National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010–2015

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Abstract
Human papillomavirus (HPV) vaccination uptake remains lower than other recommended adolescent vaccines in the United States. Parental attitudes are important predictors of vaccine uptake, yet little is known about how they have changed over time. Participants included US residents aged 13–17 years with documented vaccination status who had received P < .001) for parents of unvaccinated females from 2010 to 2015 but did not change among parents of males from 2012 to 2015. Conversely, parents of undervaccinated teens of both sexes reported higher and increasing vaccination intent over time. In 2015, nearly one-third of parents of unvaccinated teens reported that the vaccine was “not needed/necessary.” Concerns about vaccine safety and side effects declined among parents of unvaccinated females but increased among parents of males (7.3% to 14.8%; P < .001). Although parental vaccination intent and knowledge improved over time, intent remains low and many parents still have significant concerns about HPV vaccination, even after series initiation. Multiple strategies are needed to improve series initiation and completion in the United States.
Funding Information
  • National Institutes of Health (DP5 OD009162)
  • Centers for Disease Control and Prevention (U48 DP000063)

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