State-level voting patterns and adolescent vaccination coverage in the United States, 2014

S. Bernstein, A. North, J. Schwartz and L.M. Niccolai

American Journal of Public Health, 2016, vol. 106, issue 10, 1879-1881

Abstract: Objectives.To examine state-level associations between voting patterns and adolescent coverage for at least 1 dose of human papillomavirus (HPV), tetanus-containing (Tdap), and meningococcal (MCV4) vaccination. Methods. We classified states as "blue" (Democratic affiliation) or "red" (Republican affiliation) basedonthe Presidential electionresults in2012.Weusedmultivariablemodels to adjust for potential confounding by sociodemographic and health care access characteristics and vaccination policies. ForHPV, separatemodelswerefitted for boys and girls. Results. Adolescent vaccination coverage was significantly higher in blue states than red states for each vaccine (P

Keywords: diphtheria pertussis tetanus vaccine; Meningococcus vaccine; Wart virus vaccine, adolescent; female; human; immunization; male; mass immunization; politics; sex difference; statistics and numerical data; United States; vaccination, Adolescent; Diphtheria-Tetanus-acellular Pertussis Vaccines; Female; Humans; Immunization Schedule; Male; Mass Vaccination; Meningococcal Vaccines; Papillomavirus Vaccines; Politics; Sex Factors; United States; Vaccination (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303381_0

DOI: 10.2105/AJPH.2016.303381

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