Parent-Reported Reasons for Nonreceipt of Recommended Adolescent Vaccinations, National Immunization Survey-Teen, 2009
Parent-Reported Reasons for Nonreceipt of Recommended Adolescent Vaccinations, National Immunization Survey-Teen, 2009
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DOI：
10.1177/0009922811415104
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发表时间：
2011-12-01
影响因子：
1.6
通讯作者：
Strasser, Sheryl
中科院分区：
文献类型：
--
作者：
Dorell, Christina;Yankey, David;Strasser, Sheryl
目的：通过提供者的建议状态，确定父母报告的未接受青少年疫苗接种的原因。研究方法：使用2009年全国免疫调查-青少年（n= 20，066）的数据，分析了13-17岁青少年未接种青少年疫苗的父母原因。结果如下：在未接种疫苗的青少年中，87.9%（Td/Tdap），90.9%（MenACWY）和66.0%（HPV）的父母报告说，他们没有收到医疗保健提供者建议他们的青少年接受疫苗。在那些没有提供者建议的人中，不接受疫苗的最常见原因是“不推荐疫苗”[Td/Tdap，MenACWY]和“不需要”[HPV]。在那些有建议的人中，最常见的父母原因是“缺乏知识”[Td/Tdap]，“不需要疫苗”[MenACWY]和“缺乏知识”[HPV]。结论：未收到提供者的建议是父母报告的未接种疫苗的主要原因。需要通过增加提供者与父母之间关于疾病风险和疫苗益处的沟通来增加父母的知识和疫苗接种覆盖率。
Objectives: To identify parent-reported reasons for non-receipt of adolescent vaccinations by provider recommendation status. Methods: Parental reasons for non-receipt of adolescent vaccines were analyzed among adolescents 13-17 years using data from the 2009 National Immunization Survey-Teen (n=20,066). Results: Among unvaccinated adolescents, 87.9% (Td/Tdap), 90.9% (MenACWY), and 66.0% (HPV) of parents reported that they did not receive a healthcare provider recommendation for their adolescent to receive the vaccine. Among those without a provider recommendation, the most common reasons for not receiving the vaccines were 'vaccine not recommended' [Td/Tdap, MenACWY] and 'not needed' [HPV]. Among those with a recommendation, the most common parental reasons were 'lack of knowledge' [Td/Tdap], 'vaccine not needed' [MenACWY], and 'lack of knowledge' [HPV]. Conclusions: Non-receipt of provider recommendations was a main parent-reported reason for not getting vaccinated. Increasing parental knowledge and vaccination coverage through increased provider-parent communication about disease risk and vaccine benefits is needed.