Impact of school vaccination mandates on pediatric vaccination coverage: a systematic review

Greyson, Devon; Vriesema-Magnuson, Chris; Bettinger, Julie A.

doi:10.9778/cmajo.20180191

Cited by 35 publications

(22 citation statements)

References 43 publications

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“…Using NIS datasets 2008-2017, we found that children and adolescents residing in states with S or C + S requirements were more likely to initiate and complete Hep A vaccination, compared with those residing in states without such requirements. Our findings are similar to other studies that have evaluated the impact of other school vaccination requirements on vaccination rates [ 8 ].…”

Section: Discussionsupporting

confidence: 91%

Association Between State Hepatitis A Vaccination Requirements and Hepatitis A Vaccination Rates

Choi

Bhatti

Liu

et al. 2022

Journal of the Pediatric Infectious Diseases Society

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Section: Discussionsupporting

confidence: 91%

Association Between State Hepatitis A Vaccination Requirements and Hepatitis A Vaccination Rates

Choi

Bhatti

Liu

et al. 2022

Journal of the Pediatric Infectious Diseases Society

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“…These mandates may have already positively impacted vaccine acceptance [29]. While there is strong evidence supporting the net benefit of mandates for previous vaccines among school children [30] and healthcare facilities [31], the US does not have experience implementing vaccine mandates in situations where about a quarter of the population does not want the vaccine even after widespread free access. The highly politicized and polarized COVID-19 environment in the US may increase the risk of pushback to mandates.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccination Status, Attitudes, and Values among US Adults in September 2021

Dudley

Schwartz

Brewer

et al. 2022

JCM

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Background: The Delta COVID-19 variant caused a resurgence in cases and deaths during the summer of 2021, particularly among the unvaccinated, highlighting the need to increase vaccine coverage. We describe a survey conducted in September 2021, in the midst of the Delta variant surge, after the FDA fully approved Pfizer-BioNTech’s vaccine for ages 16+ and issued an emergency use authorization for ages 12–15. Methods and Findings: US adults were surveyed to measure COVID-19 vaccination status, intentions, attitudes, values, and trust in public health authorities. More than three-quarters (77%) reported receiving at least one dose of COVID-19 vaccination. Of the unvaccinated, 6% intended to vaccinate, 40% were unlikely to ever vaccinate, and 55% remained uncertain. Most of the unvaccinated were <45 years old (62%), without a bachelor’s degree (83%), earning less than $85,000 annually (74%), and Republican/Independent (66%). Concerns among the unvaccinated-yet-still-uncertain included the vaccines’ safety (86%), speed of development (86%), and suspicion of government (79%) and pharmaceutical companies (69%). Most (86%) of the unvaccinated reported they would not vaccinate if mandated by their employer. About one third (34%) of the unvaccinated reported facing at least one barrier to vaccination. Conclusion: More than half of unvaccinated adults remained uncertain about COVID-19 vaccination, indicating an opportunity to support their decision making. Public health must increase easy and equitable access to vaccination and renew efforts to provide unvaccinated populations access to information from trusted sources.

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“…As an evidence-based strategy, school-entry requirements have proved to increase vaccination rates among children and youth [ 4 ]. The Advisory Committee on Immunization Practices (ACIP) recommends the HPV vaccine as a routine vaccine for girls (since 2006) and boys (since 2011) at ages 11–12 years old [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding parents’ views toward the newly enacted HPV vaccine school entry policy in Puerto Rico: a qualitative study

et al. 2021

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Background The Human papillomavirus vaccine (HPV) is an essential tool for the prevention of HPV-related cancers. In Puerto Rico, the Secretary of Health established a school entry requirement of at least one dose of HPV vaccination in girls and boys aged 11 and 12 years, taking effect in August 2018. Our study aimed to examine parents’ and guardians’ views of unvaccinated children about the process of implementation of the new HPV vaccination school entry policy in Puerto Rico and identify potential barriers and facilitators related to the implementation of this requirement. Methods During April through November 2019, we conducted three focus groups (n = 12) and eight in-depth semi-structured interviews with parents of children aged 11 and 12 who had not yet initiated the HPV vaccine series. The interview topics addressed were: perception of vaccination, HPV vaccine and it is inclusion as new school entry requirement practice, procedure of the sources of information, influencers, and willingness to change. The interviews were recorded and transcribed by our staff members. We identified emergent themes through thematic analysis. Results The participants’ perspective on the HPV vaccine school requirement was mixed. Lack of information of the HPV vaccines and lack of communication about the school-entry requirement were the themes most mentioned in the interviews. Moreover, previous negative experiences from friends or family members and adverse effects deterred some participants from vaccinating their kids. We discussed barriers in the process of soliciting an exemption. Conclusion Most barriers mentioned by study participants are modifiable. Information about the HPV vaccine mandate’s implementation and educational materials regarding HPV vaccine safety need to be provided to address parents’ concerns related to the vaccine’s side effects. Schools (teachers, principal directors, and administrative staff), the government, and parent organizations need to be part of these efforts. This multilevel approach will help to improve disseminating information about HPV vaccination to clarify doubts and misinformation among parents.

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Impact of school vaccination mandates on pediatric vaccination coverage: a systematic review

Abstract: Competing interests: Devon Greyson reports grants from the British Columbia Immunization Committee during the conduct of the study. No other competing interests were declared. This article has been peer reviewed.

Cited by 35 publications

References 43 publications

Association Between State Hepatitis A Vaccination Requirements and Hepatitis A Vaccination Rates

Association Between State Hepatitis A Vaccination Requirements and Hepatitis A Vaccination Rates

COVID-19 Vaccination Status, Attitudes, and Values among US Adults in September 2021

Understanding parents’ views toward the newly enacted HPV vaccine school entry policy in Puerto Rico: a qualitative study

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