ArticleVaccines2020
The Impact of Mandatory Vaccination Law in Italy on MMR Coverage Rates in Two of the Largest Italian Regions (Emilia-Romagna and Sicily): An Effective Strategy to Contrast Vaccine Hesitancy.
Article in Vaccines, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Hesitancy and compulsory vaccination: are non-mandatory vaccines the victims? A study on Italian regions.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Vaccination coverage among adolescent athletes: Patterns, gaps, and implications for sports medicine.Human vaccines & immunotherapeutics · 2025Article
- Trends in pediatric vaccination coverage in Italy from 2000 to 2023.European journal of public health · 2025Article
- Socioeconomic Differences in Vaccination Coverage After a Mandatory Vaccination Law, 1855-1900.JAMA network open · 2025Article
- Safety of Adjuvanted Recombinant Herpes Zoster Virus Vaccination in Fragile Populations: An Observational Real-Life Study.Vaccines · 2024Article
- Convergence on Coercion: Functional and Political Pressures as Drivers of Global Childhood Vaccine Mandates.International journal of health policy and management · 2022Article
- An Overview of Strategies to Improve Vaccination Compliance before and during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- COVID-19: opinions and behavior of Italian general population during the first epidemic phase.Acta bio-medica : Atenei Parmensis · 2022Article
- The Long-Term Success of Mandatory Vaccination Laws After Implementing the First Vaccination Campaign in 19th Century Rural Finland.American journal of epidemiology · 2022Article
- Ten Actions to Counteract Vaccine Hesitancy Suggested by the Italian Society of Hygiene, Preventive Medicine, and Public Health.Vaccines · 2022Article
- Review
- Article
- Article
- Proposal for an Alliance Between Healthcare and Legal Area Professionals for Shared Public Health and Preventive Strategies in Italy and Europe.Frontiers in public health · 2020Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVaccine hesitancy has increased worldwide, leading to reduction in vaccination coverage rates. In particular, reduction in the coverage for the trivalent Measles-Mumps-Rubella vaccine has led to an increase of measles cases. The aim of this study is to analyze the coverage rates for the MMR vaccine in the Emilia-Romagna Region (RER) and Sicily Region (SR) between 2009 and 2018, and to correlate any significant change to index events which could have modified the trend of vaccination rates.
methodsOfficial aggregate data on vaccination coverage at 24 months provided by the RER and the SR were analyzed through trend analysis and related to important index events.
resultsThe two regions showed similar results; both achieved the lowest coverage rates in 2015 and both showed an increase in the rates after the introduction of mandatory vaccinations for access to schools. In 2018, both reached the starting point before the decrease.
conclusionOur results confirm the effectiveness of legislative coercive measures in favor of vaccination. A potential decrease in the coverage rates may be observed as a result of an attenuation of the positive effects of coercive measures over time. It is thus necessary to combine these measures together with information campaigns and political initiatives at different levels (i.e. national, regional).
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