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An International Spatial Analysis of Welfare Spending’s Influence on Measles

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  • Mary Ellen J. Walker
  • Michael L. Szafron
  • June M. Anonson

Abstract

BACKGROUND- National welfare policies have the potential to influence population health. Yet, no research has investigated the influence that welfare spending levels have on primary prevention interventions. METHODS- This study uses generalized linear mixed model Bayesian analysis to explore how welfare spending influences the relationship between measles counts and measles vaccination rates at a national level. Furthermore, models include random effects to account for the nested structure of countries within regions. A conditional autoregressive model was also developed to test for the influence of spatial relationships among the variables of interest. RESULTS- Analysis of the Bayesian Information Criterion (BIC) indicated that the non-spatial model (BIC=19743.090) was preferred over the spatial model (BIC = 24225.730). The final model found that both the first dose of measles vaccine (B = -0.835, 95% Cr. I. = -0.975, -0.699), public social protection (B = -0.936, 95% Cr. I. = -1.132, -0.744), and their interaction (B = -0.239, 95% Cr. I. -0.319, -0.156) had a negative influence on national measles counts. CONCLUSIONS- This finding indicates that welfare spending may enhance primary prevention interventions, like measles vaccination.

Suggested Citation

  • Mary Ellen J. Walker & Michael L. Szafron & June M. Anonson, 2021. "An International Spatial Analysis of Welfare Spending’s Influence on Measles," Global Journal of Health Science, Canadian Center of Science and Education, vol. 13(10), pages 1-9, October.
    • Handle: RePEc:ibn:gjhsjl:v:13:y:2021:i:10:p:9
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    References listed on IDEAS

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    1. Daku, Mark & Raub, Amy & Heymann, Jody, 2012. "Maternal leave policies and vaccination coverage: A global analysis," Social Science & Medicine, Elsevier, vol. 74(2), pages 120-124.
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    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

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