title: Parent-reported reasons for nonreceipt of recommended adolescent vaccinations, national immunization survey: teen, 2009.
abstract: OBJECTIVE
  To identify parent-reported reasons for non-receipt of adolescent vaccinations by provider recommendation status.
  
  
  METHODS
  Parental reasons for non-receipt of adolescent vaccines were analyzed among adolescents 13-17 years using data from the 2009 National Immunization Survey-Teen (n=20,066).
  
  
  RESULTS
  Among unvaccinated adolescents, 87.9% (Td/Tdap), 90.9% (MenACWY), and 66.0% (HPV) of parents reported that they did not receive a healthcare provider recommendation for their adolescent to receive the vaccine. Among those without a provider recommendation, the most common reasons for not receiving the vaccines were 'vaccine not recommended' [Td/Tdap, MenACWY] and 'not needed' [HPV]. Among those with a recommendation, the most common parental reasons were 'lack of knowledge' [Td/Tdap], 'vaccine not needed' [MenACWY], and 'lack of knowledge' [HPV].
  
  
  CONCLUSIONS
  Non-receipt of provider recommendations was a main parent-reported reason for not getting vaccinated. Increasing parental knowledge and vaccination coverage through increased provider-parent communication about disease risk and vaccine benefits is needed.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA, USA. cdorell@cdc.gov
authors.forename: Christina
authors.initials: C
authors.lastname: Dorell
authors.forename: David
authors.initials: D
authors.lastname: Yankey
authors.forename: Sheryl
authors.initials: S
authors.lastname: Strasser
mesh_terms: D000293:Adolescent; D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D007115:Immunization Schedule; D008297:Male; D022401:Meningococcal Vaccines; D053918:Papillomavirus Vaccines; D010290:Parents / Q000523:psychology*; D011368:Professional-Family Relations; D014481:United States; D014611:Vaccination / Q000523:psychology*; D018074:Vaccines, Conjugate
chemical_list: D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines; D022401:Meningococcal Vaccines; D053918:Papillomavirus Vaccines; D018074:Vaccines, Conjugate