Skip to main content
bioRxiv
  • Home
  • About
  • Submit
  • ALERTS / RSS
Advanced Search
New Results

Assessing the distribution and determinants of vaccine underutilization in the United States

Sandra Goldlust, Elizabeth C Lee, Murali Haran, Pejman Rohani, Shweta Bansal
doi: https://doi.org/10.1101/113043
Sandra Goldlust
Georgetown University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elizabeth C Lee
Georgetown University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Murali Haran
Penn State University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Pejman Rohani
University of Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Shweta Bansal
Georgetown University;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: shweta.bansal@georgetown.edu
  • Abstract
  • Info/History
  • Metrics
  • Preview PDF
Loading

Abstract

Despite advances in sanitation and immunization, vaccine-preventable diseases remain a significant cause of morbidity and mortality worldwide. In high-income countries such as the United States, coverage rates for vaccination against childhood infections remains high. However, the phenomenon of vaccine hesitancy makes maintenance of herd immunity difficult, impeding global disease eradication efforts. Reaching the ‘last mile’ will require early detection of vaccine hesitancy (driven by philosophical or religious choices), identifying pockets of susceptibility due to underimmunization (driven by vaccine unavailability, costs ineligibility), determining the factors associated with the behavior and developing targeted strategies to ameliorate the concerns. Towards this goal, we harness high-resolution medical claims data to geographically localize vaccine refusal and underimmunization (collectively, ‘underutilization’) in the United States and identify the socio-economic determinants of the behaviors. Our study represents the first large-scale effort for vaccination behavior surveillance and has the potential to aid in the development of targeted public health strategies for optimizing vaccine uptake.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY 4.0 International license.
Back to top
PreviousNext
Posted March 03, 2017.
Download PDF
Email

Thank you for your interest in spreading the word about bioRxiv.

NOTE: Your email address is requested solely to identify you as the sender of this article.

Enter multiple addresses on separate lines or separate them with commas.
Assessing the distribution and determinants of vaccine underutilization in the United States
(Your Name) has forwarded a page to you from bioRxiv
(Your Name) thought you would like to see this page from the bioRxiv website.
Share
Assessing the distribution and determinants of vaccine underutilization in the United States
Sandra Goldlust, Elizabeth C Lee, Murali Haran, Pejman Rohani, Shweta Bansal
bioRxiv 113043; doi: https://doi.org/10.1101/113043
Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Citation Tools
Assessing the distribution and determinants of vaccine underutilization in the United States
Sandra Goldlust, Elizabeth C Lee, Murali Haran, Pejman Rohani, Shweta Bansal
bioRxiv 113043; doi: https://doi.org/10.1101/113043

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Subject Area

  • Epidemiology
Subject Areas
All Articles
  • Animal Behavior and Cognition (1003)
  • Biochemistry (1502)
  • Bioengineering (954)
  • Bioinformatics (6860)
  • Biophysics (2451)
  • Cancer Biology (1808)
  • Cell Biology (2547)
  • Clinical Trials (108)
  • Developmental Biology (1710)
  • Ecology (2589)
  • Epidemiology (1508)
  • Evolutionary Biology (5048)
  • Genetics (3632)
  • Genomics (4651)
  • Immunology (1186)
  • Microbiology (4275)
  • Molecular Biology (1637)
  • Neuroscience (10865)
  • Paleontology (83)
  • Pathology (243)
  • Pharmacology and Toxicology (411)
  • Physiology (560)
  • Plant Biology (1469)
  • Scientific Communication and Education (414)
  • Synthetic Biology (546)
  • Systems Biology (1891)
  • Zoology (261)