Toward a Deeper Understanding of the Spectrum of Parental Human Papillomavirus Vaccine Hesitancy.

Toward a Deeper Understanding of the Spectrum of Parental Human Papillomavirus Vaccine Hesitancy.
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更深入地了解父母人乳头瘤病毒疫苗犹豫的范围。

DOI:
10.1016/j.jadohealth.2022.04.004
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发表时间:
2022
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
Bednarczyk,RobertA
Bednarczyk,RobertA
中科院分区:
--
文献类型:
--
作者:
Sundaram,MariaE;Bednarczyk,RobertA

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在评估疫苗接种率时,我们经常将人们分为“接种疫苗”或“未接种疫苗”的简单二分法,从中我们分别推断出低犹豫和高犹豫。这种方法使研究更简单,但放弃了有价值的细微差别,这些细微差别可以为我们提供增加疫苗摄取的重要见解。在这一期的《青少年健康杂志》上,Rositch等人。[1]更细致入微地研究父母对人乳头瘤病毒(HPV)疫苗的犹豫,使用国家免疫调查-青少年(NIS-Teen)关于未接种疫苗的青少年接种意向的数据,按犹豫水平对父母进行分类。值得注意的是,2019年评估的13-17岁青少年中有30.7%接受了0剂HPV疫苗(相当于6,263,203名青少年)。[2]这些青少年的大多数(63%)父母不愿意让他们接种疫苗。最令人担忧的是,在这些犹豫不决的父母中,大多数人“有点犹豫”(29%; 1,144,287名青少年)[2]或“非常犹豫”(63%;[2].虽然我们已经看到青少年HPV疫苗接种的增加在十年半以来,这些疫苗首次推荐使用,HPV疫苗的接种继续落后于青少年Tdap和四价脑膜炎球菌结合疫苗。这突出了一个重要的提示-青少年正在访问医疗保健提供者进行常规免疫接种。这很清楚地表明,Rositch等人记录的疫苗犹豫。[1]是针对HPV疫苗的。
Too often, when evaluating vaccine uptake, we classify people into a simple dichotomy of “vaccinated” or “unvaccinated”, from which we infer low hesitance and high hesitance, respectively. This approach makes research simpler, but discards valuable nuances that can give us important insights into increasing vaccine uptake. In this issue of the Journal of Adolescent Health, Rositch et al.[1] take a more nuanced look into parental human papillomavirus (HPV) vaccine hesitance, using National Immunization Survey-Teen (NIS-Teen) data on intention to vaccinate unvaccinated adolescents to classify parents by hesitance level. Notably, 30.7% of 13-17 year old adolescents assessed in 2019 received 0 doses of HPV vaccine (corresponding to 6,263,203 adolescents).[2] A majority (63%) of parents of these adolescents were hesitant to have them vaccinated. Most concerning is that of these hesitant parents, the majority were “somewhat hesitant”(29%; 1,144,287 adolescents)[2] or “very hesitant”(63%; 2,485,865 adolescents)[2].While we have seen increases in adolescent HPV vaccine uptake in the decade and a half since these vaccines were first recommended for use, HPV vaccine uptake continues to trail behind that of adolescent Tdap and quadrivalent meningococcal conjugate vaccine. This highlights an important consideration–adolescents ARE visiting healthcare providers for routine immunizations. This makes it very clear that the vaccine hesitance documented by Rositch et al.[1] is specific to HPV vaccination.
DOI: 10.1016/j.socscimed.2020.113375
发表时间: 2021-01
期刊: Social science & medicine (1982)
影响因子: --
作者:
Lahijani AY;King AR;Gullatte MM;Hennink M;Bednarczyk RA
通讯作者: Bednarczyk RA