ArticleOpen forum infectious diseases2018
Immunization Mandates, Vaccination Coverage, and Exemption Rates in the United States.
Article in Open forum infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 46 citations in OpenAlex.
- Parental Perspectives on Childhood Vaccination: Analysing Knowledge and Attitudes Among Families in Tabuk, Saudi Arabia.Patient preference and adherence · 2025Article
- The impact of regional disparities on the availability of meningococcal vaccines in the US.BMC public health · 2024Article
- Determinants of behaviour and their efficacy as targets of behavioural change interventions.Nature reviews. Psychology · 2024Article
- State Policy Removing the Personal Belief Exemption for Measles, Mumps, and Rubella (MMR) School Immunization Requirement, Washington State, 2014-2022.American journal of public health · 2023Article
- A review of immunization legislation for children in English- and Dutch-speaking Caribbean countries.Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- Preventable Disease, the Case of Colorado: School District Demographics and Childhood Immunizations.Vaccines · 2022Article
- Using concept mapping to identify opportunities for HPV vaccination efforts: Perspectives from the Midwest and West Coast.Evaluation and program planning · 2021Article
- Meningococcal disease and vaccination in college students.Human vaccines & immunotherapeutics · 2021Review
- School-level perceptions and enforcement of the elimination of nonmedical exemptions to vaccination in California.Human vaccines & immunotherapeutics · 2021Article
- Rhetorical Appeals and Tactics in New York Times Comments About Vaccines: Qualitative Analysis.Journal of medical Internet research · 2020Article
- Normalizing inconvenience to promote childhood vaccination: a qualitative implementation evaluation of a novel Michigan program.BMC health services research · 2020Article
- Legislative and administrative actions to increase vaccination coverage in Washington schools.Human vaccines & immunotherapeutics · 2020Article
- 8 months to 5 days: what happened when Pennsylvania changed the vaccination regulations for provisional enrollment?Human vaccines & immunotherapeutics · 2020Article
- Getting Personal: How Childhood Vaccination Policies Shape the Landscape of Vaccine Exemptions.Open forum infectious diseases · 2020Article
- Determinants of Meningococcal ACWY vaccination in adolescents in the US: completion and compliance with the CDC recommendations.Human vaccines & immunotherapeutics · 2020Article
- The 2016 California policy to eliminate nonmedical vaccine exemptions and changes in vaccine coverage: An empirical policy analysis.PLoS medicine · 2019Article
- Elimination of Nonmedical Immunization Exemptions in California and School-Entry Vaccine Status.Pediatrics · 2019Article
- Trends and Characteristics of Proposed and Enacted State Legislation on Childhood Vaccination Exemption, 2011-2017.American journal of public health · 2019Article
- Parental vaccine hesitancy and concerns regarding the COVID-19 virus.Journal of pediatric nursingArticle
- High Deductible Health Plans and Use of Free Preventive Services Under the Affordable Care Act.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVaccination coverage among children entering kindergarten in the United States is high, but interstate variations exist. The relationship between state immunization laws and vaccination coverage has not been fully assessed. We evaluated associations of state laws on both measles, mumps, and rubella (MMR) and diphtheria, tetanus, and pertussis (DTaP) vaccination coverage and exemptions to school immunization requirements.
methodsWe conducted a retrospective, longitudinal analysis of the effect of state immunization laws on vaccination coverage and exemptions among US kindergarteners from SY 2008 to SY 2014. The primary outcome measures were state-level kindergarten entry vaccination coverage rates for 2-dose MMR and 4-dose DTaP vaccines. Secondary outcome measures included rates of state-level exemptions (ie, medical, religious, philosophical) to school immunization requirements.
resultsWe found that state policies that refer to Advisory Committee on Immunization Practices recommendations were associated with 3.5% and 2.8% increases in MMR and DTaP vaccination rates. Health Department-led parental education was associated with 5.1% and 4.5% increases in vaccination rates. Permission of religious and philosophical exemptions was associated with 2.3% and 1.9% decreases in MMR and DTaP coverage, respectively, and a 1.5% increase in both total exemptions and nonmedical exemptions, respectively.
conclusionsWe found higher vaccination coverage and lower nonmedical exemption rates for MMR and DTaP vaccines in states adopting Advisory Committee on Immunization Practices guidelines for school entry. Adherence to these best practices was a successful strategy to increase vaccination coverage and reduce vaccination exemptions.
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