Evidence map›Paper›PMID 31982257›Full record

ArticleVaccine2020

Homeschooling parents in California: Attitudes, beliefs and behaviors associated with child's vaccination status.

Salini Mohanty, Caroline M Joyce, Paul L Delamater, Nicola P Klein, Daniel Salmon, Saad B Omer, Alison M Buttenheim

Abstract read
In one paragraph

Article in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Seven-year-old Girl with Vomiting, Diarrhea, and Decreased Oral Intake.Clinical practice and cases in emergency medicine · 2026
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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

7 authors.

Salini MohantyDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, United States. Electronic address: smohanty@upenn.edu.
Caroline M JoyceDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, United States.
Paul L DelamaterDepartment of Geography and Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Nicola P KleinKaiser Permanente Vaccine Study Center, Oakland, CA, United States.
Daniel SalmonDepartments of International Health and Health Behavior Society, Institute for Vaccine Safety, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Saad B OmerYale Institute for Global Health, Yale University, New Haven, CT, United States; Department of Medicine, Infectious Diseases, Yale University School of Medicine, New Haven, CT, United States; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT, United States.
Alison M ButtenheimDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, United States; Center for Health Incentives and Behavioral Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States. Electronic address: abutt@nursing.upenn.edu.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Sci-Tech Core-Population Dynamics Research CenterP2CHD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI EMILIO ALBERTO PARRADO · 2018 to 2026
$5.3M
Impact of eliminating nonmedical exemptions in CaliforniaR01AI125405 · NIAID · YALE UNIVERSITY · PI SCHWARTZ, JASON LEE · 2016 to 2020
$3.8M
NIAID NIH HHS R01 AI125405NICHD NIH HHS P2C HD044964NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

backgroundSenate Bill 277 (SB277) banned nonmedical exemptions from school-entry vaccination requirements for children attending classroom-based schools in California, but excluded homeschooled children from vaccination requirements. Thus, it was hypothesized that more parents would choose to homeschool to avoid vaccination requirements in response to SB277. There is limited literature on the vaccine attitudes, beliefs, and behaviors among the homeschooling population in the US, despite an overall increase in homeschooling nationwide and documented vaccine-preventable disease outbreaks within the homeschooled child population.

methodsBetween November 2018 and January 2019, we conducted a cross-sectional online survey among homeschooling parents with at least one child in grades K-8 who is currently enrolled in one of the legally-acceptable mechanisms to homeschool in California: (1) home-based private school satellite program (PSP), or (2) public or charter independent study program (ISP) with no classroom-based instruction.

resultsAmong 140 homeschooling parents from 8 schools in California, 71% reported that their youngest child in grade K-8 was up-to-date on immunizations at kindergarten-entry and 56% reported that they made the decision to homeschool their child after the implementation of SB277. Compared to homeschooling parents whose child was up-to-date at kindergarten entry, homeschooling parents whose child was not up-to-date at kindergarten entry reported higher concerns over vaccine safety and effectiveness, more frequently cited immunization mandates as a reason to homeschool, and were more likely to report having considered moving out of California due to immunization mandates.

conclusionThere was variation in vaccine attitudes and beliefs within the homeschooling population in this sample. Immunization mandates were a factor in the decision to homeschool for some parents in this sample, supporting the hypothesis that vaccine-hesitant parents considered homeschooling as a way to avoid immunization mandates such as SB277. Future studies should explore the complexities around vaccine attitudes, beliefs and behaviors among homeschooling populations.

Indexed as

Health Knowledge, Attitudes, PracticeParentsVaccinesCaliforniaChildCross-Sectional StudiesEducationHumansSurveys and QuestionnairesVaccinationVaccination RefusalVaccinesCaliforniaHomeschoolImmunization mandatesVaccine hesitancy

Identifiers

PMID31982257
PMCPMC7446540

What OpenQuestion holds

Textmetadata
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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.