{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Abraham C"],"funding":["AHRQ HHS"],"pagination":["e2023061545"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10691407"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["152(5)"],"pubmed_abstract":["<h4>Objectives</h4>To determine whether a state influenza vaccine mandate and elevated community coronavirus disease 2019 (COVID-19) severity affected a child's probability of receiving an influenza vaccine during the 2020-2021 influenza season, given the child's previous vaccination history.<h4>Methods</h4>Longitudinal cohort study using enrollment and claims data of 71 333 children aged 6 months to 18 years living in Massachusetts, New Hampshire, and Maine, from a regional insurer. Schoolchildren in Massachusetts were exposed to a new influenza vaccine mandate in the 2020-2021 season. Community COVID-19 severity was measured using county-level total cumulative confirmed case counts between March 2020 and August 2020 and linked by zip codes. The primary outcome of interest was a claim for any influenza vaccine in the 2020-2021 season.<h4>Results</h4>Children living in a state with a vaccine mandate during the 2020-2021 influenza season had a higher predicted probability of receiving an influenza vaccine than those living in states without a mandate (47.7%, confidence interval 46.4%-49.0%, vs 21.2%, confidence interval 18.8%-23.6%, respectively, for previous nonvaccinators, and 78.2%, confidence interval 77.4%-79.0%, vs 58.2%, confidence interval 54.7%-61.7%, for previous vaccinators); the difference was 6.5 percentage points greater among previous nonvaccinators (confidence interval 1.3%-11.7%). Previously vaccinated children had a lower predicted probability of receiving an influenza vaccine if they lived in a county with the highest COVID-19 severity compared with a county with low COVID-19 severity (72.1%, confidence interval 70.5%-73.7%, vs 77.3%, confidence interval 74.7%-79.9%).<h4>Conclusions</h4>Strategies to improve uptake of influenza vaccination may have differential impact based on previous vaccination status and should account for community factors."],"journal":["Pediatrics"],"pubmed_title":["Vaccine Mandates and Influenza Vaccination During the Pandemic."],"pmcid":["PMC10691407"],"funding_grant_id":["T32 HS000063"],"pubmed_authors":["Abraham C","LeCates RF","Garabedian LF","Galbraith AA"],"additional_accession":[]},"is_claimable":false,"name":"Vaccine Mandates and Influenza Vaccination During the Pandemic.","description":"<h4>Objectives</h4>To determine whether a state influenza vaccine mandate and elevated community coronavirus disease 2019 (COVID-19) severity affected a child's probability of receiving an influenza vaccine during the 2020-2021 influenza season, given the child's previous vaccination history.<h4>Methods</h4>Longitudinal cohort study using enrollment and claims data of 71 333 children aged 6 months to 18 years living in Massachusetts, New Hampshire, and Maine, from a regional insurer. Schoolchildren in Massachusetts were exposed to a new influenza vaccine mandate in the 2020-2021 season. Community COVID-19 severity was measured using county-level total cumulative confirmed case counts between March 2020 and August 2020 and linked by zip codes. The primary outcome of interest was a claim for any influenza vaccine in the 2020-2021 season.<h4>Results</h4>Children living in a state with a vaccine mandate during the 2020-2021 influenza season had a higher predicted probability of receiving an influenza vaccine than those living in states without a mandate (47.7%, confidence interval 46.4%-49.0%, vs 21.2%, confidence interval 18.8%-23.6%, respectively, for previous nonvaccinators, and 78.2%, confidence interval 77.4%-79.0%, vs 58.2%, confidence interval 54.7%-61.7%, for previous vaccinators); the difference was 6.5 percentage points greater among previous nonvaccinators (confidence interval 1.3%-11.7%). Previously vaccinated children had a lower predicted probability of receiving an influenza vaccine if they lived in a county with the highest COVID-19 severity compared with a county with low COVID-19 severity (72.1%, confidence interval 70.5%-73.7%, vs 77.3%, confidence interval 74.7%-79.9%).<h4>Conclusions</h4>Strategies to improve uptake of influenza vaccination may have differential impact based on previous vaccination status and should account for community factors.","dates":{"release":"2023-01-01T00:00:00Z","publication":"2023 Nov","modification":"2025-04-26T17:20:24.786Z","creation":"2025-04-06T15:28:53.285Z"},"accession":"S-EPMC10691407","cross_references":{"pubmed":["37814817"],"doi":["10.1542/peds.2023-061545"]}}