Evidence map›Paper›PMID 29778514›Full record

ArticleVaccine2018

Conditional admission, religious exemption type, and nonmedical vaccine exemptions in California before and after a state policy change.

Alison M Buttenheim, Malia Jones, Caitlin Mckown, Daniel Salmon, Saad B Omer

Abstract read
In one paragraph

Article in Vaccine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alison M ButtenheimDepartment of Family and Community Health, University of Pennsylvania School of Nursing, University of Pennsylvania, 416 Fagin Hall, 418 Curie Blvd, Philadelphia, PA 19104, United States. Electronic address: abutt@nursing.upenn.edu.
Malia JonesApplied Population Laboratory, University of Wisconsin-Madison, 1450 Linden Dr Ste. 316, Madison, WI 53706, United States. Electronic address: Malia.jones@wisc.edu.
Caitlin MckownApplied Population Laboratory, University of Wisconsin-Madison, 1450 Linden Dr Ste. 316, Madison, WI 53706, United States. Electronic address: cmckown@wisc.edu.
Daniel SalmonInternational Health Department, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, W5035, Baltimore, MD 21202, United States. Electronic address: dsalmon1@jhu.edu.
Saad B OmerHubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Room 7017, Atlanta, GA 30033, United States. Electronic address: somer@emory.edu.

Funding

Statistical Data Enclave CoreP30AG017266 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Michal Engelman · 1999 to 2026
$17.0M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ · 2016 to 2026
$6.9M
CALIFORNIA CENTER FOR POPULATION TRAINING PROGRAMT32HD007545 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ, Megan M Sweeney · 2001 to 2026
$4.1M
Vaccination status of children exempted from school-entry immunization mandatesR03HD080732 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BUTTENHEIM, ALISON MEREDITH · 2014 to 2015
$158k
NIA NIH HHS P30 AG017266NICHD NIH HHS P2C HD041022NICHD NIH HHS R03 HD080732NICHD NIH HHS T32 HD007545
6 · The paper itself

Abstract

Recent measles and pertussis outbreaks in the US have focused national attention on state laws governing exemptions from mandatory vaccines for school entry. After several years of increases in nonmedical exemptions in California, the state assembly passed Assembly Bill 2109 in 2012, making nonmedical exemptions more difficult to obtain by requiring parents to obtain a signature from a health care provider. We used data from the California Department of Public Health to describe changes in the overall prevalence of personal belief exemptions and compositional changes in immunization status for the school years 2012-2013 through 2015-2016. Following the implementation of Assembly Bill 2109, the statewide exemption rate declined from 3.1% in 2013 to 2.5% in 2014 and then to 2.3% in 2015, representing a 25% reduction from the 2013 peak. Continued surveillance of exemption rates and vaccine refusal are needed to monitor and protect herd immunity against vaccine-preventable diseases.

Indexed as

Immunization ProgramsReligionVaccination CoverageCaliforniaChildChild, PreschoolHealth PolicyHumansOrganizational PolicyVaccinationVaccinesVaccinesImmunizationInfectious diseaseSchool healthState policySurveillanceVaccines

Identifiers

PMID29778514
PMCPMC7153733

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.