Reasons for not vaccinating adolescents: National immunization survey of teens, 2008-2010

Paul M. Darden, David M. Thompson, James R. Roberts, Jessica J. Hale, Charlene Pope, Monique Naifeh, Robert M. Jacobson

Research output: Contribution to journalReview article

139 Scopus citations

Abstract

OBJECTIVE: To determine the reasons adolescents are not vaccinated for specific vaccines and how these reasons have changed over time. METHODS: We analyzed the 2008-2010 National Immunization Survey of Teens examining reasons parents do not have their teens immunized. Parents whose teens were not up to date (Not-UTD) for Tdap/Td and MCV4 were asked the main reason they were not vaccinated. Parents of female teens Not-UTD for human papillomavirus vaccine (HPV) were asked their intent to give HPV, and those unlikely to get HPV were asked the main reason why not. RESULTS: The most frequent reasons for not vaccinating were the same for Tdap/Td and MCV4, including "Not recommended" and "Not needed or not necessary." For HPV, the most frequent reasons included those for the other vaccines as well as 4 others, including "Not sexually active" and "Safety concerns/Side effects." "Safety concerns/Side effects" increased from 4.5% in 2008 to 7.7% in 2009 to 16.4% in 2010 and, in 2010, approaching the most common reason "Not Needed or Not Necessary" at 17.4% (95% CI: 15.7-19.1). Although parents report that health care professionals increasingly recommend all vaccines, including HPV, the intent to not vaccinate for HPV increased from 39.8% in 2008 to 43.9% in 2010 (OR for trend 1.08, 95% CI: 1.04-1.13). CONCLUSIONS: Despite doctors increasingly recommending adolescent vaccines, parents increasingly intend not to vaccinate female teens with HPV. The concern about safety of HPV grew with each year. Addressing specific and growing parental concerns about HPV will require different considerations than those for the other vaccines.

Original languageEnglish (US)
Pages (from-to)645-651
Number of pages7
JournalPediatrics
Volume131
Issue number4
DOIs
StatePublished - Apr 2013

Keywords

  • Adolescent
  • Adolescent health services
  • Attitude to health
  • Diphtheria-tetanus vaccine
  • Immunization
  • Meningococcal vaccines
  • Papillomavirus vaccines
  • Patient acceptance of health care
  • Preventive health services
  • Tetanus vaccine
  • Treatment refusal
  • Vaccination
  • Vaccines

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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