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County-level analysis shows partisan alignment affects vaccine uptake in the US, suggesting new public health strategies are needed.
< .001), independent of socioeconomic controls.ConclusionsPartisan alignment has become a significant determinant of vaccination, with the divide persisting between 2020 and 2024. Findings underscore the need for localized, depoliticized public health strategies.
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Novak et al. (2026) studied this question.
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