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Vaccination and risky behaviors: evidence from the hepatitis B vaccination campaign in China

Author

Listed:
  • Chen Huang

    (Central University of Finance and Economics)

  • Cong Li

    (Shanghai University of Finance and Economics)

  • Feng Liu

    (Chinese University of Hong Kong)

  • Ruofei Xu

    (Shanghai University of Finance and Economics)

Abstract

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.

Suggested Citation

  • Chen Huang & Cong Li & Feng Liu & Ruofei Xu, 2023. "Vaccination and risky behaviors: evidence from the hepatitis B vaccination campaign in China," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(4), pages 2549-2580, October.
    • Handle: RePEc:spr:jopoec:v:36:y:2023:i:4:d:10.1007_s00148-023-00942-4
    DOI: 10.1007/s00148-023-00942-4
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