IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v36y2016i7p887-899.html

Inspecting the Mechanism

Author

Listed:
  • Jürgen Maurer

Abstract

Background. Influenza vaccination is strongly associated with socioeconomic status, but there is only limited evidence on the respective roles of socioeconomic differences in vaccination intentions versus corresponding differences in follow-through on initial vaccination plans for subsequent socioeconomic differences in vaccine uptake. Methods. Nonparametric mean smoothing, linear regression, and probit models were used to analyze longitudinal survey data on perceived influenza risks, behavioral vaccination intentions, and vaccination behavior of adults during the 2009–2010 influenza A/H1N1 (“swine flu†) pandemic in the United States. Perceived influenza risks and behavioral vaccination intentions were elicited prior to the availability of H1N1 vaccine using a probability scale question format. H1N1 vaccine uptake was assessed at the end of the pandemic. Results. Education, income, and health insurance coverage displayed positive associations with behavioral intentions to get vaccinated for pandemic influenza while employment was negatively associated with stated H1N1 vaccination intentions. Education and health insurance coverage also displayed significant positive associations with pandemic vaccine uptake. Moreover, behavioral vaccination intentions showed a strong and statistically significant positive partial association with later H1N1 vaccination. Incorporating vaccination intentions in a statistical model for H1N1 vaccine uptake further highlighted higher levels of follow-through on initial vaccination plans among persons with higher education levels and health insurance. Limitations. Sampling bias, misreporting in self-reported data, and limited generalizability to nonpandemic influenza are potential limitations of the analysis. Conclusions. Closing the socioeconomic gap in influenza vaccination requires multipronged strategies that not only increase vaccination intentions by improving knowledge, attitudes, and beliefs but also facilitate follow-through on initial vaccination plans by improving behavioral control and access to vaccination for individuals with low education, employed persons, and the uninsured.

Suggested Citation

  • Jürgen Maurer, 2016. "Inspecting the Mechanism," Medical Decision Making, , vol. 36(7), pages 887-899, October.
    • Handle: RePEc:sae:medema:v:36:y:2016:i:7:p:887-899
    DOI: 10.1177/0272989X15608379
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X15608379
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X15608379?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. David M. Cutler & Adriana Lleras-Muney & Tom Vogl, 2008. "Socioeconomic Status and Health: Dimensions and Mechanisms," NBER Working Papers 14333, National Bureau of Economic Research, Inc.
    2. David M. Cutler & Adriana Lleras-Muney, 2012. "Education and Health: Insights from International Comparisons," NBER Working Papers 17738, National Bureau of Economic Research, Inc.
    3. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    4. Cawley, John & Ruhm, Christopher J., 2011. "The Economics of Risky Health Behaviors," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 95-199, Elsevier.
    5. Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), 2011. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, volume 2, number 2.
    6. A. J. Culyer & J. P. Newhouse (ed.), 2000. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, edition 1, volume 1, number 1.
    7. 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.
    8. Robert Nuscheler & Kerstin Roeder, 2016. "To Vaccinate or to Procrastinate? That is the Prevention Question," Health Economics, John Wiley & Sons, Ltd., vol. 25(12), pages 1560-1581, December.
    9. Ruben Castro, 2012. "Educational differences in chronic conditions and their role in the educational differences in overall mortality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 27(12), pages 339-364.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    2. Wolfgang Maennig & Viktoria C. E. Schumann, 2022. "Prevention Effect of News Shocks in Anti-Doping Policies," Journal of Sports Economics, , vol. 23(4), pages 431-459, May.
    3. Ana Mar�a Iregui-Boh�rquez & Ligia Alba Melo-Becerra & Mar�a Teresa Ram�rez-Giraldo, 2015. "Risky Health Behaviors: Evidence for an Emerging Economy," Borradores de Economia 13040, Banco de la Republica.
    4. Hansen, Fredrik & Anell, Anders & Gerdtham, Ulf-G & Lyttkens, Carl Hampus, 2013. "The Future of Health Economics: The Potential of Behavioral and Experimental Economics," Working Papers 2013:20, Lund University, Department of Economics.
    5. Ana María Iregui-Bohórquez & Ligia Alba Melo-Becerra & Mar�a Teresa Ram�rez-Giraldo, 2019. "Is there a relationship between schooling and risky health behaviors in Colombia?," Revista Cuadernos de Economia, Universidad Nacional de Colombia, FCE, CID, vol. 38(77), pages 365-395.
    6. Elisabetta Santarelli & Anna De Pascale, "undated". "Economic, housing conditions and health of old people in Italy: evidence from EU-SILC," Working Papers 99/12, Sapienza University of Rome, Metodi e Modelli per l'Economia, il Territorio e la Finanza MEMOTEF.
    7. Stefan Hupfeld, 2011. "Non-monotonicity in the longevity–income relationship," Journal of Population Economics, Springer;European Society for Population Economics, vol. 24(1), pages 191-211, January.
    8. Peter A. Savelyev, 2014. "Psychological Skills, Education, and Longevity of High-Ability Individuals," Vanderbilt University Department of Economics Working Papers 14-00007, Vanderbilt University Department of Economics.
    9. Kai Hong & Peter A. Savelyev & Kegon T. K. Tan, 2020. "Understanding the Mechanisms Linking College Education with Longevity," Journal of Human Capital, University of Chicago Press, vol. 14(3), pages 371-400.
    10. Dinçer, Mehmet Alper & Kaushal, Neeraj & Grossman, Michael, 2014. "Women’s Education: Harbinger of Another Spring? Evidence from a Natural Experiment in Turkey," World Development, Elsevier, vol. 64(C), pages 243-258.
    11. Cheolmin Kang & Akira Kawamura & Haruko Noguchi, 2021. "Benefits of knowing own health status: effects of health check-ups on health behaviours and labour participation," Applied Economics Letters, Taylor & Francis Journals, vol. 28(11), pages 926-931, June.
    12. Natallia Gray & Gabriel Picone, 2018. "Evidence of Large-Scale Social Interactions in Mammography in the United States," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 46(4), pages 441-457, December.
    13. Adriaan Kalwij & Rob Alessie & Marike Knoef, 2013. "The Association Between Individual Income and Remaining Life Expectancy at the Age of 65 in the Netherlands," Demography, Springer;Population Association of America (PAA), vol. 50(1), pages 181-206, February.
    14. Maria Cristina Majo & Arthur van Soest, 2012. "Income and health care utilization among the 50+ in Europe and the US," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 28(4), pages 3-22.
    15. Sonya Huffman & Marian Rizov, 2010. "The Rise of Obesity in Transition: Theory and Empirical Evidence from Russia," Journal of Development Studies, Taylor & Francis Journals, vol. 46(3), pages 574-594.
    16. Tansel, Aysit & Karaoglan, Deniz, 2014. "Health behaviors and education in Turkey," MPRA Paper 57322, University Library of Munich, Germany, revised 15 Jul 2014.
    17. Deniz Karaoğlan & Dürdane Şirin Saraçoğlu, 2018. "Socio-Economic Factors Affecting Early Childhood Health: the Case of Turkey," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(3), pages 1051-1075, June.
    18. Cobb-Clark, Deborah A. & Dahmann, Sarah C. & Kamhöfer, Daniel A. & Schildberg-Hörisch, Hannah, 2023. "Self-control and unhealthy body weight: The role of impulsivity and restraint," Economics & Human Biology, Elsevier, vol. 50(C).
    19. Cervený, J. & van Ours, J.C. & Chomynova, Pavla & Mravcik, Viktor, 2015. "Cannabis Decriminalization and the Age of Onset of Cannabis Use," Discussion Paper 2015-007, Tilburg University, Center for Economic Research.
    20. Beni­tez-Silva, Hugo & Ni, Huan, 2008. "Health status and health dynamics in an empirical model of expected longevity," Journal of Health Economics, Elsevier, vol. 27(3), pages 564-584, May.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:36:y:2016:i:7:p:887-899. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.