Vaccine Exemptions and Vaccination Coverage in the United States: OAJBS Publishers

Vaccine Exemptions and Vaccination Coverage in the United States by Agnitra Roy Choudhury* in Open Access Journal of Biomedical Science (OAJBS)

The US has been experiencing a steady decline in vaccination coverage in recent decades. Declining vaccination coverage not only risks individual health but also public health by lowering herd immunity. Reasons from anti-vax sentiments to lack of proper access to vaccines might be responsible for this decline. We study one potential mechanism that might explain variations in vaccine coverage in the US: vaccine exemptions laws. Utilizing state variations in vaccine exemption laws, we study the association between different types of exemptions on vaccination coverage. We also use Indiana’s change in their vaccine exemption law as a natural experiment to detect any causal relationship. Using data from National Immunization Survey, we do not find a strong statistical relationship between vaccination exemption laws and vaccination coverage. While the magnitudes of our difference-indifference estimates are consistent with our theoretical expectations, they are statistically insignificant or weakly significant. Our study suggests that other factors, such as personal beliefs regarding vaccine and alternative channels of being exempt, might be responsible for low coverage rates.
https://biomedscis.com/fulltext/vaccine-exemptions-and-vaccination-coverage-in-the-united-states.ID.000355.php

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