米的教室面积标准建造的;班级人数的减少提高了学生在课堂上的社交距离。我们发现,减少班级规模可以有效地减少流感导致的班级关闭:减少一个单元的班级规模可以减少约5%的班级关闭。此外,组建最多27名学生的小组,满足预防包括流感和新冠肺炎在内的飞沫感染所建议的1.5米社交距离,将停课减少约90%。此外,我们发现年龄越大的学生,班级规模缩小的影响越大。我们的研究结果为中小学保持社交距离政策保护学生免受包括新冠肺炎在内的飞沫传染病传播的有效性提供了证据。
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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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