ArticleProceedings of the National Academy of Sciences of the United States of America2024
US state vaccine mandates did not influence COVID-19 vaccination rates but reduced uptake of COVID-19 boosters and flu vaccines compared to bans on vaccine restrictions.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 5 citations in OpenAlex.
- How Partisan Policies Can Shape Health Behaviors: Executive Order Proof-of-Vaccine Mandate Bans Increased COVID-19 Vaccinations.Vaccines · 2026Article
- An open repository of COVID-19 vaccine mandate studies with a worked scoping review of quasi-experimental evidence.NPJ vaccines · 2026Article
- Ownership change in American nursing homes during the COVID-19 pandemic and the relationship with measures in Donabedian's model of care quality.The Gerontologist · 2026Article
- The new vision from the National Institute of Allergy and Infectious Diseases (NIAID).Nature medicine · 2026Article
- Political Affiliation, Policy Measures, and Intention to Receive COVID-19 and Influenza Vaccines.International journal of environmental research and public health · 2024Article
- Reply to Fitzgerald: COVID-19 vaccine mandates and voluntary vaccination behavior.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- US states that mandated COVID-19 vaccination see higher, not lower, take-up of COVID-19 boosters and flu vaccines.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
During the COVID-19 pandemic, some US states mandated vaccination for certain citizens. We used state-level data from the CDC to test whether vaccine mandates predicted changes in COVID-19 vaccine uptake, as well as related voluntary behaviors involving COVID-19 boosters and seasonal influenza vaccines. Results showed that COVID-19 vaccine adoption did not significantly change in the weeks before and after states implemented vaccine mandates, suggesting that mandates did not directly impact COVID-19 vaccination. Compared to states that banned vaccine restrictions, however, states with mandates had lower levels of COVID-19 booster adoption as well as adult and child flu vaccination, especially when residents initially were less likely to vaccinate for COVID-19. This research supports the notion that governmental restrictions in the form of vaccination mandates can have unintended negative consequences, not necessarily by reducing uptake of the mandated vaccine, but by reducing adoption of other voluntary vaccines.
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