Factors that influence parental vaccination decisions for adolescents, 13 to 17 years old: National Immunization Survey-Teen, 2010

Clin Pediatr (Phila). 2013 Feb;52(2):162-70. doi: 10.1177/0009922812468208. Epub 2012 Dec 6.


Objectives: We aim to describe factors that influence parental decisions to vaccinate their adolescents.

Methods: Data from the July to December 2010 National Immunization Survey-Teen Parental Concerns Module were analyzed to determine factors that influence parental decisions to vaccinate their adolescents.

Results: Parents reported that their adolescent's health care provider recommended tetanus toxoid/tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Td/Tdap; 74.4%), meningococcal conjugate (MenACWY; 60.3%), and human papillomavirus (HPV; 71.3%). Vaccination coverage estimates were significantly higher among parents who reported receiving a provider recommendation: 85.2% versus 76.7% (Td/Tdap), 77.3% versus 49.7% (MenACWY), and 62.2% versus 21.5% (HPV). Compared with Td/Tdap and MenACWY, fewer HPV vaccination conversations included recommendations for vaccination. Other than health care providers, school requirements (46.1%), news coverage (31.2%), and family (31.0%) were most frequently reported influences on parental vaccination decisions.

Conclusions: Many factors influence parental decisions to vaccinate their adolescents; one of the most important factors is the provider recommendation. Missed opportunities for vaccination persist when strong vaccination recommendations are not given or are delayed.

MeSH terms

  • Adolescent
  • Attitude to Health
  • Communications Media
  • Decision Making*
  • Directive Counseling / statistics & numerical data*
  • Female
  • Health Care Surveys
  • Humans
  • Male
  • Parents / education
  • Parents / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Vaccination / statistics & numerical data*