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. 2014 Mar;53(3):261-9.
doi: 10.1177/0009922813520070. Epub 2014 Jan 24.

Delay and refusal of human papillomavirus vaccine for girls, national immunization survey-teen, 2010

Christina Dorell  1 , David Yankey, Jenny Jeyarajah, Shannon Stokley, Allison Fisher, Lauri Markowitz, Philip J Smith
Affiliations

Delay and refusal of human papillomavirus vaccine for girls, national immunization survey-teen, 2010

Christina Dorell et al. Clin Pediatr (Phila). 2014 Mar.

Abstract

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.

Keywords: adolescents; cancer vaccines; girls; human papillomavirus vaccine; immunization; patient compliance; refusal.

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Conflict of interest statement

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Human papillomavirus (HPV) vaccination and parental intent to initiate the HPV vaccination series by parental delay or refusal group among girls, 13 to 17 years, National Immunization Survey-Teen, United States, 2010.
See this image and copyright information in PMC

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