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Cross-Policy Effects: Lockdown Stringency, Race, and the COVID-19 Vaccine in US Nursing Homes

Author

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  • Roland Pongou
  • Ghislain Junior Sidie
  • Guy Tchuente
  • Jean-Baptiste Tondji

Abstract

In a health crisis, how do early mitigation policies affect the effectiveness of later interventions? Using the lens of the COVID-19 pandemic in the United States, we show that the stringency of early public health and safety interventions increased vaccine uptake among nursing homes' residents and employees; however, the effect was negative in states with low lockdown compliance. This negative effect was exacerbated in nursing homes with a larger proportion of Black residents. The analysis highlights the present-day relevance of the historical mistrust between Black populations and health authorities and how this manifests in long-term care institutions.

Suggested Citation

  • Roland Pongou & Ghislain Junior Sidie & Guy Tchuente & Jean-Baptiste Tondji, 2025. "Cross-Policy Effects: Lockdown Stringency, Race, and the COVID-19 Vaccine in US Nursing Homes," AEA Papers and Proceedings, American Economic Association, vol. 115, pages 457-461, May.
    • Handle: RePEc:aea:apandp:v:115:y:2025:p:457-61
    DOI: 10.1257/pandp.20251126
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    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • L84 - Industrial Organization - - Industry Studies: Services - - - Personal, Professional, and Business Services

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