Information and vaccine hesitancy: The role of broadband Internet

IF 2 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2024-05-27 DOI:10.1002/hec.4856
Sofia Amaral-Garcia, Mattia Nardotto, Carol Propper, Tommaso Valletti
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Abstract

We examine the effect of Internet diffusion on the uptake of an important public health intervention: the measles, mumps and rubella (MMR) vaccine. We study England between 2000 and 2011 when Internet diffusion spread rapidly and there was a high profile medical article (falsely) linking the MMR vaccine to autism. OLS estimates suggest Internet diffusion led to an increase in vaccination rates. This result is reversed after allowing for endogeneity of Internet access. The effect of Internet diffusion is sizable. A one standard deviation increase in Internet penetration led to around a 20% decrease in vaccination rates. Localities characterized by higher proportions of high skilled individuals and lower deprivation levels had a larger response to Internet diffusion. These findings are consistent with higher skilled and less-deprived parents responding faster to false information that the vaccine could lead to autism.

Abstract Image

信息与疫苗犹豫不决:宽带互联网的作用。
我们研究了互联网传播对麻疹、流行性腮腺炎和风疹(MMR)疫苗这一重要公共卫生干预措施的影响。我们对 2000 年至 2011 年间的英格兰进行了研究,当时互联网传播迅速,而且有一篇备受关注的医学文章(虚假地)将麻疹、腮腺炎和风疹疫苗与自闭症联系在一起。OLS 估计结果表明,互联网传播导致疫苗接种率上升。在考虑到互联网接入的内生性后,这一结果发生了逆转。互联网传播的影响是巨大的。互联网普及率每增加一个标准差,疫苗接种率就会下降约 20%。高技能人才比例较高、贫困程度较低的地区对互联网传播的反应更大。这些发现与技能较高、贫困程度较低的家长对疫苗可能导致自闭症的虚假信息反应较快的情况一致。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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