Barriers to HPV Immunization: Perspectives of Parents and Health Care Providers
| Barriers Stated by Parents . | Barriers Stated by Providers . |
|---|---|
| Vaccines are not offered | Prefer not to give multiple vaccines |
| Vaccines are optional or unnecessary | Do not strongly recommend HPV vaccine |
| Providers do not encourage vaccination | Cannot predict onset of sexual activity |
| Providers do not discuss vaccine safety | Do not have experience with HPV disease |
| Providers do not emphasize importance of age at vaccination | Vaccination delays can cause lack of immunization |
| Lack of knowledge | |
| Concerns about vaccine safety |
| Barriers Stated by Parents . | Barriers Stated by Providers . |
|---|---|
| Vaccines are not offered | Prefer not to give multiple vaccines |
| Vaccines are optional or unnecessary | Do not strongly recommend HPV vaccine |
| Providers do not encourage vaccination | Cannot predict onset of sexual activity |
| Providers do not discuss vaccine safety | Do not have experience with HPV disease |
| Providers do not emphasize importance of age at vaccination | Vaccination delays can cause lack of immunization |
| Lack of knowledge | |
| Concerns about vaccine safety |
Sources: Perkins RB, Clark JA, Apte G, et al. Missed opportunities for HPV vaccination in adolescent girls: a qualitative study. Pediatrics. 2014;134(3):e670; and Centers for Disease Control and Prevention. Human papillomavirus vaccination coverage among adolescents, 2007-2013, and postlicensure vaccine safety monitoring, 2006–2014—United States. MMWR Morb Mortal Wkly Rep. 2014;63(29):620-624.