Direct and Spillover Effects of Middle School Vaccination Requirements
Direct and Spillover Effects of Middle School Vaccination Requirements
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DOI：
10.1257/pol.20170067
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发表时间：
2019-02-01
影响因子：
5.3
通讯作者：
Lawler, Emily C.
中科院分区：
文献类型：
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作者：
Carpenter, Christopher S.;Lawler, Emily C.
我们研究了国家要求中学生在进入中学之前获得61破伤风、白喉和百日咳（Tdap）加强针的直接和溢出效应。这些规定显著增加了Tdap疫苗的接种率，并将百日咳（百日咳）发病率降低了约32%。我们还记录了交叉疫苗溢出效应：强制性规定显著提高了青少年脑膜炎球菌病和人乳头瘤病毒（IIPV）的疫苗接种率，后者是98%的宫颈癌的原因，提高了8- 34%，对来自低社会经济地位家庭的儿童的影响尤其大。我们发现父母和供应商在产生这些溢出效应中发挥着重要作用。
We study the direct and spillover effects of state requirements that middle school youths obtain 61 tetanus, diphtheria, and pertussis (Tdap) booster prior to middle school entry. These mandates sigmficantly increased Tdap vaccine take-up and reduced pertussis (whooping cough) incidence by about 32 percent. We also document cross-vaccine spillovers: the mandates significantly increased adolescent vaccination rates for meningococcal disease and human papillomavirus (IIPV) which is responsible for 98 percent of cervical cancers-by 8-34 percent, with particularly large effects for children from low SES households. We find important roles for both parents and providers in generating these spillovers.