How can we communicate about vaccines with adolescents and their parents?
OBJECTIVE
To describe parents' and adolescents' perceptions about vaccination.


METHODS
Qualitative interviews of 22 mothers/grandmothers and 25 10- to 14-year-olds.


RESULTS
Themes emerged in 3 focus areas. (a) Understanding: Both adults and adolescents had difficulty understanding concepts of risks, benefits, prevention, and vaccination. (b) Decision making: Adults saw vaccination as an opportunity to help their adolescent develop skills for transition to adulthood. Adolescents worried about being lied to (reinforced by being told "it won't hurt"), physical pain, and cleanliness. ( c) Preventing sexually transmitted infections: Adults were divided between those who felt their child would not need such a vaccine and those who wanted to "be safe" to protect their child in the future.


CONCLUSIONS
At the same time that even basic concepts about vaccination should be explained to both adults and adolescents, adolescence represents a time for learning about responsible decision making. Discussion regarding the risks and benefits of vaccines can be part of transitioning to adult decision making.
Benin
Andrea L
AL
Yale School of Medicine, New Haven, CT 06519, USA. andrea.benin@ynhh.org
Wu
Ann C
AC
Holmboe
Eric S
ES
Shapiro
Eugene D
ED
Anyan
Walter
W
D000293:Adolescent; D000328:Adult; D002648:Child; D003142:Communication; D003237:Connecticut; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control* / Q000523:psychology; D014611:Vaccination / Q000523:psychology*