TY - JOUR
T1 - Human Papillomavirus Vaccination
T2 - What Are the Reasons for Nonvaccination Among U.S. Adolescents?
AU - Thompson, Erika L.
AU - Rosen, Brittany L.
AU - Vamos, Cheryl A.
AU - Kadono, Mika
AU - Daley, Ellen M.
N1 - Funding Information:
A portion of this publication was presented as an abstract at the International Papillomavirus Conference, 2017. The authors would like to acknowledge the data source, which made this analysis possible. U.S. Department of Health and Human Services (DHHS), National Center for Health Statistics. The 2012–2015 National Immunization Survey-Teen, Hyattsville, Maryland: Centers for Disease Control and Prevention, 2013–2016.
Publisher Copyright:
© 2017 Society for Adolescent Health and Medicine
PY - 2017/9
Y1 - 2017/9
N2 - Purpose Human papillomavirus (HPV) vaccination is recommended for 11- to 12-year-old U.S. adolescents. Unfortunately, HPV vaccine rates have been suboptimal. Parents are key decision agents regarding their adolescents’ health; thus, it is necessary to understand their reasons for not vaccinating their adolescents. The purpose of this study was to compare parents’ primary reasons for non-HPV vaccination by calendar year, sex of the child, and level of vaccine hesitancy. Methods The National Immunization Survey-Teen 2012–2015 was subset to parents who did not intend for their adolescent to receive the HPV vaccine in the next 12 months (N = 59,897). Survey-weighted logistic regression models assessed the impact of year, sex, and level of hesitancy on main reasons for nonvaccination. Results Not receiving a recommendation and lack of knowledge were significantly more likely to be the reasons for nonvaccination in 2012 and 2013 compared with 2015. The following reasons were significantly less likely to be reported for females compared with males: not recommended (odds ratio [OR] =.63, 95% confidence interval [CI],.58–.69) and lack of knowledge (OR =.86, 95% CI,.79–.94). In contrast, parents of females were more likely to state they were concerned about safety and side effects (OR = 2.19, 95% CI, 1.98–2.41). Differences in reasons for nonvaccination were observed between those who were unlikely and unsure regarding receiving the HPV vaccine. Conclusions Findings indicate that U.S. parental attitudes about HPV vaccination have changed over time and reasons for nonvaccination vary based on the sex of the adolescent and the level of hesitancy of the parent. This information can shape how providers respond to parental concerns and HPV vaccine hesitancy.
AB - Purpose Human papillomavirus (HPV) vaccination is recommended for 11- to 12-year-old U.S. adolescents. Unfortunately, HPV vaccine rates have been suboptimal. Parents are key decision agents regarding their adolescents’ health; thus, it is necessary to understand their reasons for not vaccinating their adolescents. The purpose of this study was to compare parents’ primary reasons for non-HPV vaccination by calendar year, sex of the child, and level of vaccine hesitancy. Methods The National Immunization Survey-Teen 2012–2015 was subset to parents who did not intend for their adolescent to receive the HPV vaccine in the next 12 months (N = 59,897). Survey-weighted logistic regression models assessed the impact of year, sex, and level of hesitancy on main reasons for nonvaccination. Results Not receiving a recommendation and lack of knowledge were significantly more likely to be the reasons for nonvaccination in 2012 and 2013 compared with 2015. The following reasons were significantly less likely to be reported for females compared with males: not recommended (odds ratio [OR] =.63, 95% confidence interval [CI],.58–.69) and lack of knowledge (OR =.86, 95% CI,.79–.94). In contrast, parents of females were more likely to state they were concerned about safety and side effects (OR = 2.19, 95% CI, 1.98–2.41). Differences in reasons for nonvaccination were observed between those who were unlikely and unsure regarding receiving the HPV vaccine. Conclusions Findings indicate that U.S. parental attitudes about HPV vaccination have changed over time and reasons for nonvaccination vary based on the sex of the adolescent and the level of hesitancy of the parent. This information can shape how providers respond to parental concerns and HPV vaccine hesitancy.
KW - Adolescents
KW - HPV vaccination
KW - Hesitancy
UR - http://www.scopus.com/inward/record.url?scp=85028338906&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2017.05.015
DO - 10.1016/j.jadohealth.2017.05.015
M3 - Article
C2 - 28842066
AN - SCOPUS:85028338906
SN - 1054-139X
VL - 61
SP - 288
EP - 293
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 3
ER -