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Family size and vaccination among older individuals: The case of COVID-19 vaccine

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  • Bonsang, Eric
  • Pronkina, Elizaveta

Abstract

While vaccination is generally considered efficient in protecting against transmissible diseases, the compliance is not complete in many countries. In this study, we investigate how an individual-specific factor – family size – affects the probability of getting vaccinated against COVID-19. To answer this research question, we focus on individuals above 50 years of age, who are at a higher risk of developing severe symptoms. The analysis uses the Survey of Health, Ageing and Retirement in Europe Corona wave, conducted in the summer of 2021. To identify the effect of family size on vaccination, we exploit an exogenous variation in the probability of having more than two children, due to the sex composition of two firstborns. We document that a larger family size increases the probability of receiving the COVID-19 vaccine among older individuals. This impact is economically and statistically significant. We propose several potential mechanisms behind this result and document that family size can be related to the higher probability of being exposed to the disease. This effect can be by knowing someone who tested positive for COVID-19 or had symptoms similar to it, and by network size and frequency of contact with children, before the outbreak of COVID-19.

Suggested Citation

  • Bonsang, Eric & Pronkina, Elizaveta, 2023. "Family size and vaccination among older individuals: The case of COVID-19 vaccine," Economics & Human Biology, Elsevier, vol. 50(C).
  • Handle: RePEc:eee:ehbiol:v:50:y:2023:i:c:s1570677x23000370
    DOI: 10.1016/j.ehb.2023.101256
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    as
    1. Kenneth I. Wolpin & Mark R. Rosenzweig, 2000. "Natural "Natural Experiments" in Economics," Journal of Economic Literature, American Economic Association, vol. 38(4), pages 827-874, December.
    2. Yoram Ben-Porath & Finis Welch, 1976. "Do Sex Preferences Really Matter?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 90(2), pages 285-307.
    3. Pronkina, Elizaveta & Berniell, Inés & Fawaz, Yarine & Laferrère, Anne & Mira, Pedro, 2023. "The COVID-19 curtain: Can past communist regimes explain the vaccination divide in Europe?," Social Science & Medicine, Elsevier, vol. 321(C).
    4. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2010. "Small Family, Smart Family? Family Size and the IQ Scores of Young Men," Journal of Human Resources, University of Wisconsin Press, vol. 45(1).
    5. Oster, Emily, 2018. "Does disease cause vaccination? Disease outbreaks and vaccination response," Journal of Health Economics, Elsevier, vol. 57(C), pages 90-101.
    6. Rupert, Peter & Zanella, Giulio, 2018. "Grandchildren and their grandparents' labor supply," Journal of Public Economics, Elsevier, vol. 159(C), pages 89-103.
    7. Bertoni, Marco & Celidoni, Martina & Dal Bianco, Chiara & Weber, Guglielmo, 2021. "How did European retirees respond to the COVID-19 pandemic?," Economics Letters, Elsevier, vol. 203(C).
    8. Giulietti, Corrado & Vlassopoulos, Michael & Zenou, Yves, 2021. "When Reality Bites: Local Deaths and Vaccine Take-Up," GLO Discussion Paper Series 999, Global Labor Organization (GLO).
    9. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    10. Imbens, Guido W & Angrist, Joshua D, 1994. "Identification and Estimation of Local Average Treatment Effects," Econometrica, Econometric Society, vol. 62(2), pages 467-475, March.
    11. Clément de Chaisemartin, 2017. "Tolerating defiance? Local average treatment effects without monotonicity," Quantitative Economics, Econometric Society, vol. 8(2), pages 367-396, July.
    12. Sonia Bhalotra & Damian Clarke, 2020. "The Twin Instrument: Fertility and Human Capital Investment," Journal of the European Economic Association, European Economic Association, vol. 18(6), pages 3090-3139.
    13. Clément de Chaisemartin & Xavier d'Haultfoeuille, 2012. "Late Again with Defiers," PSE Working Papers halshs-00699646, HAL.
    14. Laura Crespo & Pedro Mira, 2014. "Caregiving to Elderly Parents and Employment Status of European Mature Women," The Review of Economics and Statistics, MIT Press, vol. 96(4), pages 693-709, October.
    15. Angrist, Joshua D & Evans, William N, 1998. "Children and Their Parents' Labor Supply: Evidence from Exogenous Variation in Family Size," American Economic Review, American Economic Association, vol. 88(3), pages 450-477, June.
    16. Gerald Markle, 1974. "Sex ratio at birth: Values, variance, and some determinants," Demography, Springer;Population Association of America (PAA), vol. 11(1), pages 131-142, February.
    17. Bouckaert, Nicolas & Gielen, Anne C. & Van Ourti, Tom, 2020. "It runs in the family – Influenza vaccination and spillover effects," Journal of Health Economics, Elsevier, vol. 74(C).
    18. Solís Arce, Julio S. & Warren, Shana S. & Meriggi, Niccolò F. & Scacco, Alexandra & McMurry, Nina & Voors, Maarten & Syunyaev, Georgiy & Malik, Amyn Abdul & Aboutajdine, Samya & Adeojo, Opeyemi & Anig, 2021. "COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 27, pages 1-1.
    19. Backhaus, Andreas & Barslund, Mikkel, 2021. "The effect of grandchildren on grandparental labor supply: Evidence from Europe," European Economic Review, Elsevier, vol. 137(C).
    20. Bolin, K. & Lindgren, B. & Lundborg, P., 2008. "Your next of kin or your own career?: Caring and working among the 50+ of Europe," Journal of Health Economics, Elsevier, vol. 27(3), pages 718-738, May.
    21. Tomáš Sobotka & Éva Beaujouan, 2014. "Two Is Best? The Persistence of a Two-Child Family Ideal in Europe," Population and Development Review, The Population Council, Inc., vol. 40(3), pages 391-419, September.
    22. Jan Kabátek & David C Ribar, 2021. "Daughters and Divorce," The Economic Journal, Royal Economic Society, vol. 131(637), pages 2144-2170.
    23. Andersson, Ola & Campos-Mercade, Pol & Meier, Armando N. & Wengström, Erik, 2021. "Anticipation of COVID-19 vaccines reduces willingness to socially distance," Journal of Health Economics, Elsevier, vol. 80(C).
    24. Gordon B. Dahl & Enrico Moretti, 2008. "The Demand for Sons," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 75(4), pages 1085-1120.
    25. Dalton Conley & Rebecca Glauber, 2006. "Parental Educational Investment and Children’s Academic Risk: Estimates of the Impact of Sibship Size and Birth Order from Exogenous Variation in Fertility," Journal of Human Resources, University of Wisconsin Press, vol. 41(4).
    26. Emily Grundy & Sanna Read, 2012. "Social Contacts and Receipt of Help Among Older People in England: Are There Benefits of Having More Children?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(6), pages 742-754.
    27. Joshua Angrist & Victor Lavy & Analia Schlosser, 2010. "Multiple Experiments for the Causal Link between the Quantity and Quality of Children," Journal of Labor Economics, University of Chicago Press, vol. 28(4), pages 773-824, October.
    28. Kruk, Kai Eberhard & Reinhold, Steffen, 2014. "The effect of children on depression in old age," Social Science & Medicine, Elsevier, vol. 100(C), pages 1-11.
    29. Thijs van den Broek & Marco Tosi, 2020. "The More the Merrier? The Causal Effect of High Fertility on Later-Life Loneliness in Eastern Europe," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 149(2), pages 733-748, June.
    30. MacLean, Alice & Sweeting, Helen & Egan, Matt & Der, Geoff & Adamson, Joy & Hunt, Kate, 2013. "How robust is the evidence of an emerging or increasing female excess in physical morbidity between childhood and adolescence? Results of a systematic literature review and meta-analyses," Social Science & Medicine, Elsevier, vol. 78(C), pages 96-112.
    31. Caserotti, Marta & Girardi, Paolo & Rubaltelli, Enrico & Tasso, Alessandra & Lotto, Lorella & Gavaruzzi, Teresa, 2021. "Associations of COVID-19 risk perception with vaccine hesitancy over time for Italian residents," Social Science & Medicine, Elsevier, vol. 272(C).
    32. Éric Bonsang & Vegard Skirbekk, 2022. "Does Childbearing Affect Cognitive Health in Later Life? Evidence From an Instrumental Variable Approach," Post-Print hal-03689322, HAL.
    33. Callaghan, Timothy & Moghtaderi, Ali & Lueck, Jennifer A. & Hotez, Peter & Strych, Ulrich & Dor, Avi & Fowler, Erika Franklin & Motta, Matthew, 2021. "Correlates and disparities of intention to vaccinate against COVID-19," Social Science & Medicine, Elsevier, vol. 272(C).
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    More about this item

    Keywords

    Vaccination; Family size; COVID-19;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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