Krakow Melinda, Beavis Anna, Cosides Olivia, Rositch Anne F
Cancer Prevention Fellowship Program, National Cancer Institute, Bethesda, Maryland.
The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, Maryland.
J Adolesc Health. 2017 May;60(5):619-622. doi: 10.1016/j.jadohealth.2016.11.028. Epub 2017 Jan 7.
To characterize subgroups of teens in the United States for whom provider recommendation is less likely to impact human papillomavirus (HPV) vaccine initiation.
We analyzed provider-verified vaccination data from the Centers for Disease Control and Prevention's 2014 National Immunization Survey-Teen. Poisson regression models identified characteristics associated with the lack of HPV vaccine initiation among teens who received a provider recommendation (n = 12,742). Top qualitative reasons for nonvaccination among teens who received a provider recommendation were summarized (n = 1,688).
Among teens with provider recommendations, males, younger teens, and white teens were less likely to initiate vaccination, compared to peers. Believing the vaccine was unnecessary, concerns about safety and lack of vaccine knowledge were common reasons parents did not initiate the vaccine, despite receiving provider recommendations.
These key subgroups and barriers to HPV vaccination should be targeted with interventions that complement provider recommendation to achieve broad vaccine uptake in the United States.
确定在美国不太可能因医疗服务提供者的建议而影响人乳头瘤病毒（HPV）疫苗接种起始率的青少年亚组。
我们分析了疾病控制与预防中心2014年全国青少年免疫调查中经医疗服务提供者核实的疫苗接种数据。泊松回归模型确定了在收到医疗服务提供者建议的青少年（n = 12,742）中与未开始接种HPV疫苗相关的特征。总结了收到医疗服务提供者建议的青少年中不接种疫苗的主要定性原因（n = 1,688）。
在收到医疗服务提供者建议的青少年中，与同龄人相比，男性、年龄较小的青少年和白人青少年开始接种疫苗的可能性较小。尽管收到了医疗服务提供者的建议，但认为疫苗不必要、对安全性的担忧以及缺乏疫苗知识是家长未让孩子接种疫苗的常见原因。
这些关键亚组以及HPV疫苗接种的障碍应以补充医疗服务提供者建议的干预措施为目标，以在美国实现广泛的疫苗接种。
