有保证的现金奖励促进了年轻人接种 COVID-19 疫苗:来自西弗吉尼亚州的证据

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Yin Wang, Charles Stoecker, Kevin Callison, Julie Hernandez
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引用次数: 0

摘要

在 COVID-19 疫苗接种活动中,政策制定者广泛采用了小额现金奖励措施,但这些计划的影响在很大程度上未得到充分研究。我们首次在全州范围内对 2021 年在西弗吉尼亚州实施的一项此类计划进行了自然实验,该计划为年龄在 16-35 岁之间完全接种疫苗的成年人提供了 100 美元的奖励。利用人口普查局家庭脉搏调查的个人层面数据,我们通过 "间断性差异设计"(differences-in-discontinuities design)分离出了政策效应,该设计利用了 35 岁时奖励资格的间断性。我们发现,100 美元的奖励与曾经接种过 COVID-19 疫苗的人数比例以及完成或打算完成 COVID-19 疫苗初级系列接种的人数比例的显著增加有关。在低收入人群、失业人群和未感染过 COVID-19 的人群中,政策效果也可能更加明显。有保障的现金奖励计划可能会使弱势群体更公平地获得疫苗。可能还需要开展更多的宣传活动,尤其是针对未接种疫苗且曾感染 COVID-19 的人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Guaranteed Cash Incentives Boosted COVID-19 Vaccinations Of Young Adults: Evidence From West Virginia.

Guaranteed small cash incentives were widely employed by policy makers during the COVID-19 vaccination campaign, but the impact of these programs has been largely understudied. We were the first to exploit a statewide natural experiment of one such program implemented in West Virginia in 2021 that provided a $100 incentive to fully vaccinated adults ages 16-35. Using individual-level data from the Census Bureau's Household Pulse Survey, we isolated the policy effect through a difference-in-discontinuities design that exploited the discontinuity in incentive eligibility at age thirty-five. We found that the $100 incentive was associated with a robust increase in the proportion of people ever vaccinated against COVID-19 and the proportion who completed or intended to complete the primary series of COVID-19 vaccines. The policy effects were also likely to be more pronounced among people with low incomes, those who were unemployed, and those with no prior COVID-19 infection. The guaranteed cash incentive program may have created more equitable access to vaccines for disadvantaged populations. Additional outreach may also be needed, especially to unvaccinated people with prior COVID-19 infections.

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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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