title: Factors that influence parental vaccination decisions for adolescents, 13 to 17 years old: National Immunization Survey-Teen, 2010.
abstract: OBJECTIVE
  We aim to describe factors that influence parental decisions to vaccinate their adolescents.
  
  
  METHODS
  Data from the July to December 2010 National Immunization Survey-Teen Parental Concerns Module were analyzed to determine factors that influence parental decisions to vaccinate their adolescents.
  
  
  RESULTS
  Parents reported that their adolescent's health care provider recommended tetanus toxoid/tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Td/Tdap; 74.4%), meningococcal conjugate (MenACWY; 60.3%), and human papillomavirus (HPV; 71.3%). Vaccination coverage estimates were significantly higher among parents who reported receiving a provider recommendation: 85.2% versus 76.7% (Td/Tdap), 77.3% versus 49.7% (MenACWY), and 62.2% versus 21.5% (HPV). Compared with Td/Tdap and MenACWY, fewer HPV vaccination conversations included recommendations for vaccination. Other than health care providers, school requirements (46.1%), news coverage (31.2%), and family (31.0%) were most frequently reported influences on parental vaccination decisions.
  
  
  CONCLUSIONS
  Many factors influence parental decisions to vaccinate their adolescents; one of the most important factors is the provider recommendation. Missed opportunities for vaccination persist when strong vaccination recommendations are not given or are delayed.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. cdorell@cdc.gov
authors.forename: Christina
authors.initials: C
authors.lastname: Dorell
authors.forename: David
authors.initials: D
authors.lastname: Yankey
authors.forename: Allison
authors.initials: A
authors.lastname: Kennedy
authors.forename: Shannon
authors.initials: S
authors.lastname: Stokley
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D003146:Communications Media; D003657:Decision Making; D037001:Directive Counseling / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D010290:Parents / Q000193:education / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D014611:Vaccination / Q000706:statistics & numerical data*