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Associations between population based voting trends during the 2016 US presidential election and adolescent vaccination rates.

Authors
  • Suryadevara, Manika1
  • Bonville, Cynthia A2
  • Cibula, Donald A3
  • Domachowske, Joseph B2
  • Suryadevara, Amar C4
  • 1 Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY 13210, United States. Electronic address: [email protected] , (United States)
  • 2 Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY 13210, United States. , (United States)
  • 3 Department of Public Health and Preventive Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, United States. , (United States)
  • 4 Department of Otolaryngology and Communication Sciences, SUNY Upstate Medical University, Syracuse, NY 13210, United States. , (United States)
Type
Published Article
Journal
Vaccine
Publication Date
Feb 21, 2019
Volume
37
Issue
9
Pages
1160–1167
Identifiers
DOI: 10.1016/j.vaccine.2019.01.036
PMID: 30691983
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Politics play a role in the dissemination of public health information, including immunization-related issues. We aim to describe relationships between HPV vaccination rates and state voting patterns during the 2016 US presidential election. We classified each of the 50 states as either "Red" or "Blue," based on whether a higher proportion of the state's casted votes were for the Republican or Democratic nominee during the 2016 US presidential election. State-specific HPV, Tdap, and meningococcal vaccination rates were obtained from the 2016-National Immunization Survey-Teen. State socio-demographic factors and HPV vaccine legislation were obtained from the US Census Bureau and National Conference of State Legislatures. Vaccination rates and socio-demographic variables were compared using independent t-tests. Multiple linear regression compared vaccination rates between "Red" and "Blue" states, adjusting for percentage of both uninsured children and educational attainment. Compared to "Blue" states, "Red" states had significantly lower unadjusted HPV vaccine series initiation (56% vs 66%, p < 0.05) and completion (39% vs 50%, p < 0.05) rates; yet had similar rates of Tdap (88% vs 89%, p > 0.05) and meningococcal (79% vs 83%, p > 0.05) vaccinations. After adjusting for potential confounders, the regression-adjusted mean rate for HPV vaccine initiation and completion remained significantly lower for "Red" states compared to "Blue" states (57% vs 65%, p < 0.05, and 41% vs 48%, p < 0.05, respectively). HPV vaccination rates are associated with statewide-level voting patterns. Future interventions aimed at improving HPV vaccination rates should consider engaging local and national elected leaders to be proactive in disseminating accurate and authoritative immunization information. Copyright © 2019 Elsevier Ltd. All rights reserved.

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