Abstract
Purpose: To describe changes in parents’ reasons for lack of HPV vaccine initiation in American male and female adolescents from 2010 to 2016. Methods: Log binomial regression was used to examine prevalence and trends across time in reasons parents do not intend to vaccinate from the National Immunization Survey – Teen (NIS-Teen). Results: In females, safety concerns were the most common reasons in 2010 (23%) and 2016 (22%). Lack of necessity (21% vs. 20%), knowledge (14% vs. 13%), and recommendation (9% vs. 10.0%) remained stable, whereas child's lack of sexual activity decreased from 19% to 10% (p<.01). For males, lack of necessity (24% vs. 22%), recommendation (22% vs. 17%), and knowledge (16% vs. 14%), and child's lack of sexual activity (16% vs. 9%) and gender (13% vs. 2%) decreased from 2010 to 2016 (p<.05). Safety concerns increased (5% vs. 14%) (p<.01). Conclusions: Vaccine messages should reflect current trends and focus on persistent concerns about knowledge, safety, and necessity, rather than sexuality and gender.
Original language | English (US) |
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Pages (from-to) | 652-656 |
Number of pages | 5 |
Journal | Journal of Adolescent Health |
Volume | 63 |
Issue number | 5 |
DOIs | |
State | Published - Nov 1 2018 |
Keywords
- Adolescent health
- HPV vaccine
- Human papillomavirus
- NIS-Teen
- Provider recommendation
- Vaccination
- Vaccine safety
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Public Health, Environmental and Occupational Health
- Psychiatry and Mental health