Trends and Characteristics of Proposed and Enacted State Legislation on Childhood Vaccination Exemption, 2011–2017.

Objectives. To examine trends and characteristics of proposed and enacted state legislation that would directly affect states' immunization exemption laws. Methods. We performed content analysis of proposed bills in state legislatures from 2011 to 2017. We classified bills as provaccination or antiv...

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Publicado en:American Journal of Public Health Vol. 109; no. 1; pp. 102 - 108
Autores principales: Goldstein, Neal D., Suder, Joanna S., Purtle, Jonathan
Formato: Artículo
Publicado: American Public Health Association Jan2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2019
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      pub: American Public Health Association
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        134666864
        10.2105/AJPH.2018.304765
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        atl: Trends and Characteristics of Proposed and Enacted State Legislation on Childhood Vaccination Exemption, 2011–2017.
      aug:
        au:
          Goldstein, Neal D.
          Suder, Joanna S.
          Purtle, Jonathan
      su:
        United States
        India
        State laws
        Trends
        Anti-vaccination movement
        Children's rights
        Content analysis
        Health services accessibility
        Immunization
        Health policy
        Public health
        Children
        Vaccination of children laws
        Exemption (Law)
        Vaccination policies
        Legislative bills
        U.S. state legislatures
        State governments -- Law & legislation
        Health insurance reimbursement
      sug:
        subj:
          State laws
          Trends
          Anti-vaccination movement
          Children's rights
          Content analysis
          Health services accessibility
          Immunization
          Health policy
          Public health
          Children
          United States
          India
          Administration of Public Health Programs
          Health and Welfare Funds
          Vaccination of children laws
          Exemption (Law)
          Vaccination policies
          Legislative bills
          U.S. state legislatures
          State governments -- Law & legislation
          Health insurance reimbursement
      ab: Objectives. To examine trends and characteristics of proposed and enacted state legislation that would directly affect states' immunization exemption laws. Methods. We performed content analysis of proposed bills in state legislatures from 2011 to 2017. We classified bills as provaccination or antivaccination. Results. State legislators proposed 175 bills, with the volume increasing over time: 92 (53%) bills expanded access to exemptions, and 83 (47%) limited the ability to exempt. Of the 13 bills signed into law, 12 (92%) limited the ability to exempt. Bills that expanded access to exemptions were more likely to come from Republican legislators and Northeastern and Southern states. Conclusions. Although most proposed legislation would have expanded access to exemptions, bills that limited exemptions were more likely to be enacted into law. Legal barriers to exempt one's children from vaccination persist despite vaccine hesitancy, which is encouraging for public health. Public Health Implications. Most vaccine exemption laws introduced in state legislatures would pose threats to the public's health. There is a need for constituents to engage their elected legislators and advocate provaccination policies.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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