PAS 2019—Parent refusals aren’t the only barriers to HPV vaccine uptake


  • Emily Willingham, PhD
  • Conference Reports
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Takeaway

  • Barriers to HPV vaccine uptake extend beyond the most common factor: parent refusal.
  • Other factors that pediatricians and nurse practitioners cite include insufficient time to explain the vaccine and less regular health care contacts for adolescents. 

Why this matters

  • Despite availability of the cancer-preventing vaccine since 2006, uptake remains remarkably low, in part because of parental concerns.
  • This study suggests other openings for improvement.

Key results

  • 100% of respondents cited more than a single barrier to uptake.
  • Parent refusal/delay was most common (>80%).
  • But 17% of clinicians also cited not having the time required to explain the vaccine sufficiently.
  • 13% cited relatively few adolescents presenting for well visits.
  • 11% cited not having enough training to provide a strong recommendation.
  • 7% had difficulty administering the vaccine at an acute/chronic care visit.
  • Most (89%) relied on prompts as a strategy to improve vaccination uptake.
  • Only 17% used reminder calls.

Study design

  • Survey data from pediatricians and nurse practitioners in 19 states, part of an American Academy of Pediatrics network.
  • Funding: NIH.

Limitations

  • Self-report data presented at a conference without peer review.