Child Health Evaluation and Research Unit, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan 48109-5456, USA.
Acad Pediatr. 2009 Sep-Oct;9(5):348-52. doi: 10.1016/j.acap.2009.04.004. Epub 2009 May 31.
Multidose adolescent-targeted vaccines, for example the human papillomavirus (HPV) vaccine, require parents and adolescents to have repeated interactions with the physician's office. We sought to evaluate parental views on participating in frequent vaccine-related encounters and their preferences for how these encounters should ideally be implemented.
A Web-based survey about a hypothetical 3-dose adolescent vaccine was provided to a national sample of 1025 US parents of adolescents (aged 9-17 years) in 2007.
Survey completion rate among parents was 69%. Most (86%) were amenable to having their adolescent visit the provider's office at least 3 times in a year for vaccination. The highest proportion of parents (47%) preferred that the first dose be administered at a comprehensive doctor visit, followed by 2 nurse "shots-only" visits. However, many parents (30%) wanted each dose to be given as part of a comprehensive visit with a physician. The most commonly cited barriers included a belief that healthy adolescents needn't be seen frequently in the doctor's office (15%) and concerns about missing school (14%).
Compliance with multidose adolescent vaccines like HPV could require a shift in the expected frequency of health care visits. Our results suggest that most parents are amenable to more frequent adolescent vaccine-related visits, though the feasibility of implementing these visits within the current medical system remains to be determined.
多剂量青少年靶向疫苗，例如人乳头瘤病毒（HPV）疫苗，需要父母和青少年与医生办公室进行多次互动。我们旨在评估父母对参与频繁疫苗相关接触的看法，以及他们对这些接触的理想实施方式的偏好。
2007 年，我们向全国范围内 1025 名美国青少年（9-17 岁）的父母提供了一项关于假设的 3 剂量青少年疫苗的网络调查。
父母的调查完成率为 69%。大多数（86%）愿意让青少年每年至少到提供者办公室接种 3 次疫苗。比例最高的父母（47%）首选在综合医生就诊时接种第一剂疫苗，其次是 2 次护士“仅注射”就诊。然而，许多父母（30%）希望每次接种都作为与医生全面就诊的一部分。最常提到的障碍包括认为健康的青少年不需要频繁到医生办公室就诊（15%）和担心缺课（14%）。
符合 HPV 等多剂量青少年疫苗的要求可能需要改变预期的医疗保健就诊频率。我们的结果表明，大多数父母愿意接受更频繁的青少年疫苗相关就诊，但在当前医疗体系下实施这些就诊的可行性仍有待确定。
