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Effects of a measles outbreak on vaccination uptake
1Johannes Kepler University Linz, Department of Economics, Christian Doppler Laboratory for Aging, Health, and the Labor Market, Altenberger Straße 69, 4040 Linz, Austria.
Insights
A measles outbreak in Austria increased childhood vaccination rates, particularly for the second dose of the measles, mumps, and rubella (MMR) vaccine. This suggests outbreaks enhance the perceived value of vaccines across the population.
Area of Science:
- Epidemiology
- Public Health
- Health Economics
Background:
- Measles outbreaks can impact public health interventions.
- Vaccination uptake is crucial for disease control.
- Understanding parental response to outbreaks is key for policy.
Purpose of the Study:
- To investigate the impact of a measles outbreak on childhood vaccination rates in Austria.
- To analyze how parental risk perception and education level influence vaccination decisions post-outbreak.
Main Methods:
- Utilized administrative data with individual-level childhood vaccination information.
- Defined a treatment group exposed to the measles outbreak and a control group.
- Compared vaccination rates (first and second dose of MMR vaccine) between groups 12 months after the outbreak.
Main Results:
- Vaccination rates increased by 2.5 percentage points for the first MMR dose and 4 percentage points for the second dose in the treatment group.
- No evidence suggests families at higher risk responded more strongly.
- Heterogeneity observed, with higher-educated parents showing faster information absorption.
Conclusions:
- Measles outbreaks can positively influence overall vaccination uptake.
- The perceived value of vaccination appears to increase across the population following an outbreak.
- Parental education level plays a role in how families respond to public health information during outbreaks.
Abstract:
This paper explores the effects of a measles outbreak on vaccination uptake in Austria, using administrative data with individual-level information on childhood vaccinations. I define a treatment group of children affected by the outbreak, and compare them with a control group of earlier-born children who are unaffected. Twelve months after the outbreak, the vaccination rate of the treatment group is 2.5 (first dose of the measles, mumps and rubella vaccine) and 4 (second dose) percentage points higher than the corresponding rates of the control group. The results do not indicate that families at increased risk respond more strongly, suggesting that the outbreak changed the perceived value of vaccinations across the whole population. Findings also reveal heterogeneity in the response of families based on the parents' level of education, indicating that parents with higher education levels absorb new information more rapidly.
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