NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
loading...

The Effects of Perceived Disease Risk and Access Costs on Infant Immunization

Jessamyn Schaller, Lisa Schulkind, Teny Maghakian Shapiro

NBER Working Paper No. 23923
Issued in October 2017
NBER Program(s):Program on Children, Health Economics Program, Public Economics Program

This paper examines the determinants of parental decisions about infant immunization. Using the exact timing of vaccination relative to birth, we estimate the effects of local pertussis outbreaks occurring in-utero and during the first two months of life on the likelihood of on-time initial immunization for pertussis and other immunizations. We find that parents respond to changes in perceived disease risk: pertussis outbreaks within a state increase the rate of on-time receipt of the pertussis vaccine at two months of age. This response is concentrated among low-socioeconomic status (SES) subgroups. In addition, we find that pertussis outbreaks increase the likelihood of immunization against other vaccine-preventable diseases. These spillover effects are almost as large the direct effects and are present only for vaccines that are typically given during the same visit as the pertussis vaccine, which suggests that healthcare access costs play an important role in parents' vaccination decisions.

download in pdf format
   (262 K)

email paper

Machine-readable bibliographic record - MARC, RIS, BibTeX

Document Object Identifier (DOI): 10.3386/w23923

Users who downloaded this paper also downloaded* these:
Dranove, Ody, and Starc w23956 A Dose of Managed Care: Controlling Drug Spending in Medicaid
Carroll, Chernew, Fendrick, Thompson, and Rose w23926 Effects of Episode-Based Payment on Health Care Spending and Utilization: Evidence from Perinatal Care in Arkansas
Oster w22464 Does Disease Cause Vaccination? Disease Outbreaks and Vaccination Response
Ashraf, Glaeser, Holland, and Steinberg w23807 Water, Health and Wealth
Geruso and Layton w23876 Selection in Health Insurance Markets and Its Policy Remedies
 
Publications
Activities
Meetings
NBER Videos
Themes
Data
People
About

National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138; 617-868-3900; email: info@nber.org

Contact Us