National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015

Kayla E. Hanson, Brandon Koch, Kimberly Bonner, Annie-Laurie McRee, Nicole E Basta

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Background Human papillomavirus (HPV) vaccination uptake remains lower than other recommended adolescent vaccines in the United States. Parental attitudes are important predictors of vaccine uptake, yet little is known about how they have changed over time. Methods Participants included US residents aged 13-17 years with documented vaccination status who had received <3 doses of HPV vaccine whose parents responded to the National Immunization Survey-Teen, 2010-2015. Results Of the 76971 participants, 63.0% were male, 58.8% were non-Hispanic white, and 14.4 years was the median age. The percentage of unvaccinated teens decreased from 2010 to 2015, yet, annually, parents of unvaccinated teens of both sexes most often reported that they were "not likely at all" to vaccinate their teen. The percentage decreased significantly from 41.5% to 31.2% (P <.001) for parents of unvaccinated females from 2010 to 2015 but did not change among parents of males from 2012 to 2015. Conversely, parents of undervaccinated teens of both sexes reported higher and increasing vaccination intent over time. In 2015, nearly one-third of parents of unvaccinated teens reported that the vaccine was "not needed/necessary." Concerns about vaccine safety and side effects declined among parents of unvaccinated females but increased among parents of males (7.3% to 14.8%; P <.001). Conclusions Although parental vaccination intent and knowledge improved over time, intent remains low and many parents still have significant concerns about HPV vaccination, even after series initiation. Multiple strategies are needed to improve series initiation and completion in the United States.

Original languageEnglish (US)
Pages (from-to)1018-1026
Number of pages9
JournalClinical Infectious Diseases
Issue number7
StatePublished - Sep 14 2018

Bibliographical note

Funding Information:
Financial support. This work was supported by the University of Minnesota Grand Challenges Research Grant; the National Institutes of Health (grant number DP5 OD009162); the Centers for Disease Control and Prevention (grant number U48 DP000063), and the Minnesota Population Center (grant number P2C HD041023) through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD).

Publisher Copyright:
© The Author(s) 2018. Published by Oxford University Press for the Infectious Diseases Society of America.


  • NIS-Teen
  • adolescents
  • human papillomavirus vaccine
  • parental attitudes
  • vaccine hesitancy


Dive into the research topics of 'National Trends in Parental Human Papillomavirus Vaccination Intentions and Reasons for Hesitancy, 2010-2015'. Together they form a unique fingerprint.

Cite this