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Vaccination and risky behaviors: evidence from the hepatitis B vaccination campaign in China

Author

Listed:
  • Chen Huang

    (Central University of Finance and Economics)

  • Cong Li

    (Shanghai University of Finance and Economics)

  • Feng Liu

    (Chinese University of Hong Kong)

  • Ruofei Xu

    (Shanghai University of Finance and Economics)

Abstract

Understanding the causal relationship between vaccination and individuals’ risky behavioral responses has important policy implications as it affects the ultimate effectiveness of increasing access to vaccination. This paper examines the causal effects of vaccination on risky behaviors by exploring the 1992 hepatitis B vaccination campaign in China. Our empirical strategy exploits variations in age at the campaign as well as the pretreatment infection risks across provinces. Using a large cross-section of individuals born between 1981 and 1994, we find that more exposure to the hepatitis B vaccination leads to lower alcohol use during adulthood, and such impacts are almost entirely driven by men. Individuals from more educated families and people who live in urban areas tend to react more. Improved educational attainment and dissemination of related knowledge are important contributors. Our results uncover an unexpected benefit of promoting access to vaccination.

Suggested Citation

  • Chen Huang & Cong Li & Feng Liu & Ruofei Xu, 2023. "Vaccination and risky behaviors: evidence from the hepatitis B vaccination campaign in China," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(4), pages 2549-2580, October.
    • Handle: RePEc:spr:jopoec:v:36:y:2023:i:4:d:10.1007_s00148-023-00942-4
    DOI: 10.1007/s00148-023-00942-4
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    1. James P. Smith, 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 478-489, August.
    2. Esther Duflo, 2001. "Schooling and Labor Market Consequences of School Construction in Indonesia: Evidence from an Unusual Policy Experiment," American Economic Review, American Economic Association, vol. 91(4), pages 795-813, September.
    3. Nathan Nunn & Nancy Qian, 2011. "The Potato's Contribution to Population and Urbanization: Evidence From A Historical Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(2), pages 593-650.
    4. Yi Mou & Carolyn A. Lin, 2020. "Consuming Alcohol to Prepare for Adulthood: An Event History Analysis of the Onset of Alcohol Use Among Chinese College Students," SAGE Open, , vol. 10(3), pages 21582440209, July.
    5. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    6. Raj Chetty & John N. Friedman & Nathaniel Hilger & Emmanuel Saez & Diane Whitmore Schanzenbach & Danny Yagan, 2011. "How Does Your Kindergarten Classroom Affect Your Earnings? Evidence from Project Star," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(4), pages 1593-1660.
    7. Victoria Baranov & Hans-Peter Kohler, 2018. "The Impact of AIDS Treatment on Savings and Human Capital Investment in Malawi," American Economic Journal: Applied Economics, American Economic Association, vol. 10(1), pages 266-306, January.
    8. Tomas J. Philipson & William H. Dow & Xavier Sala-i-Martin, 1999. "Longevity Complementarities under Competing Risks," American Economic Review, American Economic Association, vol. 89(5), pages 1358-1371, December.
    9. Jonathan Klick & Thomas Stratmann, 2007. "Diabetes Treatments and Moral Hazard," Journal of Law and Economics, University of Chicago Press, vol. 50(3), pages 519-538.
    10. Wei Fan & Catherine Porter, 2020. "Reinforcement or compensation? Parental responses to children’s revealed human capital levels," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(1), pages 233-270, January.
    11. Crum, R.M. & Helzer, J.E. & Anthony, J.C., 1993. "Level of education and alcohol abuse and dependence in adulthood: A further inquiry," American Journal of Public Health, American Public Health Association, vol. 83(6), pages 830-837.
    12. David W Brown & Amanda E Kowalski & Ithai Z Lurie, 2020. "Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(2), pages 792-821.
    13. Maria Kuecken & Josselin Thuilliez & Marie-Anne Valfort, 2021. "Disease and Human Capital Accumulation: Evidence from the Roll Back Malaria Partnership in Africa," The Economic Journal, Royal Economic Society, vol. 131(637), pages 2171-2202.
    14. Junjian Yi & James J. Heckman & Junsen Zhang & Gabriella Conti, 2015. "Early Health Shocks, Intra†household Resource Allocation and Child Outcomes," Economic Journal, Royal Economic Society, vol. 125(588), pages 347-371, November.
    15. J. Driessen & A. Razzaque & D. Walker & D. Canning, 2015. "The effect of childhood measles vaccination on school enrolment in Matlab, Bangladesh," Applied Economics, Taylor & Francis Journals, vol. 47(55), pages 6019-6040, November.
    16. Friedman, Willa Helterline, 2018. "Antiretroviral drug access and behavior change," Journal of Development Economics, Elsevier, vol. 135(C), pages 392-411.
    17. Janet Currie & Mark Stabile & Phongsack Manivong & Leslie L. Roos, 2010. "Child Health and Young Adult Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    18. Adeline Delavande & Hans-Peter Kohler, 2016. "HIV/AIDS-related Expectations and Risky Sexual Behaviour in Malawi," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 83(1), pages 118-164.
    19. Prashant Bharadwaj & Katrine Vellesen L?ken & Christopher Neilson, 2013. "Early Life Health Interventions and Academic Achievement," American Economic Review, American Economic Association, vol. 103(5), pages 1862-1891, August.
    20. Li, Jianghong, 2004. "Gender inequality, family planning, and maternal and child care in a rural Chinese county," Social Science & Medicine, Elsevier, vol. 59(4), pages 695-708, August.
    21. Sarah Miller & Laura R. Wherry, 2019. "The Long-Term Effects of Early Life Medicaid Coverage," Journal of Human Resources, University of Wisconsin Press, vol. 54(3), pages 785-824.
    22. Hamad, Rita & Elser, Holly & Tran, Duy C. & Rehkopf, David H. & Goodman, Steven N., 2018. "How and why studies disagree about the effects of education on health: A systematic review and meta-analysis of studies of compulsory schooling laws," Social Science & Medicine, Elsevier, vol. 212(C), pages 168-178.
    23. Kaestner, Robert & Darden, Michael & Lakdawalla, Darius, 2014. "Are investments in disease prevention complements? The case of statins and health behaviors," Journal of Health Economics, Elsevier, vol. 36(C), pages 151-163.
    24. Erick Gong, 2015. "HIV Testing and Risky Sexual Behaviour," Economic Journal, Royal Economic Society, vol. 125(582), pages 32-60, February.
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