Local Labor Market Condition and Influenza Vaccination
Yunwei Gai (),
Li Feng () and
Jing Hao ()
Additional contact information
Yunwei Gai: Babson College
Jing Hao: Geisinger Health System
Atlantic Economic Journal, 2017, vol. 45, issue 2, 181-199
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.
Keywords: Flu vaccination; Labor market conditions; Behavioral risk factor Surveillance system; Area health resources Files; Bureau of labor statistics local area unemployment statistics; Multivariate Probit models; I12; I18 (search for similar items in EconPapers)
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed
Downloads: (external link)
http://link.springer.com/10.1007/s11293-017-9540-z Abstract (text/html)
Access to the full text of the articles in this series is restricted.
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
Persistent link: https://EconPapers.repec.org/RePEc:kap:atlecj:v:45:y:2017:i:2:d:10.1007_s11293-017-9540-z
Ordering information: This journal article can be ordered from
http://www.springer. ... cs/journal/11293/PS2
Access Statistics for this article
Atlantic Economic Journal is currently edited by Kathleen S. Virgo
More articles in Atlantic Economic Journal from Springer, International Atlantic Economic Society Contact information at EDIRC.
Bibliographic data for series maintained by Sonal Shukla ().