Disease outbreaks, healthcare utilization, and on-time immunization in the first year of life.
Diphtheria-Tetanus-acellular Pertussis Vaccines
/ therapeutic use
Disease Outbreaks
/ statistics & numerical data
Female
Health Services Accessibility
/ statistics & numerical data
Healthcare Disparities
/ statistics & numerical data
Humans
Infant
Male
Parents
/ psychology
Patient Acceptance of Health Care
/ psychology
Pertussis Vaccine
/ therapeutic use
Socioeconomic Factors
United States
/ epidemiology
Vaccination Coverage
/ statistics & numerical data
Vaccines
/ therapeutic use
Whooping Cough
/ epidemiology
Disease
Health care
Immunizations
Infant health
Public health
Vaccinations
Journal
Journal of health economics
ISSN: 1879-1646
Titre abrégé: J Health Econ
Pays: Netherlands
ID NLM: 8410622
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
26
09
2017
revised:
30
01
2019
accepted:
30
05
2019
pubmed:
20
7
2019
medline:
21
10
2020
entrez:
20
7
2019
Statut:
ppublish
Résumé
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 diseases. 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, particularly among low-socioeconomic status (SES) subgroups. In addition, we find that pertussis outbreaks increase the likelihood of immunization against other vaccine-preventable diseases. Spillover effects in low-SES subgroups are as large as direct effects and are present only for vaccines given during the same visit as the pertussis vaccine, which suggests that provider contact may be a key factor in infant vaccination decisions in poor families.
Identifiants
pubmed: 31323339
pii: S0167-6296(17)30898-6
doi: 10.1016/j.jhealeco.2019.05.009
pii:
doi:
Substances chimiques
Diphtheria-Tetanus-acellular Pertussis Vaccines
0
Pertussis Vaccine
0
Vaccines
0
Types de publication
Journal Article
Langues
eng
Pagination
102212Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.