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National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015.
Clin Infect Dis. 2018 09 14; 67(7):1018-1026.CI

Abstract

Background

Human papillomavirus (HPV) vaccination uptake remains lower than other recommended adolescent vaccines in the United States. Parental attitudes are important predictors of vaccine uptake, yet little is known about how they have changed over time.

Methods

Participants included US residents aged 13-17 years with documented vaccination status who had received <3 doses of HPV vaccine whose parents responded to the National Immunization Survey-Teen, 2010-2015.

Results

Of the 76971 participants, 63.0% were male, 58.8% were non-Hispanic white, and 14.4 years was the median age. The percentage of unvaccinated teens decreased from 2010 to 2015, yet, annually, parents of unvaccinated teens of both sexes most often reported that they were "not likely at all" to vaccinate their teen. The percentage decreased significantly from 41.5% to 31.2% (P < .001) for parents of unvaccinated females from 2010 to 2015 but did not change among parents of males from 2012 to 2015. Conversely, parents of undervaccinated teens of both sexes reported higher and increasing vaccination intent over time. In 2015, nearly one-third of parents of unvaccinated teens reported that the vaccine was "not needed/necessary." Concerns about vaccine safety and side effects declined among parents of unvaccinated females but increased among parents of males (7.3% to 14.8%; P < .001).

Conclusions

Although parental vaccination intent and knowledge improved over time, intent remains low and many parents still have significant concerns about HPV vaccination, even after series initiation. Multiple strategies are needed to improve series initiation and completion in the United States.

Authors+Show Affiliations

Division of Epidemiology and Community Health.Division of Biostatistics, University of Minnesota School of Public Health.Division of Epidemiology and Community Health.Department of Pediatrics, Division of General Pediatrics and Adolescent Health, University of Minnesota Medical School, Minneapolis.Division of Epidemiology and Community Health.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

29596595

Citation

Hanson, Kayla E., et al. "National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 67, no. 7, 2018, pp. 1018-1026.
Hanson KE, Koch B, Bonner K, et al. National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015. Clin Infect Dis. 2018;67(7):1018-1026.
Hanson, K. E., Koch, B., Bonner, K., McRee, A. L., & Basta, N. E. (2018). National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 67(7), 1018-1026. https://doi.org/10.1093/cid/ciy232
Hanson KE, et al. National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015. Clin Infect Dis. 2018 09 14;67(7):1018-1026. PubMed PMID: 29596595.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015. AU - Hanson,Kayla E, AU - Koch,Brandon, AU - Bonner,Kimberly, AU - McRee,Annie-Laurie, AU - Basta,Nicole E, PY - 2017/11/09/received PY - 2018/03/25/accepted PY - 2018/3/30/pubmed PY - 2019/10/31/medline PY - 2018/3/30/entrez SP - 1018 EP - 1026 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 67 IS - 7 N2 - Background: Human papillomavirus (HPV) vaccination uptake remains lower than other recommended adolescent vaccines in the United States. Parental attitudes are important predictors of vaccine uptake, yet little is known about how they have changed over time. Methods: Participants included US residents aged 13-17 years with documented vaccination status who had received <3 doses of HPV vaccine whose parents responded to the National Immunization Survey-Teen, 2010-2015. Results: Of the 76971 participants, 63.0% were male, 58.8% were non-Hispanic white, and 14.4 years was the median age. The percentage of unvaccinated teens decreased from 2010 to 2015, yet, annually, parents of unvaccinated teens of both sexes most often reported that they were "not likely at all" to vaccinate their teen. The percentage decreased significantly from 41.5% to 31.2% (P < .001) for parents of unvaccinated females from 2010 to 2015 but did not change among parents of males from 2012 to 2015. Conversely, parents of undervaccinated teens of both sexes reported higher and increasing vaccination intent over time. In 2015, nearly one-third of parents of unvaccinated teens reported that the vaccine was "not needed/necessary." Concerns about vaccine safety and side effects declined among parents of unvaccinated females but increased among parents of males (7.3% to 14.8%; P < .001). Conclusions: Although parental vaccination intent and knowledge improved over time, intent remains low and many parents still have significant concerns about HPV vaccination, even after series initiation. Multiple strategies are needed to improve series initiation and completion in the United States. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/29596595/National_Trends_in_Parental_Human_Papillomavirus_Vaccination_Intentions_and_Reasons_for_Hesitancy_2010_2015_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1093/cid/ciy232 DB - PRIME DP - Unbound Medicine ER -