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Reasons for Lack of HPV Vaccine Initiation in NIS-Teen Over Time: Shifting the Focus From Gender and Sexuality to Necessity and Safety.
J Adolesc Health. 2018 11; 63(5):652-656.JA

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.

Authors+Show Affiliations

The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, Maryland. Electronic address: Abeavis2@jhmi.edu.Cancer Prevention Fellowship Program, National Cancer Institute, Bethesda, Maryland.The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, Maryland.Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30348283

Citation

Beavis, Anna, et al. "Reasons for Lack of HPV Vaccine Initiation in NIS-Teen Over Time: Shifting the Focus From Gender and Sexuality to Necessity and Safety." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 63, no. 5, 2018, pp. 652-656.
Beavis A, Krakow M, Levinson K, et al. Reasons for Lack of HPV Vaccine Initiation in NIS-Teen Over Time: Shifting the Focus From Gender and Sexuality to Necessity and Safety. J Adolesc Health. 2018;63(5):652-656.
Beavis, A., Krakow, M., Levinson, K., & Rositch, A. F. (2018). Reasons for Lack of HPV Vaccine Initiation in NIS-Teen Over Time: Shifting the Focus From Gender and Sexuality to Necessity and Safety. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 63(5), 652-656. https://doi.org/10.1016/j.jadohealth.2018.06.024
Beavis A, et al. Reasons for Lack of HPV Vaccine Initiation in NIS-Teen Over Time: Shifting the Focus From Gender and Sexuality to Necessity and Safety. J Adolesc Health. 2018;63(5):652-656. PubMed PMID: 30348283.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reasons for Lack of HPV Vaccine Initiation in NIS-Teen Over Time: Shifting the Focus From Gender and Sexuality to Necessity and Safety. AU - Beavis,Anna, AU - Krakow,Melinda, AU - Levinson,Kimberly, AU - Rositch,Anne F, PY - 2018/03/05/received PY - 2018/06/17/revised PY - 2018/06/19/accepted PY - 2018/10/24/entrez PY - 2018/10/24/pubmed PY - 2019/11/21/medline KW - Adolescent health KW - HPV vaccine KW - Human papillomavirus KW - NIS-Teen KW - Provider recommendation KW - Vaccination KW - Vaccine safety SP - 652 EP - 656 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 63 IS - 5 N2 - 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. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/30348283/Reasons_for_Lack_of_HPV_Vaccine_Initiation_in_NIS_Teen_Over_Time:_Shifting_the_Focus_From_Gender_and_Sexuality_to_Necessity_and_Safety_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(18)30264-7 DB - PRIME DP - Unbound Medicine ER -