Reasons for Not Vaccinating Adolescents: National Immunization Survey of Teens, 2008-2010
Reasons for Not Vaccinating Adolescents: National Immunization Survey of Teens, 2008-2010
复制标题
DOI：
10.1542/peds.2012-2384
复制
发表时间：
2013-04-01
期刊：
影响因子：
8
通讯作者：
Jacobson, Robert M.
中科院分区：
文献类型：
--
作者：
Darden, Paul M.;Thompson, David M.;Jacobson, Robert M.
目的：确定青少年不接种特定疫苗的原因以及这些原因随时间的变化情况。方法：我们分析了 2008-2010 年全国青少年免疫调查，检查父母不让青少年接种疫苗的原因。青少年未及时接种 Tdap/Td 和 MCV4（Not-UTD）的家长被问及他们未接种疫苗的主要原因。未接种人乳头瘤病毒疫苗 (HPV) 的女性青少年的父母被问及是否打算接种 HPV，而那些不太可能接种 HPV 的人则被问及不接种 HPV 的主要原因。 结果：不接种 Tdap/Td 和 MCV4 疫苗的最常见原因相同，包括“不推荐”和“不需要或没有必要”。对于 HPV，最常见的原因包括其他疫苗的原因以及其他 4 个原因，包括“性行为不活跃”和“安全问题/副作用”。 “安全问题/副作用”从 2008 年的 4.5% 上升到 2009 年的 7.7%，再到 2010 年的 16.4%，2010 年接近最常见的原因“不需要或不必要”的 17.4%（95% CI：15.7-19.1）。尽管家长报告说，卫生保健专业人员越来越多地推荐包括 HPV 在内的所有疫苗，但不接种 HPV 疫苗的意愿从 2008 年的 39.8% 增加到 2010 年的 43.9%（趋势比为 1.08，95% CI：1.04-1.13）。 结论：尽管医生越来越多地推荐青少年疫苗，但家长越来越不打算为女性青少年接种 HPV 疫苗。人们对 HPV 安全性的担忧逐年增加。解决家长对 HPV 的具体且日益增长的担忧需要与其他疫苗不同的考虑因素。
OBJECTIVE: To determine the reasons adolescents are not vaccinated for specific vaccines and how these reasons have changed over time.METHODS: We analyzed the 2008-2010 National Immunization Survey of Teens examining reasons parents do not have their teens immunized. Parents whose teens were not up to date (Not-UTD) for Tdap/Td and MCV4 were asked the main reason they were not vaccinated. Parents of female teens Not-UTD for human papillomavirus vaccine (HPV) were asked their intent to give HPV, and those unlikely to get HPV were asked the main reason why not.RESULTS: The most frequent reasons for not vaccinating were the same for Tdap/Td and MCV4, including "Not recommended" and "Not needed or not necessary." For HPV, the most frequent reasons included those for the other vaccines as well as 4 others, including "Not sexually active" and "Safety concerns/Side effects." "Safety concerns/Side effects" increased from 4.5% in 2008 to 7.7% in 2009 to 16.4% in 2010 and, in 2010, approaching the most common reason "Not Needed or Not Necessary" at 17.4% (95% CI: 15.7-19.1). Although parents report that health care professionals increasingly recommend all vaccines, including HPV, the intent to not vaccinate for HPV increased from 39.8% in 2008 to 43.9% in 2010 (OR for trend 1.08, 95% CI: 1.04-1.13).CONCLUSIONS: Despite doctors increasingly recommending adolescent vaccines, parents increasingly intend not to vaccinate female teens with HPV. The concern about safety of HPV grew with each year. Addressing specific and growing parental concerns about HPV will require different considerations than those for the other vaccines.