Delay and refusal of human papillomavirus vaccine for girls, national immunization survey-teen, 2010.
Human papillomavirus (HPV) vaccine coverage among girls is low. We used data reported by parents of 4103 girls, 13 to 17 years old, to assess associations with, and reasons for, delaying or refusing HPV vaccination. Sixty-nine percent of parents neither delayed nor refused vaccination, 11% delayed only, 17% refused only, and 3% both delayed and refused. Eighty-three percent of girls who delayed only, 19% who refused only, and 46% who both delayed and refused went on to initiate the vaccine series or intended to initiate it within the next 12 months. A significantly higher proportion of parents of girls who were non-Hispanic white, lived in households with higher incomes, and had mothers with higher education levels, delayed and/or refused vaccination. The most common reasons for nonvaccination were concerns about lasting health problems from the vaccine, wondering about the vaccine's effectiveness, and believing the vaccine is not needed.
1Immunization Services Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Christina
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Dorell
David
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Yankey
Jenny
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Jeyarajah
Shannon
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Stokley
Allison
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Fisher
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Markowitz
Philip J
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Smith
D000293:Adolescent; D005260:Female; D019538:Health Care Surveys / Q000379:methods* / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007114:Immunization / Q000523:psychology / Q000706:statistics & numerical data; D017589:Immunization Programs / Q000379:methods / Q000706:statistics & numerical data; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010290:Parents / Q000523:psychology*; D013995:Time; D016312:Treatment Refusal / Q000706:statistics & numerical data*; D014611:Vaccination / Q000523:psychology / Q000706:statistics & numerical data*
D053918:Papillomavirus Vaccines
adolescents; cancer vaccines; girls; human papillomavirus vaccine; immunization; patient compliance; refusal