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Influenza Vaccination and Occupational Social Intensity: Evidence From U.S. Workers

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  • Yancheng Xiao
  • Matthew Harris
  • Alissa O'Halloran
  • Jamison Pike

Abstract

We examine whether individuals with socially intensive occupations are empirically more likely to get vaccinated against flu. Socially active workers interact with a relatively large number of people and are therefore more likely to catch and spread infectious diseases. Vaccinating these workers against infectious disease therefore yields greater marginal social benefits than the average person. We construct multiple measures of social intensity from the Occupational Information Network. We find that workers in occupations with high social intensity are not significantly more likely to receive a flu shot. These results add to earlier findings that individuals' vaccination decisions are driven mainly by private valuations rather than social considerations. However, we provide the first direct evidence that individuals for whom vaccination would yield the greatest external benefits are not more likely to get vaccinated.

Suggested Citation

  • Yancheng Xiao & Matthew Harris & Alissa O'Halloran & Jamison Pike, 2025. "Influenza Vaccination and Occupational Social Intensity: Evidence From U.S. Workers," Health Economics, John Wiley & Sons, Ltd., vol. 34(9), pages 1614-1647, September.
  • Handle: RePEc:wly:hlthec:v:34:y:2025:i:9:p:1614-1647
    DOI: 10.1002/hec.4974
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    References listed on IDEAS

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    1. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    2. Jérôme Adda, 2016. "Economic Activity and the Spread of Viral Diseases: Evidence from High Frequency Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(2), pages 891-941.
    3. Oster, Emily, 2018. "Does disease cause vaccination? Disease outbreaks and vaccination response," Journal of Health Economics, Elsevier, vol. 57(C), pages 90-101.
    4. repec:cdl:agrebk:qt09q664sc is not listed on IDEAS
    5. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    6. Geoffard, Pierre-Yves & Philipson, Tomas, 1997. "Disease Eradication: Private versus Public Vaccination," American Economic Review, American Economic Association, vol. 87(1), pages 222-230, March.
    7. Corey White, 2021. "Measuring Social and Externality Benefits of Influenza Vaccination," Journal of Human Resources, University of Wisconsin Press, vol. 56(3), pages 749-785.
    8. Pichler, Stefan & Ziebarth, Nicolas R., 2017. "The pros and cons of sick pay schemes: Testing for contagious presenteeism and noncontagious absenteeism behavior," Journal of Public Economics, Elsevier, vol. 156(C), pages 14-33.
    9. 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.
    10. de Janvry, Alain & Sadoulet, Elisabeth & Villas-Boas, Sofia, 2010. "Short on shots: Are calls for cooperative restraint effective in managing a flu vaccines shortage?," Journal of Economic Behavior & Organization, Elsevier, vol. 76(2), pages 209-224, November.
    11. Courtney J. Ward, 2014. "Influenza Vaccination Campaigns: Is an Ounce of Prevention Worth a Pound of Cure?," American Economic Journal: Applied Economics, American Economic Association, vol. 6(1), pages 38-72, January.
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