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Sibling spillovers and the choice to get vaccinated: Evidence from a regression discontinuity design

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  • Humlum, Maria Knoth
  • Morthorst, Marius Opstrup
  • Thingholm, Peter Rønø

Abstract

We investigate the effects of introducing population-wide free-of-charge Human Papillomavirus (HPV) vaccination programs on the targeted adolescent cohorts and their siblings. For identification, we rely on regression discontinuity designs and high-quality Danish administrative data to exploit that date of birth determines program eligibility. We find that the programs increased the HPV vaccine take-up of both the targeted children (53.2 percentage points for girls and 36.0 percentage points for boys) and their older same-sex siblings (4.5 percentage points for sisters and 3.5 percentage points for brothers). We show that while the direct effects of the programs reduced HPV vaccine take-up inequality, the spillover effects, in contrast, contributed to an increase in vaccine take-up inequality highlighting the potential importance of spillover effects in the determination of distributional consequences of public health programs. Finally, we find some evidence of cross-vaccine spillovers.

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  • Humlum, Maria Knoth & Morthorst, Marius Opstrup & Thingholm, Peter Rønø, 2024. "Sibling spillovers and the choice to get vaccinated: Evidence from a regression discontinuity design," Journal of Health Economics, Elsevier, vol. 94(C).
    • Handle: RePEc:eee:jhecon:v:94:y:2024:i:c:s0167629623001200
    DOI: 10.1016/j.jhealeco.2023.102843
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    1. Joensen, Juanna Schrøter & Nielsen, Helena Skyt, 2018. "Spillovers in education choice," Journal of Public Economics, Elsevier, vol. 157(C), pages 158-183.
    2. Hareth Al‐Janabi & Job Van Exel & Werner Brouwer & Caroline Trotter & Linda Glennie & Laurie Hannigan & Joanna Coast, 2016. "Measuring Health Spillovers for Economic Evaluation: A Case Study in Meningitis," Health Economics, John Wiley & Sons, Ltd., vol. 25(12), pages 1529-1544, December.
    3. Itzik Fadlon & Torben Heien Nielsen, 2019. "Family Health Behaviors," American Economic Review, American Economic Association, vol. 109(9), pages 3162-3191, September.
    4. Seth M. Freedman & Daniel W. Sacks & Kosali I. Simon & Coady Wing, 2022. "Direct and indirect effects of vaccines: Evidence from COVID-19," NBER Working Papers 30550, National Bureau of Economic Research, Inc.
    5. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    6. Hirani, Jonas Lau-Jensen, 2021. "Inattention or reluctance? Parental responses to vaccination reminder letters," Journal of Health Economics, Elsevier, vol. 76(C).
    7. Imbens, Guido W. & Lemieux, Thomas, 2008. "Regression discontinuity designs: A guide to practice," Journal of Econometrics, Elsevier, vol. 142(2), pages 615-635, February.
    8. Brandyn F. Churchill, 2021. "Insurance Coverage, Provider Contact, and Take-Up of the HPV Vaccine," American Journal of Health Economics, University of Chicago Press, vol. 7(2), pages 222-247.
    9. Gordon B. Dahl & Katrine V. L?ken & Magne Mogstad, 2014. "Peer Effects in Program Participation," American Economic Review, American Economic Association, vol. 104(7), pages 2049-2074, July.
    10. John Mullahy, 1999. "It'll only hurt a second? Microeconomic determinants of who gets flu shots," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 9-24, February.
    11. Tomas Philipson, 1996. "Private Vaccination and Public Health: An Empirical Examination for U.S. Measles," Journal of Human Resources, University of Wisconsin Press, vol. 31(3), pages 611-630.
    12. Andrew Gelman & Guido Imbens, 2019. "Why High-Order Polynomials Should Not Be Used in Regression Discontinuity Designs," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(3), pages 447-456, July.
    13. Sebastian Calonico & Matias D. Cattaneo & Rocio Titiunik, 2014. "Robust Nonparametric Confidence Intervals for Regression‐Discontinuity Designs," Econometrica, Econometric Society, vol. 82, pages 2295-2326, November.
    14. Amy Finkelstein & Petra Persson & Maria Polyakova & Jesse M. Shapiro, 2022. "A Taste of Their Own Medicine: Guideline Adherence and Access to Expertise," American Economic Review: Insights, American Economic Association, vol. 4(4), pages 507-526, December.
    15. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    16. Pruckner, Gerald J. & Schneeweis, Nicole & Schober, Thomas & Zweimüller, Martina, 2021. "Birth order, parental health investment, and health in childhood," Journal of Health Economics, Elsevier, vol. 76(C).
    17. SANTAEULÀLIA-LLOPIS, Raül; IORIO, Daniela; GROES, Fane; LEUNG, Man Yee Mallory, 2017. "Educational disparities in the battle against infertility : evidence from IVF success," Economics Working Papers ECO2017/05, European University Institute.
    18. Zang, Emma, 2020. "Spillover effects of a husband's retirement on a woman's health: Evidence from urban China," Social Science & Medicine, Elsevier, vol. 245(C).
    19. Joan Costa-Font & Nilesh Raut & Courtney H. Van Houtven, 2024. "Medicaid Expansion and the Mental Health of Spousal Caregivers," Review of Economics of the Household, Springer, vol. 22(3), pages 1047-1084, September.
    20. Shahjahan, Md & La Mattina, Giulia & Ayyagari, Padmaja, 2022. "The Impact of Maternal Education on Child Immunization: Evidence from Bangladesh," IZA Discussion Papers 15553, Institute of Labor Economics (IZA).
    21. repec:hok:dpaper:321 is not listed on IDEAS
    22. Alexander Karaivanov & Dongwoo Kim & Shih En Lu & Hitoshi Shigeoka, 2022. "COVID-19 vaccination mandates and vaccine uptake," Nature Human Behaviour, Nature, vol. 6(12), pages 1615-1624, December.
    23. Oster, Emily, 2018. "Does disease cause vaccination? Disease outbreaks and vaccination response," Journal of Health Economics, Elsevier, vol. 57(C), pages 90-101.
    24. Gordon Dahl & Claus Thustrup Kreiner & Torben Heien Nielsen & Benjamin Ly Serena, 2020. "Linking Changes in Inequality in Life Expectancy and Mortality: Evidence from Denmark and the United States," NBER Working Papers 27509, National Bureau of Economic Research, Inc.
    25. Churchill, Brandyn F., 2021. "How important is the structure of school vaccine requirement opt-out provisions? Evidence from Washington, DC's HPV vaccine requirement," Journal of Health Economics, Elsevier, vol. 78(C).
    26. Yiqun Chen & Petra Persson & Maria Polyakova, 2019. "The Roots of Health Inequality and The Value of Intra-Family Expertise," NBER Working Papers 25618, National Bureau of Economic Research, Inc.
    27. Rasmus Landersø & Helena Skyt Nielsen & Marianne Simonsen, 2017. "School Starting Age and the Crime‐age Profile," Economic Journal, Royal Economic Society, vol. 127(602), pages 1096-1118, June.
    28. Anderberg, Dan & Chevalier, Arnaud & Wadsworth, Jonathan, 2011. "Anatomy of a health scare: Education, income and the MMR controversy in the UK," Journal of Health Economics, Elsevier, vol. 30(3), pages 515-530, May.
    29. 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).
    30. David N. Figlio & Krzysztof Karbownik & Umut Özek, 2023. "Sibling Spillovers May Enhance the Efficacy of Targeted School Policies," NBER Working Papers 31406, National Bureau of Economic Research, Inc.
    31. Marbach, Moritz & Hangartner, Dominik, 2020. "Profiling Compliers and Noncompliers for Instrumental-Variable Analysis," Political Analysis, Cambridge University Press, vol. 28(3), pages 435-444, July.
    32. Lange, Fabian, 2011. "The role of education in complex health decisions: Evidence from cancer screening," Journal of Health Economics, Elsevier, vol. 30(1), pages 43-54, January.
    33. Yoko Ibuka & Jun-ichi Itaya & Naomi Miyazato, 2018. "An Analysis of Peer Effects on Vaccination Behavior Using a Model of Privately Provided Public Goods," CESifo Working Paper Series 6933, CESifo.
    34. Pedro Carneiro & Katrine V. Løken & Kjell G. Salvanes, 2015. "A Flying Start? Maternity Leave Benefits and Long-Run Outcomes of Children," Journal of Political Economy, University of Chicago Press, vol. 123(2), pages 365-412.
    35. Emily Oster, 2020. "Health Recommendations and Selection in Health Behaviors," American Economic Review: Insights, American Economic Association, vol. 2(2), pages 143-160, June.
    36. Lawler, Emily C., 2017. "Effectiveness of vaccination recommendations versus mandates: Evidence from the hepatitis A vaccine," Journal of Health Economics, Elsevier, vol. 52(C), pages 45-62.
    37. Christopher S. Carpenter & Emily C. Lawler, 2019. "Direct and Spillover Effects of Middle School Vaccination Requirements," American Economic Journal: Economic Policy, American Economic Association, vol. 11(1), pages 95-125, February.
    38. Hendrik Schmitz & Ansgar Wübker, 2011. "What determines influenza vaccination take‐up of elderly Europeans?," Health Economics, John Wiley & Sons, Ltd., vol. 20(11), pages 1281-1297, November.
    39. Jason Fletcher & Ryne Marksteiner, 2017. "Causal Spousal Health Spillover Effects and Implications for Program Evaluation," American Economic Journal: Economic Policy, American Economic Association, vol. 9(4), pages 144-166, November.
    40. Brilli, Ylenia & Lucifora, Claudio & Russo, Antonio & Tonello, Marco, 2020. "Vaccination take-up and health: Evidence from a flu vaccination program for the elderly," Journal of Economic Behavior & Organization, Elsevier, vol. 179(C), pages 323-341.
    41. Moira Daly & Fane Groes, 2017. "Who takes the child to the doctor? Mom, pretty much all of the time," Applied Economics Letters, Taylor & Francis Journals, vol. 24(17), pages 1267-1276, October.
    42. Breining, Sanni Nørgaard, 2014. "The presence of ADHD: Spillovers between siblings," Economics Letters, Elsevier, vol. 124(3), pages 469-473.
    43. Dalsgaard, Søren & Humlum, Maria Knoth & Nielsen, Helena Skyt & Simonsen, Marianne, 2012. "Relative standards in ADHD diagnoses: The role of specialist behavior," Economics Letters, Elsevier, vol. 117(3), pages 663-665.
    44. Veronica Grembi & Tommaso Nannicini & Ugo Troiano, 2016. "Do Fiscal Rules Matter?," American Economic Journal: Applied Economics, American Economic Association, vol. 8(3), pages 1-30, July.
    45. Marcella Alsan, 2017. "The Gendered Spillover Effect of Young Children's Health on Human Capital: Evidence from Turkey," NBER Working Papers 23702, National Bureau of Economic Research, Inc.
    46. Lenisa V. Chang, 2016. "The Effect Of State Insurance Mandates On Infant Immunization Rates," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 372-386, March.
    47. Ryoko Sato & Yoshito Takasaki, 2019. "Peer Effects on Vaccination Behavior: Experimental Evidence from Rural Nigeria," Economic Development and Cultural Change, University of Chicago Press, vol. 68(1), pages 93-129.
    48. Hirani, Jonas Cuzulan & Wüst, Miriam, 2024. "Reminder design and childhood vaccination coverage," Journal of Health Economics, Elsevier, vol. 93(C).
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    1. Hirani, Jonas Cuzulan & Wüst, Miriam, 2024. "Reminder design and childhood vaccination coverage," Journal of Health Economics, Elsevier, vol. 93(C).

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    More about this item

    Keywords

    Health investments; Health behavior; Peer effects; Sibling spillovers; HPV; Vaccine; Health inequality;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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