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

Bibliographic Data

ID11033940
AuthorsNeal D Goldstein (0000-0002-9597-5251, Neal D. Goldstein is with the Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA. Joanna S. Suder is with the Civil Division, Delaware Department of Justice, Wilmington. Jonathan Purtle is with the Department of Health Management and Policy, Drexel University Dornsife School of Public Health.), Joanna S Suder (Neal D. Goldstein is with the Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA. Joanna S. Suder is with the Civil Division, Delaware Department of Justice, Wilmington. Jonathan Purtle is with the Department of Health Management and Policy, Drexel University Dornsife School of Public Health.), Jonathan Purtle (0000-0001-6908-5944, Neal D. Goldstein is with the Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA. Joanna S. Suder is with the Civil Division, Delaware Department of Justice, Wilmington. Jonathan Purtle is with the Department of Health Management and Policy, Drexel University Dornsife School of Public Health.)
Year2019
Volume109
Issue1
Pages102-107
Publication date2019-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2018.304765
PMID30496007
OpenAlexW2902065393
LanguageEN
Citations received5
References cited25

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

Business · Environmental health · Legislation · Legislature · Political science · Public health · State (computer science) · Child and Adolescent Health · Ethics and Legal Issues in Pediatric Healthcare · Law · Medicine · Public Administration · Vaccine Coverage and Hesitancy

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Unique citing works5
Citations per year0,83
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5

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