Trends in Reasons for Human Papillomavirus Vaccine Hesitancy: 2010-2020.

Autor:	Adjei Boakye E; Departments of Public Health Sciences.; Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, Michigan., Nair M; Departments of Public Health Sciences., Abouelella DK; Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina., Joseph CLM; Departments of Public Health Sciences., Gerend MA; Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, Florida., Subramaniam DS; Department of Health and Clinical Outcomes Research.; Advanced HEAlth Data (AHEAD) Institute, Saint Louis University School of Medicine, Saint Louis, Missouri., Osazuwa-Peters N; Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina.; Duke Cancer Institute, Duke University, Durham, North Carolina.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2023 Jun 01; Vol. 151 (6).
DOI:	10.1542/peds.2022-060410
Abstrakt:	Objectives: We sought to identify trends in the main reasons United States parents of unvaccinated children gave for not intending to vaccinate their adolescent children against HPV from 2010 to 2020. As interventions designed to increase vaccine uptake have been implemented across the United States, we predicted that reasons for hesitancy have changed over this period. Methods: We analyzed data from the 2010 to 2020 National Immunization Survey-Teen, which included 119 695 adolescents aged 13 to 17 years. Joinpoint regression estimated yearly changes in the top five cited reasons for not intending to vaccinate using annual percentage changes. Results: The five most frequently cited reasons for not intending to vaccinate included "not necessary," "safety concerns," "lack of recommendation," "lack of knowledge," and "not sexually active." Overall, parental HPV vaccine hesitancy decreased by 5.5% annually between 2010 and 2012 and then remained stable for the 9-year period of 2012 through 2020. The proportion of parents citing "safety or side effects" as a reason for vaccine hesitancy increased significantly by 15.6% annually from 2010 to 2018. The proportion of parents citing "not recommended," "lack of knowledge," or "child not sexually active" as reasons for vaccine hesitancy decreased significantly by 6.8%, 9.9%, and 5.9% respectively per year between 2013 and 2020. No significant changes were observed for parents citing "not necessary." Conclusions: Parents who cited vaccine safety as a reason for not intending to vaccinate their adolescent children against HPV increased over time. Findings support efforts to address parental safety concerns surrounding HPV vaccination. (Copyright © 2023 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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