Maasoumeh Barkhordari-Sharifabad, Saeed Vaziri-Yazdi, Mansoureh Barkhordari-Sharifabad
The effect of teaching puberty health concepts on the basis of a health belief model for improving perceived body image of female adolescents: a quasi-experimental study
BMC public health
study explored vaccine exemption clustering michigan examined whether vaccine exemptions clustered exemption type medical religious philosophical furthermore study investigated whether michigans nonmedical vaccine exemption policy change impact typespecific vaccine exemption clusters following implementation study used arcgis optimized hot spot analysis tool visually examine vaccine exemption clustering type michigan study analyzed secondary kindergarten vaccine exemption data 2301 elementary school buildings michigan years spanning 2008 2015 2016 2017 post policy change clustering vaccine exemptions type present implementation policy fewer statistically significant features differences regarding distribution hot spot clusters following policy change considering heterogeneity vaccine exemption hot spot clustering type help inform public health officials areascommunities high risk vaccine preventable disease outbreaks analysis allow implementation vaccine exemption interventions exemption type specific tailored given area thus maximizing impact making best use limited public health resources analysis also able showcase impact michigans nonmedical vaccine exemption policy vaccine exemption hot spot clusters