Parents Who Decline HPV Vaccination

Who Later Accepts and Why?

Melanie L. Kornides, Annie Laurie McRee, Melissa B. Gilkey

Research output: Contribution to journalComment/debate

14 Citations (Scopus)

Abstract

Objective: Parental declination contributes to low human papillomavirus (HPV) vaccination coverage among US adolescents, resulting in missed opportunities for cancer prevention. We sought to characterize parents’ acceptance of HPV vaccination after declination (“secondary acceptance”). Methods: In September 2016, we conducted an online survey with a national sample of parents of children ages 11 to 17 years. For those who reported having ever declined HPV vaccination for their children (n = 494), our survey assessed whether they accepted the vaccine at a subsequent visit. We used multivariable logistic regression to assess correlates of secondary acceptance. Results: Overall, 45% of parents reported secondary acceptance of HPV vaccination, and an additional 24% intended to vaccinate in the next 12 months. In multivariable analyses, secondary acceptance was associated with receiving follow-up counseling about HPV vaccination from a health care provider (odds ratio, 2.16; 95% confidence interval, 1.42–3.28). However, only 53% of parents overall reported receiving such counseling. Secondary acceptance was also associated with receiving a higher quality HPV vaccine recommendation from a provider during the initial discussion and greater satisfaction with provider communication, as well as higher vaccination confidence. Among the reasons for secondary acceptance, parents most commonly reported the child getting older (45%), learning more about HPV vaccine (34%), and receiving a provider recommendation (33%). Conclusions: Our findings suggest secondary acceptance of HPV vaccination is common, with more than two-thirds of parents in this national sample accepting or intending to accept HPV vaccination after declination. Providers should seek to motivate secondary acceptance by delivering repeated, high-quality recommendations for HPV vaccination.

Original languageEnglish (US)
Pages (from-to)S21-S22
JournalAcademic Pediatrics
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2018

Fingerprint

Vaccination
Parents
Papillomavirus Vaccines
Counseling
Health Personnel
Vaccines
Logistic Models
Odds Ratio
Communication
Learning
Confidence Intervals
Neoplasms

Keywords

  • adolescent health
  • human papillomavirus infections/prevention and control
  • human papillomavirus vaccine
  • vaccine hesitancy
  • vaccine refusal

PubMed: MeSH publication types

  • Journal Article

Cite this

Parents Who Decline HPV Vaccination : Who Later Accepts and Why? / Kornides, Melanie L.; McRee, Annie Laurie; Gilkey, Melissa B.

In: Academic Pediatrics, Vol. 18, No. 2, 01.03.2018, p. S21-S22.

Research output: Contribution to journalComment/debate

Kornides, Melanie L. ; McRee, Annie Laurie ; Gilkey, Melissa B. / Parents Who Decline HPV Vaccination : Who Later Accepts and Why?. In: Academic Pediatrics. 2018 ; Vol. 18, No. 2. pp. S21-S22.
@article{8ecc2c0f221949198c9950c9284556d9,
title = "Parents Who Decline HPV Vaccination: Who Later Accepts and Why?",
abstract = "Objective: Parental declination contributes to low human papillomavirus (HPV) vaccination coverage among US adolescents, resulting in missed opportunities for cancer prevention. We sought to characterize parents’ acceptance of HPV vaccination after declination (“secondary acceptance”). Methods: In September 2016, we conducted an online survey with a national sample of parents of children ages 11 to 17 years. For those who reported having ever declined HPV vaccination for their children (n = 494), our survey assessed whether they accepted the vaccine at a subsequent visit. We used multivariable logistic regression to assess correlates of secondary acceptance. Results: Overall, 45{\%} of parents reported secondary acceptance of HPV vaccination, and an additional 24{\%} intended to vaccinate in the next 12 months. In multivariable analyses, secondary acceptance was associated with receiving follow-up counseling about HPV vaccination from a health care provider (odds ratio, 2.16; 95{\%} confidence interval, 1.42–3.28). However, only 53{\%} of parents overall reported receiving such counseling. Secondary acceptance was also associated with receiving a higher quality HPV vaccine recommendation from a provider during the initial discussion and greater satisfaction with provider communication, as well as higher vaccination confidence. Among the reasons for secondary acceptance, parents most commonly reported the child getting older (45{\%}), learning more about HPV vaccine (34{\%}), and receiving a provider recommendation (33{\%}). Conclusions: Our findings suggest secondary acceptance of HPV vaccination is common, with more than two-thirds of parents in this national sample accepting or intending to accept HPV vaccination after declination. Providers should seek to motivate secondary acceptance by delivering repeated, high-quality recommendations for HPV vaccination.",
keywords = "adolescent health, human papillomavirus infections/prevention and control, human papillomavirus vaccine, vaccine hesitancy, vaccine refusal",
author = "Kornides, {Melanie L.} and McRee, {Annie Laurie} and Gilkey, {Melissa B.}",
year = "2018",
month = "3",
day = "1",
doi = "10.1016/j.acap.2017.06.008",
language = "English (US)",
volume = "18",
pages = "S21--S22",
journal = "Academic Pediatrics",
issn = "1876-2859",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Parents Who Decline HPV Vaccination

T2 - Who Later Accepts and Why?

AU - Kornides, Melanie L.

AU - McRee, Annie Laurie

AU - Gilkey, Melissa B.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Objective: Parental declination contributes to low human papillomavirus (HPV) vaccination coverage among US adolescents, resulting in missed opportunities for cancer prevention. We sought to characterize parents’ acceptance of HPV vaccination after declination (“secondary acceptance”). Methods: In September 2016, we conducted an online survey with a national sample of parents of children ages 11 to 17 years. For those who reported having ever declined HPV vaccination for their children (n = 494), our survey assessed whether they accepted the vaccine at a subsequent visit. We used multivariable logistic regression to assess correlates of secondary acceptance. Results: Overall, 45% of parents reported secondary acceptance of HPV vaccination, and an additional 24% intended to vaccinate in the next 12 months. In multivariable analyses, secondary acceptance was associated with receiving follow-up counseling about HPV vaccination from a health care provider (odds ratio, 2.16; 95% confidence interval, 1.42–3.28). However, only 53% of parents overall reported receiving such counseling. Secondary acceptance was also associated with receiving a higher quality HPV vaccine recommendation from a provider during the initial discussion and greater satisfaction with provider communication, as well as higher vaccination confidence. Among the reasons for secondary acceptance, parents most commonly reported the child getting older (45%), learning more about HPV vaccine (34%), and receiving a provider recommendation (33%). Conclusions: Our findings suggest secondary acceptance of HPV vaccination is common, with more than two-thirds of parents in this national sample accepting or intending to accept HPV vaccination after declination. Providers should seek to motivate secondary acceptance by delivering repeated, high-quality recommendations for HPV vaccination.

AB - Objective: Parental declination contributes to low human papillomavirus (HPV) vaccination coverage among US adolescents, resulting in missed opportunities for cancer prevention. We sought to characterize parents’ acceptance of HPV vaccination after declination (“secondary acceptance”). Methods: In September 2016, we conducted an online survey with a national sample of parents of children ages 11 to 17 years. For those who reported having ever declined HPV vaccination for their children (n = 494), our survey assessed whether they accepted the vaccine at a subsequent visit. We used multivariable logistic regression to assess correlates of secondary acceptance. Results: Overall, 45% of parents reported secondary acceptance of HPV vaccination, and an additional 24% intended to vaccinate in the next 12 months. In multivariable analyses, secondary acceptance was associated with receiving follow-up counseling about HPV vaccination from a health care provider (odds ratio, 2.16; 95% confidence interval, 1.42–3.28). However, only 53% of parents overall reported receiving such counseling. Secondary acceptance was also associated with receiving a higher quality HPV vaccine recommendation from a provider during the initial discussion and greater satisfaction with provider communication, as well as higher vaccination confidence. Among the reasons for secondary acceptance, parents most commonly reported the child getting older (45%), learning more about HPV vaccine (34%), and receiving a provider recommendation (33%). Conclusions: Our findings suggest secondary acceptance of HPV vaccination is common, with more than two-thirds of parents in this national sample accepting or intending to accept HPV vaccination after declination. Providers should seek to motivate secondary acceptance by delivering repeated, high-quality recommendations for HPV vaccination.

KW - adolescent health

KW - human papillomavirus infections/prevention and control

KW - human papillomavirus vaccine

KW - vaccine hesitancy

KW - vaccine refusal

UR - http://www.scopus.com/inward/record.url?scp=85042763587&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042763587&partnerID=8YFLogxK

U2 - 10.1016/j.acap.2017.06.008

DO - 10.1016/j.acap.2017.06.008

M3 - Comment/debate

VL - 18

SP - S21-S22

JO - Academic Pediatrics

JF - Academic Pediatrics

SN - 1876-2859

IS - 2

ER -