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)

Permanent URL: https://etd.library.emory.edu/concern/etds/nk322d406?locale=en


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


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

About this Master's Thesis

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
Subfield / Discipline
  • English
Research Field
Committee Chair / Thesis Advisor
Partnering Agencies
Last modified

Primary PDF

Supplemental Files