Arbeitspapier

Personal Belief Exemptions for School-Entry Vaccinations, Vaccination Rates, and Academic Achievement

Nonmedical exemptions from school-entry vaccine mandates are receiving increased policy and public health scrutiny. This paper examines how expanding the availability of exemptions influences vaccination rates in early childhood and academic achievement in middle school. We leverage 2003 legislation that granted personal belief exemptions (PBE) in Texas and Arkansas, two states the previously allowed exemptions only for medical or religious regions. We find that PBE decreased vaccination coverage among black and low-income preschoolers by 16.1% and 8.3%, respectively. Furthermore, we find that those cohorts affected by the policy change in early childhood performed less well on standardized tests of academic achievement in middle school. Estimated effects on mathematics and English Language Arts test scores were largest for black students, especially those residing in economically disadvantaged counties.

Sprache
Englisch

Erschienen in
Series: IZA Discussion Papers ; No. 12978

Klassifikation
Wirtschaft
State and Local Government: Health; Education; Welfare; Public Pensions
Health Behavior
Health: Government Policy; Regulation; Public Health
Analysis of Education
Education and Inequality
Education: Government Policy
Thema
vaccination
state mandates
nonmedical exemptions
test scores

Ereignis
Geistige Schöpfung
(wer)
Hair, Nicole L.
Gruber, Anja
Urban, Carly
Ereignis
Veröffentlichung
(wer)
Institute of Labor Economics (IZA)
(wo)
Bonn
(wann)
2020

Handle
Letzte Aktualisierung
10.03.2025, 11:42 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Hair, Nicole L.
  • Gruber, Anja
  • Urban, Carly
  • Institute of Labor Economics (IZA)

Entstanden

  • 2020

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