Could be bettered via simultaneous administration, provider endorsement, parental awareness
MONDAY, Nov. 14 (HealthDay News) -- Adolescent vaccination coverage in the United States increased from 2006 to 2009, and could be further improved, according to a study published online Nov. 14 in Pediatrics.
Shannon Stokley, M.P.H., from the Immunization Services Division of the U.S. Centers for Disease Control and Prevention in Atlanta, and colleagues assessed the implementation of new adolescent vaccination recommendations, which included three new vaccines: tetanus-diphtheria-acellular pertussis (TdaP), meningococcal conjugate (MenACWY), and human papillomavirus (HPV) vaccination for 13- to 17-year-old girls. National Immunization Survey-Teen data from 2006 to 2009 were analyzed for the percentage of adolescents being vaccinated, potential coverage if all vaccines were administered during same visit, and reasons for non-receipt of vaccinations.
The investigators found that ≥1 TdaP coverage increased from 11 to 56 percent, and ≥1 MenACWY coverage increased from 12 to 54 percent between 2006 and 2009. Among girls, ≥1 HPV coverage increased from 25 to 44 percent between 2007 and 2009, whereas ≥3 HPV coverage increased from 18 to 27 percent between 2008 and 2009. Administration of all vaccines during the same vaccination visit could have increased Td/TdaP and MenACWY coverage to over 80 percent and the first HPV dose coverage to 74 percent in 2009. The most common reasons across all years for not vaccinating with TdaP and MenACWY were no knowledge of vaccine, no provider recommendation, and no need; for HPV the main reasons were sexual inactivity, no knowledge of vaccine, and no need.
"Strategies are needed to increase parental knowledge about adolescent vaccines and improve provider recommendation and administration of all vaccines during the same visit," the authors write.
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