Evidence map›Paper›PMID 30226822›Full record

ArticleThe Journal of clinical ethics2018

Refusal of Vaccination: A Test to Balance Societal and Individual Interests.

Kavita Shah Arora, Jane Morris, Allan J Jacobs

Abstract read
In one paragraph

Article in The Journal of clinical ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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

3 authors.

Kavita Shah AroraDepartment of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, Ohio, and Department of Bioethics, Case Western Reserve University, Cleveland, Ohio, USA. Kavita.Shah.Arora@gmail.com.
Jane MorrisDepartment of Obstetrics/Gynecology, MetroHealth Medical Center, Cleveland, Ohio, USA.
Allan J JacobsDepartment of Obstetrics and Gynecology, Coney Island Hospital, Brooklyn, New York, and Department of Obstetrics and Gynecology and Department of Bioethics, Stony Brook University, Stony Brook, New York, USA.

Funding

Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Institutional Career Development CoreKL2TR002547 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI DWEIK, RAED A. · 2018 to 2022
$7.7M
NCATS NIH HHS KL2 TR000440NCATS NIH HHS KL2 TR002547
6 · The paper itself

Abstract

While all states in the United States require certain vaccinations for school attendance, all but three allow for religious exemptions to receiving such vaccinations, and 18 allow for exemptions on the basis of other deeply held personal beliefs. The rights of parents to raise children as they see fit may conflict with the duty of the government and society to protect the welfare of children. In the U.S., these conflicts have not been settled in a uniform and consistent manner. We apply a test that provides a concrete and formal rubric to evaluate such conflicts. For some vaccinations, based on the individual medical characteristics of the disease and the risks of being unvaccinated, the test would suggest that permitting conscientious exemptions is ethical. However, for vaccinations protecting against other diseases that are more severe or easily transmitted, the test would suggest that the federal government may ethically impose laws that deny such exemptions.

Indexed as

Anti-Vaccination MovementHumansMandatory ProgramsUnited StatesVaccinationVaccination Refusal

Identifiers

PMID30226822
PMCPMC6457107

What OpenQuestion holds

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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.