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Clin Pediatr (Phila). 2013 Feb;52(2):162-70. doi: 10.1177/0009922812468208. Epub 2012 Dec 6.

Factors that influence parental vaccination decisions for adolescents, 13 to 17 years old: National Immunization Survey-Teen, 2010.

Author information

1
Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. cdorell@cdc.gov

Abstract

OBJECTIVES:

We aim to describe factors that influence parental decisions to vaccinate their adolescents.

METHODS:

Data from the July to December 2010 National Immunization Survey-Teen Parental Concerns Module were analyzed to determine factors that influence parental decisions to vaccinate their adolescents.

RESULTS:

Parents reported that their adolescent's health care provider recommended tetanus toxoid/tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Td/Tdap; 74.4%), meningococcal conjugate (MenACWY; 60.3%), and human papillomavirus (HPV; 71.3%). Vaccination coverage estimates were significantly higher among parents who reported receiving a provider recommendation: 85.2% versus 76.7% (Td/Tdap), 77.3% versus 49.7% (MenACWY), and 62.2% versus 21.5% (HPV). Compared with Td/Tdap and MenACWY, fewer HPV vaccination conversations included recommendations for vaccination. Other than health care providers, school requirements (46.1%), news coverage (31.2%), and family (31.0%) were most frequently reported influences on parental vaccination decisions.

CONCLUSIONS:

Many factors influence parental decisions to vaccinate their adolescents; one of the most important factors is the provider recommendation. Missed opportunities for vaccination persist when strong vaccination recommendations are not given or are delayed.

PMID:
23221308
DOI:
10.1177/0009922812468208
[Indexed for MEDLINE]

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