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Sociodemographic predictors of vaccination exemptions on the basis of personal belief in California

Author

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  • Tony Yang, Y.
  • Delamater, P.L.
  • Leslie, T.F.
  • Mello, M.M.

Abstract

Objectives. We examined the variability in the percentage of students with personal belief exemptions (PBEs) from mandatory vaccinations in California schools and communities according to income, education, race, and school characteristics. Methods. We used spatial lag models to analyze 2007-2013 PBE data from the California Department of Public Health. The analyses included school-and regional-level models, and separately examined the percentage of students with exemptions in 2013 and the change in percentages over time. Results. The percentage of students with PBEs doubled from 2007 to 2013, from 1.54% to 3.06%. Across all models, higher median household income and higher percentage of White race in the population, but not educational attainment, significantly predicted higher percentages of students with PBEs in 2013. Higher income, White population, and private school type significantly predicted greater increases in exemptions from 2007 to 2013, whereas higher educational attainment was associated with smaller increases. Conclusions. Personal belief exemptions are more common in areas with a higher percentage of White race and higher income.

Suggested Citation

  • Tony Yang, Y. & Delamater, P.L. & Leslie, T.F. & Mello, M.M., 2016. "Sociodemographic predictors of vaccination exemptions on the basis of personal belief in California," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 172-177.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302926_0
    DOI: 10.2105/AJPH.2015.302926
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    Cited by:

    1. Buckman, Cierra & Liu, Indran C. & Cortright, Lindsay & Tumin, Dmitry & Syed, Salma, 2020. "The influence of local political trends on childhood vaccine completion in North Carolina," Social Science & Medicine, Elsevier, vol. 260(C).
    2. Delamater, Paul L. & Leslie, Timothy F. & Yang, Y. Tony, 2016. "A spatiotemporal analysis of non-medical exemptions from vaccination: California schools before and after SB277," Social Science & Medicine, Elsevier, vol. 168(C), pages 230-238.
    3. Reich, Jennifer A., 2020. "“We are fierce, independent thinkers and intelligent”: Social capital and stigma management among mothers who refuse vaccines," Social Science & Medicine, Elsevier, vol. 257(C).
    4. Sakai, Yutaro, 2018. "The Vaccination Kuznets Curve: Do vaccination rates rise and fall with income?," Journal of Health Economics, Elsevier, vol. 57(C), pages 195-205.

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