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Local Labor Market Condition and Influenza Vaccination

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  • Yunwei Gai

    (Babson College)

  • Li Feng

    (Texas State University)

  • Jing Hao

    (Geisinger Health System)

Abstract

Influenza vaccination is a cost-effective preventive service, but its utilization rate is below the recommended level. Many studies have explored possible predictors and causes for low vaccination rates. Despite a large volume of studies in this area, there is limited research on how local economic conditions can affect individual influenza vaccination. This study explores this topic by merging the 2008–2012 individual-level data from the Behavioral Risk Factor Surveillance System (BRFSS) with the Area Health Resources Files (AHRF), and the Bureau of Labor Statistics Local Area Unemployment Statistics (LAUS). Using county-level unemployment rates as a measurement of local economic conditions, we used multivariate probit models to examine its relationship with individual flu vaccination while controlling for individual socioeconomic and demographic factors and contextual characteristics. We found that county-level unemployment rates were significantly and negatively associated with individual influenza vaccination, especially for people who were employed or living in metropolitan counties. Our results support public health interventions to improve flu vaccination during economic recessions.

Suggested Citation

  • Yunwei Gai & Li Feng & Jing Hao, 2017. "Local Labor Market Condition and Influenza Vaccination," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 45(2), pages 181-199, June.
    • Handle: RePEc:kap:atlecj:v:45:y:2017:i:2:d:10.1007_s11293-017-9540-z
    DOI: 10.1007/s11293-017-9540-z
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    References listed on IDEAS

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    1. Markowitz, Sara & Nesson, Erik & Robinson, Joshua J., 2019. "The effects of employment on influenza rates," Economics & Human Biology, Elsevier, vol. 34(C), pages 286-295.
    2. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    3. Tsutsui, Yoshiro & Benzion, Uri & Shahrabani, Shosh & Din, Gregory Yom, 2010. "A policy to promote influenza vaccination: A behavioral economic approach," Health Policy, Elsevier, vol. 97(2-3), pages 238-249, October.
    4. Charles, Kerwin Kofi & DeCicca, Philip, 2008. "Local labor market fluctuations and health: Is there a connection and for whom?," Journal of Health Economics, Elsevier, vol. 27(6), pages 1532-1550, December.
    5. Colman, Gregory & Dave, Dhaval, 2013. "Exercise, physical activity, and exertion over the business cycle," Social Science & Medicine, Elsevier, vol. 93(C), pages 11-20.
    6. Coughlin, Steven S. & Leadbetter, Steven & Richards, Thomas & Sabatino, Susan A., 2008. "Contextual analysis of breast and cervical cancer screening and factors associated with health care access among United States women, 2002," Social Science & Medicine, Elsevier, vol. 66(2), pages 260-275, January.
    7. Maurer, Jürgen, 2009. "Who has a clue to preventing the flu? Unravelling supply and demand effects on the take-up of influenza vaccinations," Journal of Health Economics, Elsevier, vol. 28(3), pages 704-717, May.
    8. Wells, B.L. & Horm, J.W., 1998. "Targeting the underserved for breast and cervical cancer screening: The utility of ecological analysis using the national health interview survey," American Journal of Public Health, American Public Health Association, vol. 88(10), pages 1484-1489.
    9. McInerney, Melissa & Mellor, Jennifer M., 2012. "Recessions and seniors’ health, health behaviors, and healthcare use: Analysis of the Medicare Current Beneficiary Survey," Journal of Health Economics, Elsevier, vol. 31(5), pages 744-751.
    10. Wu, Stephen, 2003. "Sickness and preventive medical behavior," Journal of Health Economics, Elsevier, vol. 22(4), pages 675-689, July.
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