Population-Wide Vaccination Hesitancy among the Amish: A County-Level Study of COVID-19 Vaccine Adoption and Implications for Public Health Policy and Practice

Cory Anderson (), Shuai Zhou and Guangqing Chi
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Cory Anderson: Pennsylvania State University
Shuai Zhou: Pennsylvania State University
Guangqing Chi: Pennsylvania State University

Population Research and Policy Review, 2023, vol. 42, issue 4, No 20, 24 pages

Abstract: Abstract Spatially concentrated, vaccine-hesitant populations represent an ongoing challenge to public health policies that emphasize mass vaccination as a means to eradicating certain infectious diseases. Previous research suggests that Amish populations, which are spatially clustered and rapidly growing, may be undervaccinated. However, existing evidence is limited to local case studies in pre-COVID-19 contexts. Using a series of negative binomial regression models, we evaluated the association between county-level vaccination rates and the percentage of Amish in 356 Amish-populated counties in the United States from February 1, 2021 through October 31, 2022 while controlling for a set of covariates known to impact vaccination rates. Our findings suggest that, after adjusting for county-level characteristics, Amish-populated counties had approximately 1.6% (95% CI: 1.1%-2.0%; p

Keywords: Epidemiology; Enclave; Ethnic religion; Anabaptist; Health outreach (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1007/s11113-023-09816-9

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