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School Mandate and Influenza Vaccine Uptake Among Prekindergartners in New York City, 2012-2019
Kai Hong1, Megan C Lindley1, Yuping Tsai1
1Kai Hong, Megan C. Lindley, Yuping Tsai, and Fangjun Zhou are with the Immunization Service Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA. Note. The findings and conclusions in this article are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.
Abstract:
New York City (NYC) introduced a universal prekindergarten program in 2014 that mandated influenza vaccination for enrollment. We conducted a difference-in-difference-in-differences study to evaluate the program using 2012 to 2019 MarketScan claims data. After the introduction of the program, influenza vaccine uptake among four-year-old children in NYC during the subsequent seasons increased by 6.3 to 9.8 percentage points compared with the rest of New York State. (Am J Public Health. 2022;112(5):719-723. https://doi.org/10.2105/AJPH.2022.306765).

