title: Adolescent vaccination in Oklahoma: a work in progress.
abstract: BACKGROUND
  Nationally, uptake of adolescent vaccines is variable.
  
  
  OBJECTIVE
  To compare adolescent immunization rates and clinician recommendation for adolescent vaccines over time in Oklahoma with the U.S.
  
  
  METHODS
  We analyzed the 2010-2012 National Immunization Survey of Teens (NIS-Teen).
  
  
  RESULTS
  MCV4 and Tdap are consistently lower in Oklahoma compared to the U.S. HPV rates have been comparable. Parents report that health care providers in Oklahoma are less likely to recommend adolescent vaccines compared to the national average. Intention to not receive HPV in the next 12 months is distressingly high both in Oklahoma and across the nation with both improving.
  
  
  CONCLUSIONS
  Over the three years, Oklahoma's immunization rates consistently underperform national estimates for MCV4 and Tdap but not for HPV. We recommend Oklahoma health care providers improve their vaccination rates through making clear their vaccine recommendations to the parent and patient in the clinical encounter.
authors: Monique M
authors: MM
authors: Naifeh
authors: James R
authors: JR
authors: Roberts
authors: Benyamin
authors: B
authors: Margolis
authors: David M
authors: DM
authors: Thompson
authors: Brianna
authors: B
authors: Rogacki
authors: Robert M
authors: RM
authors: Jacobson
authors: Paul M
authors: PM
authors: Darden
mesh_terms: D000293:Adolescent; D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines / Q000008:administration & dosage*; D005260:Female; D006306:Health Surveys; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D008297:Male; D022401:Meningococcal Vaccines / Q000008:administration & dosage*; D009825:Oklahoma; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D017410:Practice Guidelines as Topic; D014481:United States; D014611:Vaccination / Q000379:methods / Q000706:statistics & numerical data* / Q000639:trends
chemical_list: D022681:Diphtheria-Tetanus-acellular Pertussis Vaccines; D007252:Influenza Vaccines; D022401:Meningococcal Vaccines; D053918:Papillomavirus Vaccines