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ERIC Number: EJ1446222
Record Type: Journal
Publication Date: 2024-Nov
Pages: 9
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0022-4391
EISSN: EISSN-1746-1561
Characteristics Associated with Measles, Mumps, and Rubella Coverage and Exemptions after a School Immunization Law Change in Washington, 2019-2020
Tyler Moore; Katherine Graff; Teal R. Bell
Journal of School Health, v94 n11 p1031-1039 2024
Background: We aimed to better understand the impact of statewide legislation removing personal belief exemptions (PBEs) for the measles, mumps, and rubella (MMR) school immunization requirement and factors associated with resulting health-seeking behaviors. Methods: We used chi-squared tests and logistic regression models to determine individual- and school-level characteristics associated with holding a MMR PBE and with post-law MMR immunization status among students linked to the Washington State Immunization Information System. Results: Of students with a MMR PBE pre-law change, 43.0% completed the MMR vaccine series and 40.4% sought another exemption type. Religious exemptions made up most new MMR exemptions signed (71.8%), followed by medical exemptions (18.5%), and religious membership exemptions (9.7%). Students were more likely to complete the vaccine series post-law change if they attended a school with a low school-level MMR exemption rate, a public school, or held a lower number of school-required immunization exemptions. Conclusions: This study confirms previous concerns that parents might replace their PBE with another exemption type; however, nearly half the students in the cohort completed the MMR vaccine series. Our findings suggest that targeted immunization policies can increase MMR coverage 1-year post-law change but must account for a replacement effect when exemption categories are eliminated.
Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://bibliotheek.ehb.be:2191/en-us
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Centers for Disease Control and Prevention (CDC) (DHHS/PHS)
Authoring Institution: N/A
Grant or Contract Numbers: N/A