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首页> 外文期刊>Journal of health economics >Disease outbreaks, healthcare utilization, and on-time immunization in the first year of life
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Disease outbreaks, healthcare utilization, and on-time immunization in the first year of life

机译：生命第一年的疾病暴发，医疗保健利用和及时免疫

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This paper examines the determinants of parental decisions about infant immunization. Using the exact timing of vaccination relative to birth, we estimate the effects of local pertussis outbreaks occurring in utero and during the first two months of life on the likelihood of on-time initial immunization for pertussis and other diseases. We find that parents respond to changes in perceived disease risk: pertussis outbreaks within a state increase the rate of on-time receipt of the pertussis vaccine at two months of age, particularly among low-socioeconomic status (SES) subgroups. In addition, we find that pertussis outbreaks increase the likelihood of immunization against other vaccine-preventable diseases. Spillover effects in low-SES subgroups are as large as direct effects and are present only for vaccines given during the same visit as the pertussis vaccine, which suggests that provider contact may be a key factor in infant vaccination decisions in poor families. (C) 2019 Elsevier B.V. All rights reserved.
机译：本文研究了有关婴儿免疫接种的父母决定的决定因素。使用相对于出生的确切疫苗接种时间，我们估计子宫内和生命的前两个月发生的局部百日咳暴发对百日咳和其他疾病的及时初次免疫的可能性的影响。我们发现，父母对感知到的疾病风险的变化做出了反应：百日咳疫情在州内爆发会增加两个月大的百日咳百日咳疫苗的按时接种率，尤其是在低社会经济地位（SES）亚组中。此外，我们发现百日咳暴发增加了针对其他疫苗可预防疾病进行免疫的可能性。低SES亚组的溢出效应与直接效应一样大，并且仅在与百日咳疫苗同次就诊期间接种的疫苗中才存在，这表明提供者的接触可能是贫困家庭婴儿接种疫苗决定的关键因素。 （C）2019 Elsevier B.V.保留所有权利。

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