Evidence map›Paper›PMID 28842066›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017

Human Papillomavirus Vaccination: What Are the Reasons for Nonvaccination Among U.S. Adolescents?

Erika L Thompson, Brittany L Rosen, Cheryl A Vamos, Mika Kadono, Ellen M Daley

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Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Mechanisms of self-persuasion intervention for HPV vaccination: Testing memory and autonomous motivation.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
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  4. Centralized Reminder/Recall for Human Papillomavirus Vaccination: Findings From Two States-A Randomized Clinical Trial.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Erika L ThompsonDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida; The Chiles Center, College of Public Health, University of South Florida, Tampa, Florida. Electronic address: ethomps1@health.usf.edu.
Brittany L RosenSchool of Human Services, University of Cincinnati, Cincinnati, Ohio.
Cheryl A VamosDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida; The Chiles Center, College of Public Health, University of South Florida, Tampa, Florida.
Mika KadonoDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida.
Ellen M DaleyDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida; The Chiles Center, College of Public Health, University of South Florida, Tampa, Florida.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHuman papillomavirus (HPV) vaccination is recommended for 11- to 12-year-old U.S. adolescents. Unfortunately, HPV vaccine rates have been suboptimal. Parents are key decision agents regarding their adolescents' health; thus, it is necessary to understand their reasons for not vaccinating their adolescents. The purpose of this study was to compare parents' primary reasons for non-HPV vaccination by calendar year, sex of the child, and level of vaccine hesitancy.

methodsThe National Immunization Survey-Teen 2012-2015 was subset to parents who did not intend for their adolescent to receive the HPV vaccine in the next 12 months (N = 59,897). Survey-weighted logistic regression models assessed the impact of year, sex, and level of hesitancy on main reasons for nonvaccination.

resultsNot receiving a recommendation and lack of knowledge were significantly more likely to be the reasons for nonvaccination in 2012 and 2013 compared with 2015. The following reasons were significantly less likely to be reported for females compared with males: not recommended (odds ratio [OR] = .63, 95% confidence interval [CI], .58-.69) and lack of knowledge (OR = .86, 95% CI, .79-.94). In contrast, parents of females were more likely to state they were concerned about safety and side effects (OR = 2.19, 95% CI, 1.98-2.41). Differences in reasons for nonvaccination were observed between those who were unlikely and unsure regarding receiving the HPV vaccine.

conclusionsFindings indicate that U.S. parental attitudes about HPV vaccination have changed over time and reasons for nonvaccination vary based on the sex of the adolescent and the level of hesitancy of the parent. This information can shape how providers respond to parental concerns and HPV vaccine hesitancy.

Indexed as

Health Knowledge, Attitudes, PracticePatient Acceptance of Health CareVaccinationAdolescentFemaleHealth Care SurveysHumansMaleModels, StatisticalPapillomavirus InfectionsPapillomavirus VaccinesParentsUnited StatesPapillomavirus VaccinesAdolescentsHesitancyHPV vaccination

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.