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The Vaccination Kuznets Curve: Do vaccination rates rise and fall with income?

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  • Sakai, Yutaro

Abstract

This paper presents a new stylized fact about the relationship between income and childhood vaccination. It shows vaccination rates first rise but then fall as income increases. This pattern is observed in WHO country-level panel data, and in US county-level panel and individual-level repeated cross-section data. This data pattern suggests that both low and high-income parents are less likely to follow the standard vaccination schedule, and that such behavior is reflected in the vaccination rate at the population level. I provide several alternative explanations as to why we observe this data pattern, including avoidance measures, medical care, and social segregation.

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  • Sakai, Yutaro, 2018. "The Vaccination Kuznets Curve: Do vaccination rates rise and fall with income?," Journal of Health Economics, Elsevier, vol. 57(C), pages 195-205.
    • Handle: RePEc:eee:jhecon:v:57:y:2018:i:c:p:195-205
    DOI: 10.1016/j.jhealeco.2017.12.002
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    Cited by:

    1. Satomi Doi & Aya Isumi & Takeo Fujiwara, 2020. "The Association between Parental Involvement Behavior and Self-Esteem among Adolescents Living in Poverty: Results from the K-CHILD Study," IJERPH, MDPI, vol. 17(17), pages 1-25, August.

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    More about this item

    Keywords

    Avoidance; Income; Immunization; Infectious disease; Medical care; NIS; Childhood vaccination;
    All these keywords.

    JEL classification:

    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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