Studies continue to show that a provider recommendation is the most influential factor in a patient’ s or parent’ s decision to receive an immunization. 17 As we demonstrated there is not an observed difference between HPV-9 and COVID-19 vaccination, we can better counsel individual families with shared decision making. Future studies should focus on reasons for vaccine refusal and evaluation of the prevalence of vaccine misconceptions and decipher any potential differences in urban and rural settings. No matter their location, healthcare providers are encouraged to continue to advocate for strong vaccine laws in our state.
REFERENCES
1. Seither R, Yusuf OB, Dramann D, Calhoun K, Mugerwa-Kasujja A, Knighton CL. Coverage with selected vaccines and exemption from school vaccine requirements among children in kindergarten- United States, 2022- 23 School Year. MMWR Morbidity and Mortality Weekly Report. 2023; 72( 45): 1217-1224.
2. Garvey G. Veto upholds West Virginia ' s strong vaccine requirements https:// www. ama-assn. org / delivering-care / public-health / veto-upholds-westvirginia-s-strong-vaccine-requirements: American Medical Association May 3, 2024 2024.
3. Pingali C, Yankey D, Elam-Evans LD, et al. National vaccination coverage among adolescents aged 13-17 Years- National Immunization Survey- Teen, United States, 2021. MMWR Morbidity and Mortality Weekly Report. 2022; 71( 35): 1101-1108.
4. Walker TY, Elam-Evans LD, Yankey D, et al. National, regional, state, and selected local area vaccination coverage among adolescents aged 13-17 years- United States, 2017. MMWR Morbidity and Mortality Weekly Report. 2018; 67( 33): 909-917.
5. FDA authorizes Pfizer-BioNTech COVID-19 vaccine for emergency use in adolescents in another important action in fight against pandemic [ press release ]. May 10, 2021 2021.
6. Murthy BP, Zell E, Saelee R, et al. COVID-19 vaccination coverage among adolescents ged 12-17 Years- United States, December 14, 2020-July 31, 2021. MMWR Morbidity and Mortality Weekly Report. 2021; 70( 35): 1206-1213.
7. Diaz P, Zizzo J, Balaji NC, et al. Fear about adverse effect on fertility is a major cause of COVID-19 vaccine hesitancy in the United States. Andrologia. 2022; 54( 4): e14361.
8. Healy CM, Montesinos DP, Middleman AB. Parent and provider perspectives on immunization: are providers overestimating parental concerns? Vaccine. 2014; 32( 5): 579-584.
9. Romer D, Jamieson KH. Conspiracy theories as barriers to controlling the spread of COVID-19 in the U. S. Social science & medicine. 2020; 263:113356.
10. Ruiz JB, Bell RA. Parental COVID-19 Vaccine Hesitancy in the United States. Public health reports. 2022; 137( 6): 1162- 1169.
11. Jena AB, Goldman DP, Seabury SA. Incidence of sexually transmitted infections after human papillomavirus vaccination among adolescent females. JAMA internal medicine. 2015; 175( 4): 617-623.
12. Mayhew A, Mullins TL, Ding L, et al. Risk perceptions and subsequent sexual behaviors after HPV vaccination in adolescents. Pediatrics. 2014; 133( 3): 404- 411.
13. Stokley S, Jeyarajah J, Yankey D, et al. Human papillomavirus vaccination coverage among adolescents, 2007- 2013, and postlicensure vaccine safety monitoring, 2006-2014--United States. MMWR Morbidity and Mortality Weekly report. 2014; 63( 29): 620-624.
14. Wang Y, McKee M, Torbica A, Stuckler D. Systematic Literature Review on the spread of health-related misinformation on social media. Social science & medicine. 2019; 240:112552.
15. US Department of Health and Human Services. Healthy People 2030 Objectives https:// health. gov / healthypeople / objectives-and-data / browse-objectives / vaccination. Published 2020. Accessed September 23, 2024.
16. West Virginia Department of Health and Human Resources. West Virginia Cancer Burden Report https:// oeps. wv. gov / cancer / documents / data / burdenreport2019. pdf. Published 2019. Accessed September 23, 2024.
17. Gilkey MB, Calo WA, Moss JL, Shah PD, Marciniak MW, Brewer NT. Provider communication and HPV vaccination: The impact of recommendation quality. Vaccine. 2016; 34( 9): 1187-1192.
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