marginally significantp = .056
In the multivariable models, the following state-level variables were significantly associated with changes in VCR: Influenza: percentage of adults who report participating in any physical activity (p = .01) Pneumococcal: percentage of adults who report not seeing a doctor in the past 12 months because of cost (p = .02) HZ: health homes (p = .04); percentage of adults who report participating in any physical activity or exercise (p = .01); percentage of adults who report not seeing a doctor in past 12 months because of cost (marginally significant, p = .056) Tetanus: none Conclusion Few state-level variables demonstrated an association with changes in VCR but some significant findings were observed in final models.