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CINCH - Forschungszentrum für Gesundheitsökonomik

Essen Health Economics Seminar @ RWI Essen


Am Montag, den 13. Januar 2020, 14:00 - 15:30 Uhr, wird Krystal Lau (Imperial College) ihre Forschung vorstellen:

Social Norms and Free-Riding in Influenza Vaccine Decisions: An Online Experiment

‘Nudges’ based on social norm messages can be used in public health interventions to change behaviour. In the context of influenza vaccination, messages about high coverage levels may signal a bandwagoning effect that encourages vaccination, but also a low individual risk of infection, promoting a free riding effect that discourages vaccination. The interplay between these two factors can affect decision-making differently at varying population coverage levels, making the impact of nudges on intentions to vaccinate ambiguous to predict. We aim to causally measure the effects of different social norms via messages about population vaccination coverage rates on influenza vaccination intention. In an online experiment, we randomly assign a sample of n=1,365 UK residents aged 18+ years to a control group (with no manipulated information on coverage rate), or to one of seven treatment groups with different messages about the proportion (10%, 25%, 50%, 65%, 75%, 85%, or 95%) of people in their environment who received the flu vaccine. Vaccination intention is measured with self-reported intention and three elicited behavioural measures: (a) opening an online map locating nearby private flu vaccination providers; (b) time looking at this map; and (c) downloading a calendar reminder to vaccinate. Through linear, logistic, and double hurdle regression analysis, we find that individuals treated with greater coverage rates have higher stated vaccination intention than those treated with lower coverage rates. For map-related elicited vaccination intention, however, those with manipulated coverage rates up to 75%, exhibited greater intention at higher treatment intensities, demonstrating possible bandwagoning effects. In groups above this 75% threshold, however, the impact of the treatments when compared to the control – albeit still positive – is lower at greater treatment intensities, signalling the introduction of free riding behaviour and its interplay with bandwagoning above that threshold. Furthermore, individual perceptions on risk of infection and population coverage rates may have an amplifying moderator effect on the relationship between social norms treatments and vaccination intention. Our results imply that health policymakers ought to carefully design interventions based on social norm messages to nudge influenza vaccination in order to promote vaccination, rather than discourage it.

Raum: E-Werk, RWI Essen, Hohenzollernstrasse 1-3, 45128 Essen

Mehr Informationen finden Sie hier.

Essen Health Economics Seminar @ RWI Essen


Am Montag, den 06. Januar 2020, 14:00 - 15:30 Uhr, werden Nina Schwarz (Universität Duisburg-Essen) und Sergej Bechtoldt (Universität Duiburg-Essen/RGS Econ) ihre Forschung vorstellen:

Alive and Kicking? Short-Term Health Effects of a Physician Strike in Germany (Nina Schwarz)


The Effects of the Great Recession on Health in Germany (Sergej Bechtoldt)

Our study evaluates the effects of the 2008/09 Great Recession on health and health care utilization in the German population. Unlike most other European economies, Germany is generally thought of as being only mildly affected by the Great Recession. Thus, the health impacts of this global economic event are frequently studied, but only a few of these studies focus on Germany. Nevertheless, there was considerable heterogeneity in the impact of the shock at the regional level, thus making Germany a suitable case for studying the Great Recession’s effects.

Using a large individual-level health insurance claims dataset as well as the German Socio-Economic Panel (SOEP) for the period 2005-2011, we contribute to the literature by separately identifying effects of the real economy (like unemployment) and financial sector shocks on several physical and mental health indicators and taking possible heterogeneity between different subpopulations into account.

We apply difference-in-differences as well as synthetic control strategies exploiting regional differences in the real economic effects of the crisis and heterogeneity in the probability of being affected by stock market downturns. Our preliminary results suggest that civil servants’ health mainly reacts to financial shocks whereas employees rather tend to be affected by the real economy.

Raum: E-Werk, RWI Essen, Hohenzollernstrasse 1-3, 45128 Essen

Mehr Informationen finden Sie hier.

New CINCH working paper


A new working paper has been added to the CINCH working paper series: “Ethnic Density and Health at Birth” by Paola Bertoli, Veronica Grembi, and The Linh Bao Nguyen.

Abstract: We challenge the use of traditional measures of ethnic density— e.g., the incidence of  an  ethnic  group  on  the  resident  population  of  a  specific  area—  when  testing  the correlation between stronger ethnic networks and health at birth (i.e., birth weight). Using unique data from Italy on the main 44 ethnicities residing across almost 4,500 municipalities, we propose more insightful measures, as the distribution of immigrant associations or the incidence of ethnicities sharing the same language.  We prove that, once fixed effects for the municipality of residence and the ethnic group are included, the correlation between ethnic density and health at birth is not statistically different from zero.  However, ethnic density does channel positive effects on health at birth when a negative shock, as the 2008 Great Recession, struck the labor market.  Exploiting a quasi-randomized diffusion of the recession, we find that its average negative impact on immigrant newborns was mitigated by stronger ethnic networks.  We show that this can be explained by through sorting of the healthier and more fertile ethnic groups, which experienced also lower levels of in utero selection.

See all working papers.