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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Research Briefs

HPV Vaccine Recommendations and Parental Intent

Kalyani Sonawane, Yenan Zhu, Yueh-Yun Lin, Haluk Damgacioglu, Ying Lin, Jane R. Montealegre and Ashish A. Deshmukh
Pediatrics March 2021, 147 (3) e2020026286; DOI: https://doi.org/10.1542/peds.2020-026286
Kalyani Sonawane
aCenters for Healthcare Data and
bHealth Services Research, Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas;
*Contributed equally as co-first authors
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Yenan Zhu
bHealth Services Research, Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas;
*Contributed equally as co-first authors
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Yueh-Yun Lin
bHealth Services Research, Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas;
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Haluk Damgacioglu
bHealth Services Research, Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas;
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Ying Lin
cDepartment of Industrial Engineering, University of Houston, Houston, Texas; and
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Jane R. Montealegre
dDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas
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Ashish A. Deshmukh
aCenters for Healthcare Data and
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  • Abbreviations:
    CI —
    confidence interval
    dPP —
    difference in predicted probability
    HPV —
    human papillomavirus
    NIS —
    National Immunization Survey
  • Adolescents’ receipt of the human papillomavirus (HPV) vaccine is primarily a decision of their parents. Health care providers’ recommendation increases parents’ likelihood of initiating the HPV vaccine for their child.1 Rates of HPV vaccine recommendations and the proportion of up-to-date adolescents have improved over time2; however, in 2017–2018, 7.3 million vaccine-eligible US adolescents were unvaccinated.1 Notably, despite a provider recommendation, parents of 60.6% of unvaccinated adolescents had no intention to initiate the HPV vaccine series.1 It is unclear whether the sentiment of HPV vaccine hesitancy is growing (because of the rise of the antivaccination movement), has dissipated (with a growing body of evidence pertaining to postlicensure efficacy and the safety of the HPV vaccine), or has remained unchanged over time. To understand the trajectory of acute HPV vaccine hesitancy, we evaluated trends in the proportion of parents lacking the intent to initiate HPV vaccination for their unvaccinated adolescent despite having received a provider recommendation.

    Methods

    We analyzed the 2012–2018 National Immunization Survey (NIS)–Teen, a national …

    Address correspondence to Kalyani Sonawane, PhD, Center for Healthcare Data, Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, 1200 Pressler St, RAS-E 1013, Houston, TX 77478. E-mail: kalyani.b.sonawane{at}uth.tmc.edu

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    Pediatrics
    Vol. 147, Issue 3
    1 Mar 2021
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    HPV Vaccine Recommendations and Parental Intent
    Kalyani Sonawane, Yenan Zhu, Yueh-Yun Lin, Haluk Damgacioglu, Ying Lin, Jane R. Montealegre, Ashish A. Deshmukh
    Pediatrics Mar 2021, 147 (3) e2020026286; DOI: 10.1542/peds.2020-026286

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    HPV Vaccine Recommendations and Parental Intent
    Kalyani Sonawane, Yenan Zhu, Yueh-Yun Lin, Haluk Damgacioglu, Ying Lin, Jane R. Montealegre, Ashish A. Deshmukh
    Pediatrics Mar 2021, 147 (3) e2020026286; DOI: 10.1542/peds.2020-026286
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