United States Private Schools Have Higher Rates of Exemptions to School Immunization Requirements than Public Schools - 25/06/14
, Boldtsetseg Tserenpuntsag, DrPH 2, Louise-Anne McNutt, PhD 3, Neal Halsey, MD 4Abstract |
Objective |
To compare medical, religious, and personal belief immunization exemption rates between private and public schools in US.
Study design |
Exemption rates were calculated using the Centers for Disease Control and Prevention School Immunization Assessment Surveys for the 2009-2010 school year excluding states with incomplete survey data. Standardized exemption rates weighted on enrollments in public and private schools were calculated. Differences in exemption rates between public and private schools were tested using Wilcoxon signed rank test.
Results |
The overall state exemption rate was higher in US private than public schools, 4.25% (SD 4.27) vs 1.91% (1.67), P = .0001 and private schools had higher exemption rates for all types of exemptions; medical 0.58% (0.71) vs 0.34% (0.34) respectively (P = .0004), religious 2.09% (3.14) vs 0.83% (1.05) respectively (P = .0001), and personal belief 6.10% (4.12) vs 2.79% (1.57), respectively (P = .006). Overall exemption rates were significantly higher in states that allowed personal belief exemptions.
Conclusions |
Exemption rates were significantly higher in US private than in public schools. Children attending private schools may be at higher risk of vaccine-preventable diseases than public school children.
Le texte complet de cet article est disponible en PDF.Keyword : CDC, VPD
Plan
| N.H. receives compensation for participation in Safety Monitoring Committees from Merck and Novartis for studies of vaccines unrelated to the vaccines in this study, and is participating in the defense of a lawsuit for GlaxoSmithKline on patents related to immunization schedules. J.S. was a speaker for Merck (2011-2012), and received an honorarium and travel for the lectures. The other authors declare no conflicts of interest. |
Vol 165 - N° 1
P. 129-133 - juillet 2014 Retour au numéro
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