Factors Associated With Parents’ Intent to Vaccinate Adolescents for Human Papillomavirus: Findings From the 2014 National Immunization Survey–Teen

Abstract

IntroductionWhile factors associated with receipt of human papillomavirus (HPV) vaccination have been well characterized, less is known about the characteristics associated with parents’ intent to have their adolescent children vaccinated. This study aimed to examine factors associated with parental intention toward HPV vaccination.MethodsWe analyzed data on 10,354 adolescents aged 13 to 17 years from the 2014 National Immunization Survey–Teen. Weighted multivariable logistic regression was used to examine associations between sociodemographic characteristics of mothers and adolescents, as well as a health care provider recommendation with parents’ intention to have their children receive HPV vaccine.ResultsAmong unvaccinated adolescents, Hispanic ethnicity (boys adjusted odds ratio [AOR], 1.87, 95% confidence interval [CI], 1.34–2.61; and girls AOR, 1.57; 95% CI, 1.05–2.35), mothers with less than a high school diploma (boys AOR, 2.41; 95% CI, 1.58–3.67; and girls AOR, 1.86; 95% CI, 1.02–3.38), and having a health care provider recommend the vaccine (boys AOR, 1.87; 95% CI, 1.52–2.31; and girls AOR, 1.38; 95% CI, 1.05–1.82) were significantly associated with parents’ intention to have their adolescent child vaccinated within the next 12 months. In addition, non-Hispanic black race was a significant predictor of parents’ intent to vaccinate for boys (AOR, 1.89; 95% CI, 1.35–2.65).ConclusionMaternal education and Hispanic ethnicity were the strongest predictors of parental intent to vaccinate against HPV, followed by provider recommendation. As HPV vaccination rates in the United States remain below the Healthy People 2020 goal, messages may need to be targeted based on maternal education, race/ethnicity, and provider recommendation.

Factors associated with the human papillomavirus (HPV) vaccination across three countries following vaccination introduction

“…Healthcare provider (HCP) recommendations, along with various interpersonal and environmental influences have also been shown to be associated with initiation and are important to understand. As demonstrated across several studies ( Ferrer et al, 2014 , Gamble et al, 2010 , Mohammed et al, 2017 , Staras et al, 2014 , Stephens et al, 2016 ), HCPs' influence on vaccine uptake appears to often outweigh parental knowledge and attitudes.…”

Using an integrated conceptual framework to investigate parents' HPV vaccine decision for their daughters and sons

“…38 The present study was unique in evaluating PAPM stages for both parents of girls and boys. The literature has primarily focused on parents of girls, 35,[37][38][39][40][41][42][43][44] with none using the PAPM.…”

Factors associated with not receiving HPV vaccine among adolescents by metropolitan statistical area status, United States, National Immunization Survey–Teen, 2016–2017

“…Descriptive characteristics were divided into three categories and chosen based on previous studies indicating associations with HPV vaccine uptake. 10,[19][20][21][22][23] The three categories included adolescent characteristics (age, sex, race/ethnicity, immigration status, and region of residence); maternal characteristics (maternal age, maternal educational attainment, maternal marital status; and parental awareness of the Vaccines for Children [VFC] program 24 ); and access-to-care factors (income-to-poverty ratio, insurance status, the presence or absence of an 11-12-year-old well-child visit, parental report of provider recommendation for HPV vaccine, and vaccination facility type). Poverty level was analyzed using the "income-to-poverty ratio" variable, which is the ratio of each family's income to their respective poverty threshold based on family size and federal poverty guidelines.…”