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      Pediatricians’ perspectives on COVID-19 and HPV vaccine hesitancy

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          ABSTRACT

          Rises in parental vaccine hesitancy, observed during the COVID−19 pandemic, threaten public health. This is especially concerning for vaccines not typically required for school-entry, such as the vaccines for COVID−19 and human papillomavirus (HPV), both of which also have much lower rates of completion compared to other adolescent vaccines. Pediatricians are well-positioned to address vaccine hesitancy and can offer insights into parents’ perspectives in this area. There is evidence that pediatricians’ sharing their own vaccine stories may help to address parents’ concerns; yet we have little information on pediatricians’ or their children’s COVID−19 vaccine uptake. To address these gaps, we conducted a cross-sectional survey about Massachusetts pediatricians’ behaviors and perspectives on vaccines that face significant resistance: HPV and COVID−19 vaccines. A total of 144 people initiated the survey, and 109 participants were eligible and completed the survey. Participants reported high levels of COVID−19 vaccine uptake for themselves (97%) and their children (98%). Similarities in parents’ resistance toward both vaccines were identified: fear of side effects; general vaccine resistance. Pediatricians reported a rise in vaccine hesitancy since the beginning of the COVID−19 pandemic. Future research should focus on identifying strategies to build overall vaccine confidence and streamline these efforts for pediatricians.

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          Most cited references22

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          Provider communication about HPV vaccination: A systematic review.

          Improving HPV vaccination coverage in the US will require healthcare providers to recommend the vaccine more effectively. To inform quality improvement efforts, we systematically reviewed studies of provider communication about HPV vaccination.
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            Countering Vaccine Hesitancy

            Immunizations have led to a significant decrease in rates of vaccine-preventable diseases and have made a significant impact on the health of children. However, some parents express concerns about vaccine safety and the necessity of vaccines. The concerns of parents range from hesitancy about some immunizations to refusal of all vaccines. This clinical report provides information about addressing parental concerns about vaccination.
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              HPV vaccine hesitancy: findings from a statewide survey of health care providers.

              Health care provider recommendations are critical for human papillomavirus (HPV) vaccine uptake. We sought to describe providers' HPV vaccine recommendation practices and explore their perceptions of parental hesitancy.
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                Author and article information

                Journal
                Hum Vaccin Immunother
                Hum Vaccin Immunother
                Human Vaccines & Immunotherapeutics
                Taylor & Francis
                2164-5515
                2164-554X
                22 June 2023
                2023
                22 June 2023
                : 19
                : 2
                : 2225388
                Affiliations
                [a ]Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School; , Worcester, MA, USA
                [b ]Mattapan Community Health Center; , Boston, MA, USA
                [c ]Department of Pediatrics, University of Massachusetts Chan Medical School; , Worcester, MA, USA
                [d ]Massachusetts Chapter, American Academy of Pediatrics; , Waltham, MA, USA
                [e ]Division of Pulmonology, Department of Pediatrics, University of Massachusetts Chan Medical School; , Worcester, MA, USA
                [f ]Child Health Equity Center, Department of Pediatrics, UMass Chan Medical School, UMass Memorial Children’s Medical Center, Worcester, MA, USA;
                Author notes
                CONTACT Grace W. Ryan Grace.ryan1@ 123456umassmed.edu Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School; , 368 Plantation St, Worcester, MA 01605, USA.
                Author information
                https://orcid.org/0000-0002-0354-2644
                Article
                2225388
                10.1080/21645515.2023.2225388
                10288893
                37347712
                c6da93db-3178-422e-a771-5efed8b668a3
                © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License ( http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

                History
                Page count
                Figures: 1, Tables: 1, References: 24, Pages: 1
                Categories
                Brief Report
                Acceptance & Hesitation – Brief Report

                Molecular medicine
                vaccine hesitancy,survey research,covid-19 vaccination,hpv vaccination,pediatric providers

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