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Variations in reason for intention not to vaccinate across time, region, and by race/ethnicity, NIS-Teen (2008-2016).
Vaccine. 2019 01 21; 37(4):595-601.V

Abstract

BACKGROUND

Human papillomavirus (HPV) vaccination is expected to reduce HPV-related disease and cancer in the US. However, many parents are hesitant to obtain the vaccine for their children. The purpose of this study is to examine how the reasons for refusing the HPV vaccine vary across regions of the US, across time, and by race/ethnicity.

METHODS

This study used data on 13-17 year old adolescents collected by the National Immunization Survey - Teen (NIS-Teen) annually between 2008 and 2016. We evaluated the frequencies of parents who did not intend to vaccinate their children in the next year among unvaccinated children. Among these non-intenders, we evaluated how reasons for HPV vaccine hesitancy changed across time, by region of the US, and race/ethnicity.

RESULTS

The proportion of non-intenders among unvaccinated decreased from 72% in 2010 to 58% in 2016. The most frequent reason for vaccine hesitancy was that parents felt HPV vaccination was not necessary (22.4%), followed by lack of provider recommendation (16.2%), and lack of knowledge (15.6%). Lack of provider recommendation increased in frequency as a reason for HPV vaccine hesitancy until 2012, then decreased in frequency through 2016. Cost was one reason that was elevated in all regions compared to the Northeast. Black non-intenders were less likely to report safety, costs, or their children's fear as reasons for not intending to vaccinate their children compared to white non-intenders. Hispanic non-intenders were more likely to report lack of knowledge and that the vaccine is not a school requirement as reasons not to vaccinate their children compared to white non-intenders.

CONCLUSIONS

National advocacy for improving provider recommendation for HPV vaccination likely contributed to a sharp decline in HPV vaccine hesitancy due to lack of provider recommendation. Results indicate the need for multifaceted interventions to increase HPV vaccination.

Authors+Show Affiliations

Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555, United States. Electronic address: jmhirth@utmb.edu.Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, United States.Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, United States.Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, United States.Center for Interdisciplinary Research in Women's Health, Department of Obstetrics & Gynecology, University of Texas Medical Branch, United States.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

30580838

Citation

Hirth, Jacqueline M., et al. "Variations in Reason for Intention Not to Vaccinate Across Time, Region, and By Race/ethnicity, NIS-Teen (2008-2016)." Vaccine, vol. 37, no. 4, 2019, pp. 595-601.
Hirth JM, Fuchs EL, Chang M, et al. Variations in reason for intention not to vaccinate across time, region, and by race/ethnicity, NIS-Teen (2008-2016). Vaccine. 2019;37(4):595-601.
Hirth, J. M., Fuchs, E. L., Chang, M., Fernandez, M. E., & Berenson, A. B. (2019). Variations in reason for intention not to vaccinate across time, region, and by race/ethnicity, NIS-Teen (2008-2016). Vaccine, 37(4), 595-601. https://doi.org/10.1016/j.vaccine.2018.12.017
Hirth JM, et al. Variations in Reason for Intention Not to Vaccinate Across Time, Region, and By Race/ethnicity, NIS-Teen (2008-2016). Vaccine. 2019 01 21;37(4):595-601. PubMed PMID: 30580838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Variations in reason for intention not to vaccinate across time, region, and by race/ethnicity, NIS-Teen (2008-2016). AU - Hirth,Jacqueline M, AU - Fuchs,Erika L, AU - Chang,Mihyun, AU - Fernandez,Maria E, AU - Berenson,Abbey B, Y1 - 2018/12/21/ PY - 2018/10/29/received PY - 2018/12/05/revised PY - 2018/12/10/accepted PY - 2018/12/26/pubmed PY - 2020/2/20/medline PY - 2018/12/25/entrez KW - HPV vaccination KW - Reasons for vaccine hesitancy KW - Vaccine disparities KW - Vaccine hesitancy SP - 595 EP - 601 JF - Vaccine JO - Vaccine VL - 37 IS - 4 N2 - BACKGROUND: Human papillomavirus (HPV) vaccination is expected to reduce HPV-related disease and cancer in the US. However, many parents are hesitant to obtain the vaccine for their children. The purpose of this study is to examine how the reasons for refusing the HPV vaccine vary across regions of the US, across time, and by race/ethnicity. METHODS: This study used data on 13-17 year old adolescents collected by the National Immunization Survey - Teen (NIS-Teen) annually between 2008 and 2016. We evaluated the frequencies of parents who did not intend to vaccinate their children in the next year among unvaccinated children. Among these non-intenders, we evaluated how reasons for HPV vaccine hesitancy changed across time, by region of the US, and race/ethnicity. RESULTS: The proportion of non-intenders among unvaccinated decreased from 72% in 2010 to 58% in 2016. The most frequent reason for vaccine hesitancy was that parents felt HPV vaccination was not necessary (22.4%), followed by lack of provider recommendation (16.2%), and lack of knowledge (15.6%). Lack of provider recommendation increased in frequency as a reason for HPV vaccine hesitancy until 2012, then decreased in frequency through 2016. Cost was one reason that was elevated in all regions compared to the Northeast. Black non-intenders were less likely to report safety, costs, or their children's fear as reasons for not intending to vaccinate their children compared to white non-intenders. Hispanic non-intenders were more likely to report lack of knowledge and that the vaccine is not a school requirement as reasons not to vaccinate their children compared to white non-intenders. CONCLUSIONS: National advocacy for improving provider recommendation for HPV vaccination likely contributed to a sharp decline in HPV vaccine hesitancy due to lack of provider recommendation. Results indicate the need for multifaceted interventions to increase HPV vaccination. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/30580838/Variations_in_reason_for_intention_not_to_vaccinate_across_time_region_and_by_race/ethnicity_NIS_Teen__2008_2016__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(18)31677-3 DB - PRIME DP - Unbound Medicine ER -