JAMA Pediatrics

Jessica A. Nadeau, Louise-Anne McNutt* and Jana Shaw

McNutt

ABSTRACT
This study assesses vaccination coverage rates and factors associated with either incomplete vaccination or exemptions among school-age children in New York State public schools outside of New York City. Gaps in intentional and unintentional vaccination coverage persist and appear to be associated with socioeconomic factors that often drive social and geographic clustering. Nonmedical exemptions to school vaccination requirements are rising nationally and in New York State (NYS). In states, including NYS, that only allow religious and medical exemptions, the association between socioeconomic characteristics and vaccination coverage and exemptions is unknown. The objective of this study was to assess vaccination coverage rates and factors associated with either incomplete vaccination or exemptions among school-age children in NYS public schools outside of New York City.

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* Denotes CSDA Associates and Staff