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Provider response and follow-up to parental declination of HPV vaccination.

Publication ,  Journal Article
Margolis, MA; Brewer, NT; Boynton, MH; Lafata, JE; Southwell, BG; Gilkey, MB
Published in: Vaccine
January 21, 2022

OBJECTIVE: Parents often decline HPV vaccination, but little is known about how healthcare providers should promote vaccination at a later visit for secondary acceptance. We examined the associations of two factors, providers' response to declination during the visit and follow-up after the visit, with secondary acceptance. METHODS: We conducted a cross-sectional survey of US parents whose 9- to 17-year-old child had not yet completed the HPV vaccination series. Parents who declined HPV vaccination during an initial discussion with a provider (n = 447) reported whether their provider engaged in any active response during the visit (e.g., giving information, trying to change their mind) or any follow-up after the visit (e.g., scheduling another visit). We conducted multivariable logistic regression to determine whether an active response or follow-up was associated with secondary acceptance of HPV vaccination. RESULTS: Only about one-third of parents reported an active response during the visit (35%) or follow-up after the visit (39%) following HPV vaccination declination. Parents had higher odds of secondary acceptance of HPV vaccine if they received any provider follow-up after the visit (43% vs. 20%, aOR:3.19; 95% CI:2.00:5.07). Receipt of an active provider response was not associated with secondary acceptance. More parents thought a provider should actively respond and follow-up (61% and 68% respectively), compared with those who received such a response (both p < .01). CONCLUSIONS: Providers' follow-up after the visit may be important for promoting secondary acceptance of HPV vaccination. Parents who decline HPV vaccination often prefer to receive an active response or follow-up from a provider.

Duke Scholars

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Published In

Vaccine

DOI

EISSN

1873-2518

Publication Date

January 21, 2022

Volume

40

Issue

2

Start / End Page

344 / 350

Location

Netherlands

Related Subject Headings

  • Virology
  • Vaccination
  • Patient Acceptance of Health Care
  • Parents
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Follow-Up Studies
  • Cross-Sectional Studies
 

Citation

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Margolis, M. A., Brewer, N. T., Boynton, M. H., Lafata, J. E., Southwell, B. G., & Gilkey, M. B. (2022). Provider response and follow-up to parental declination of HPV vaccination. Vaccine, 40(2), 344–350. https://doi.org/10.1016/j.vaccine.2021.11.055
Margolis, Marjorie A., Noel T. Brewer, Marcella H. Boynton, Jennifer Elston Lafata, Brian G. Southwell, and Melissa B. Gilkey. “Provider response and follow-up to parental declination of HPV vaccination.Vaccine 40, no. 2 (January 21, 2022): 344–50. https://doi.org/10.1016/j.vaccine.2021.11.055.
Margolis MA, Brewer NT, Boynton MH, Lafata JE, Southwell BG, Gilkey MB. Provider response and follow-up to parental declination of HPV vaccination. Vaccine. 2022 Jan 21;40(2):344–50.
Margolis, Marjorie A., et al. “Provider response and follow-up to parental declination of HPV vaccination.Vaccine, vol. 40, no. 2, Jan. 2022, pp. 344–50. Pubmed, doi:10.1016/j.vaccine.2021.11.055.
Margolis MA, Brewer NT, Boynton MH, Lafata JE, Southwell BG, Gilkey MB. Provider response and follow-up to parental declination of HPV vaccination. Vaccine. 2022 Jan 21;40(2):344–350.
Journal cover image

Published In

Vaccine

DOI

EISSN

1873-2518

Publication Date

January 21, 2022

Volume

40

Issue

2

Start / End Page

344 / 350

Location

Netherlands

Related Subject Headings

  • Virology
  • Vaccination
  • Patient Acceptance of Health Care
  • Parents
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Follow-Up Studies
  • Cross-Sectional Studies