![]() ![]() Whether we want to go down the road of fully coercive policies … that’s a longer and harder discussion,” said Jon Zelner, assistant professor of epidemiology at U-M’s School of Public Health and one of the authors of the study. If we’re thinking about behavior change, you have to make it not just a little harder, but a lot harder to get the exemption. “It shows that it’s not just enough to make it inconvenient to get the exemption. ![]() ![]() Interestingly, they note, income disparities in NME rates decreased after the rule change. They found that while NMEs among kindergartners fell by 32% immediately after the rule change, by 2018 the rates had rebounded by 26%. They analyzed sociodemographic predictors of nonmedical exemptions before and after the administrative rule, as well as measuring the persistence and school district-level geographic clustering of these exemptions. “This rule change did not cause a sustained reduction in the rate or spatial distribution of nonmedical exemptions in the state.”įor their study, the researchers used vaccination data of all Michigan kindergartners enrolled in schools with five or more students, including public, private, charter and virtual schools between 20. “Although Michigan’s administrative rule change caused a short-term decline in nonmedical exemptions, rates have risen dramatically in the following four years since the policy was implemented,” said lead author Nina Masters, who did the research as part of her doctoral dissertation the Department of Epidemiology at U-M’s School of Public Health. After the implementation of Michigan’s administrative rule change, this gap diminished substantially. Prior to 2015, Michiganders in the highest tertile of per capita income had the highest probability of obtaining an NME compared to low- and middle-income earners. ![]()
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