Accepted for publication in Health Economics
with Lisen A. Dahlström. Winner of the Merck Investigator Studies Program grant [Accepted manuscript]
Abstract: We study the effect of framing informational campaigns scientifically or emotionally on the vaccination uptake of recipients with different educational backgrounds. 7616 Swedish mothers stratified by education received a leaflet on their children's upcoming HPV vaccination opportunity. The leaflet’s framing was randomized between emotional and scientific, whereas the content remained uniform; control units received an uninformative reminder of the same length. We find substantial heterogeneity by educational background. Mothers with compulsory schooling exposed to scientific framing increased their uptake by 5.7 percentage points (7.25%). The effect was driven by less skeptical mothers with little previous HPV knowledge and higher engagement with the materials. Emotional framing decreased uptake by 4.8 percentage points (5.41%) among high school-educated mothers who read more superficially and were more hesitant at baseline.
Ballerini, V., Dominici, A., Ferracane, M. F., Menchetti, F., & Noirjean, S. (2024). Stimulating creativity and grit of high school students with creative STEM activities: an RCT with noncompliance. Quality & Quantity.
Landy, J. F., Jia, M. L., Ding, I. L., Viganola, D., Tierney, W., Dreber, A., ... & Crowdsourcing Hypothesis Tests Collaboration. (2020). Crowdsourcing hypothesis tests: Making transparent how design choices shape research results. Psychological bulletin, 146(5), 451.
Gender Quotas in Municipal Executives: reallocating public spending in Italy
Revisions Requested at International Tax and Public Finance
with Flavia Cavallini and Olivia Masi [Working paper]
Abstract: This study investigates the effect of increasing female representation in executive positions within local governments on municipal expenditures. We leverage a 2014 reform in Italy that mandated 40% gender quotas in the executive councils of municipalities with more than 3,000 residents. To isolate the impact of gender quotas from other policies active at the same population cutoff, we employ a difference-in-discontinuities approach. We document that the policy effectively increases female representation in local governments, and descriptively it brings younger, less experienced female politicians into the executive councils. Our findings reveal that the increase in female executives shifts resources away from culture toward schooling, with the budget share allocated to preschools and schools rising by 23% and 10%, respectively, and the one to culture decreasing by 37%. This indicates that including women in executive roles can influence the allocation of municipal resources.
Abstract: I investigate the long-term effects of theocracy on political preferences and religiosity, exploiting a river that separated the theocratic Papal States from secular states for three centuries. To disentangle the effect of theocracy from other confounders, I propose a novel extension to geographic regression discontinuity designs, the Difference-in-Geographic Discontinuities (DIG). While religiosity and political preferences descriptively differ discontinuously at the river, the causal effect of theocracy is null. Using existing and novel datasets spanning eight centuries, I suggest that pre-existing inheritance norms affected religiosity and political preferences by increasing collectivism and social capital, thereby neutralizing the impact of theocratic institutions.
The limits and perils of gentle communication against vaccine hesitancy: an informational trial
with Leonardo Boncinelli (PI), Ennio Bilancini and Folco Panizza [Working paper]
Winner of the PRIN 2022 grant from the Italian Ministry of Education and the NextEU Generation grant "Bando 30 mesi" at the University of Florence
Part of the EcoHETE project involving several departments at the University of Florence: Statistics (Department PI: Daniele Vignoli), Psychology (Department PI: Christian Tarchi), Political Sciences (Department PI: Laura Solito)
Abstract: Motivational Interviewing (MI) is a gentle communication technique effective in doctor-patient interactions. The WHO recommends it against vaccine hesitancy, a key challenge for overburdened healthcare systems, especially in aging populations at higher risk of hospitalization from vaccine-preventable flu viruses. However, MI’s high training and implementation costs further strain healthcare systems. We tested MI in a flu vaccine video campaign via a survey experiment on a representative sample of 12,004 individuals above age 40 from Italy, the second-oldest country worldwide. While MI improved perceptions in line with theory, it reduced vaccination willingness (-7.4%, ~3 p.p.) and did not affect actual vaccination rates. Causal forests showed that MI increased uptake among a minority with worse health, older age, and higher distrust of vaccines but decreased uptake among those with more vaccine-compliant positions at baseline. MI may help specific groups accustomed to health professionals but could backfire on the general population, warranting caution in adopting it as a large-scale policy.
Innovative learn-by-doing digital education and attitudes towards STEM: an RCT in Italian high schools
with Martina Ferracane, Adriano De Falco and Giovanni Abbiati [Working paper]
Abstract: We conducted a randomized controlled trial to test the effectiveness of creative STEM activities on the propensity to enrol in a STEM university course and career aspirations on a sample of 710 high school students in Italy. The activities covered courses on 3D printing, laser cutting, and programming, and were taught by FabLabs, non-profit digital fabrication laboratories with an innovative pedagogical approach grounded in learn-by-doing, problem-solving skills, and creativity. Participation in the activities was voluntary, but counted for credit. We find that access to these courses increased students’ intentions to pursue STEM majors at university (6 p.p., +17%) and STEM careers (7.4 p.p., +40%), possibly through to an increased STEM self-efficacy (7.3 p.p., +22%), namely students’ beliefs in their ability to pursue STEM studies.
The Age of Mass Migrations and the lifespan of people with disabilities: Northern Sweden (1894-1919)
with Nicoletta Balbo, Danilo Bolano, Johan Junkka and Lotta Vikström
Abstract: This paper studies the causal effect of the Age of Mass Migrations in Sweden (1894-1913) on the lifespan of people with disabilities (PWD). We leverage unique population data that record disabilities by type and focus on PWD born between 1914 and 1919, after WWI unexpectedly disrupted mass migrations but before the introduction of Socialist welfare policies. PWD born in villages that experienced higher rates of cumulative outmigrations lived significantly longer, 3 years on average. The effect is driven by people with intellectual and psychiatric disabilities who were institutionalized more, in a period when these disabilities often implied isolation and mistreatment. We show that mass migrations did not act by enriching those who stayed and suggest that, consistent with historical evidence, the causal effect is due to selected outmigration, which increased collectivism, political participation, and demand for proto-welfare services, including healthcare.
Networks, Diversity, and Migrants' Success: Evidence from the Pontine Marshes, 1932-1941
with Frédéric Docquier, Fabio Mariani and Martin Fernandez Sanchez
Abstract: This paper examines the impact of common origin networks and diversity on migrants' economic performance, exploiting the natural experiment of the reclamation and resettlement of the Pontine Marshes in Italy (1932-1941). Approximately 4000 families were randomly assigned a plot under sharecropping and offered the option to redeem the land in 1941. Using microdata on the universe of settlers, we find that the presence of neighbors from the same province of origin improved the chances of remaining in the Pontine Marshes until 1941 and eventually buying the land. These networks supported economic success by enhancing productivity through direct help, although we also suggest a direct role of social amenities. On the other hand, neighbors' diversity played a more limited role and benefited productivity through agricultural skill transferability, as long as same-origin networks were not reduced.
The spillovers of child disability on peers' education and university choice
with Massimo Anelli, Nicoletta Balbo and Sofia Sierra Vásquez
Nudging responsible antibiotics prescription: a field experiment
with Ennio Bilancini, Tommaso Bellandi, Gustavo Cevolani, and Folco Panizza
State: RCT in progress