Rhode Island law requires that rubella serological screening be done for most female marriage license applicants. To evaluate the effect of the law, 203 rubella-susceptible women detected through premarital screening over a four-month period in 1978 were surveyed. Of those responding, 37% had been immunized, 21% were pregnant or infertile, and 42% were eligible for immunization but had not received vaccine. Premarital immunization occurred most frequently when physicians advised and directly offered vaccine. A survey of primary care physicians indicated that 24% immunized none of their rubella-susceptible patients detected by premarital screening.
Lieberman E, Faich GA, Simon PR, Mullan RJ. Premarital Rubella Screening in Rhode Island. JAMA. 1981;245(13):1333–1335. doi:10.1001/jama.1981.03310380037022
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