疫苗接种与危险行为：来自中国乙肝疫苗接种运动的证据。
Vaccination and risky behaviors: evidence from the hepatitis B vaccination campaign in China.
作者信息
Huang Chen, Li Cong, Liu Feng, Xu Ruofei
机构信息
Center for Human Capital and Labor Market Research, Central University of Finance and Economics, Beijing, 100081 China.
School of Economics, Shanghai University of Finance and Economics, Shanghai, 200433 China.
出版信息
J Popul Econ. 2023 Mar 10:1-32. doi: 10.1007/s00148-023-00942-4.
UNLABELLED
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.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s00148-023-00942-4.
未标注
了解疫苗接种与个体风险行为反应之间的因果关系具有重要的政策意义，因为它会影响增加疫苗接种可及性的最终效果。本文通过探讨1992年中国的乙肝疫苗接种运动，研究了疫苗接种对风险行为的因果影响。我们的实证策略利用了接种运动时年龄的差异以及各省治疗前感染风险的差异。利用1981年至1994年出生的大量个体横截面数据，我们发现更多地接触乙肝疫苗接种会导致成年期饮酒量降低，而且这种影响几乎完全由男性驱动。来自受教育程度较高家庭的个体和居住在城市地区的人往往反应更大。教育程度的提高和相关知识的传播是重要因素。我们的研究结果揭示了促进疫苗接种可及性的一个意想不到的好处。
补充信息
在线版本包含可在10.1007/s00148-023-00942-4获取的补充材料。
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