Differences in Parental Reasons for "No-Intent" for Teens to Receive HPV Vaccine by Receipt of Other Adolescent Vaccines, National Immunization Survey-Teen 2014 Open Access
Retzloff, Samantha (Spring 2018)
Abstract
Background: Few studies make comparisons between refusal of HPV vaccine and other recommended adolescent vaccines. The purpose of this study is to identify differences in parental reasons for lack of intention for children to receive HPV vaccine by the receipt of other adolescent vaccines, meningococcal and Tdap vaccines. Methods: Data from the household survey participants in the 2014 National Immunization Survey-Teen was used for analyses. Parents cited their main reason for no intention for their teens to receive HPV vaccine. Responses were collapsed into five domains: i) Safety and Effectiveness Concerns, ii) Systemic Barriers, iii) Misperceptions About HPV Vaccine, iv) Lack of Knowledge, v) Socio-Cultural Barriers, and vi) Other. Multivariate analyses of covariance (MANCOVA) was used to test for the differences in means between the six different dependent variables (i.e. domain-level reason for non-vaccination) across the main independent variables of interest: receipt of any meningococcal vaccine and receipt of any tetanus booster vaccine. Results: Parents of teens who received Tdap vaccine were more likely cite “misperceptions about HPV vaccine.” Parents of female teens that received meningococcal vaccine were more likely to cite “safety and effectiveness concerns” about HPV vaccine. Parents of male teens that did not receive Tdap vaccine were more likely to cite “lack of knowledge” as their reason for HPV non-vaccination. Parents of female teens that did not receive Tdap vaccine were more likely to cite “systemic barriers” to receiving HPV vaccine. Discussion: Misperceptions about HPV vaccine can lead parents to make decisions about receipt of HPV vaccine differently than other adolescent vaccines. Parents of female teens have more concerns about the safety and effectiveness of HPV vaccine than other adolescent vaccines. Parents of male teens cite their lack knowledge as the reason for non-receipt of adolescent vaccines. Systemic barriers are more likely to affect parents of female teens, depressing coverage of multiple adolescent vaccines. Future research is needed to determine how to appropriately tailor information for parents of adolescents to address these disparate reasons for HPV vaccine hesitance.
Table of Contents
TABLE OF CONTENTS
1. Background Page 1
2. Methods Page 3
3. Results Page 7
a. Figures 1 and 2 Page 8
4. Discussion Page 10
5. Public Health Implications Page 14
6. References Page 15
7. Tables Page 18
a. Table 1 Page 18
b. Table 2 Page 19
c. Tables 3, 4, and 5 Page 20
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Differences in Parental Reasons for "No-Intent" for Teens to Receive HPV Vaccine by Receipt of Other Adolescent Vaccines, National Immunization Survey-Teen 2014 () | 2018-04-25 09:30:21 -0400 |
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