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This research was reviewed by the NYU Langone institutional review board and was determined to meet the criteria for exemption 4 under 45 CFR 46. We used the margins command in Stata version 17 (StataCorp) to show the regression-adjusted vaccination percentage. We also controlled for school-level percentage of students that were female, economically disadvantaged, experiencing homelessness, or in foster care. We then used ordinary least squares (weighted by share of total enrollment) to determine the regression-adjusted association between school-level vaccination and race and ethnicity, both overall and in a model with race and ethnicity by borough interactions. We created a set of mutually exclusive and exhaustive categorical variables identifying the majority race or ethnicity of students in each school (Hispanic, Black, White, Asian, or no majority race). 5 To correspond with the differential timing of vaccination approval for children older vs younger than age 12 years, we categorized schools into 3 groups: elementary (serving grades pre-kindergarten to 5, younger than age 12 years), middle-high (grades 6 to 12, likely older than 12 years), and other grades (eg, schools with grades kindergarten to 8, kindergarten to 12). Using a consistent school identifier, we matched the March 9, 2022, data release to school-level data from the 2020-2021 School Report card. 4 These data included school-level percentages of students fully (not including boosters) or partially vaccinated for children ages 5 years and older. NYC recently posted school-level vaccination data gathered from the NYC Department of Health and Mental Hygiene’s centralized Citywide Immunization Registry. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.









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