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Tuesday, March 31, 2009
Grand Hall area
Background:
HP 2010 objective 14-27 aims to increase routine vaccine coverage levels among adolescents age 13-15 to 90%. In recent years, new vaccines have been added to the adolescent recommendations.
Objectives:
By the end of the presentation participants will be able to identify adolescent vaccination coverage rate trends for San Diego County and identify some common attitudes and beliefs about new vaccines held by parents.
Methods:
Surveys were collected by computer-assisted random digit dial telephone survey (RDD) annually from 2006-2008. Eligible households were within San Diego County, had a home telephone, and a child between 11 and 17 years of age at the time of the survey (2008). If parents gave permission, registry-based provider verification was performed. The focus of this report is adolescents age 11-15.
Results:
In 2006, 2007, and 2008, 582, 929, and 650 (estimated) surveys were completed, respectively. Vaccination coverage rates for Hepatitis B, MMR, Varicella, Hepatitis A, and Influenza have increased. 58% of 11-15 year olds had received Tdap, DTaP, Dt, Td, or DTP after age 7 compared to 45% in 2006. 76% of parents had heard of the HPV vaccine, or Gardasil, but significantly fewer parents had heard of Tdap and Meningococcal (32% and 45% respectively). 27% of this population had received a Meningococcal vaccine, and 21% of girls this age had initiated the HPV series.
Conclusions:
While coverage of vaccines recommended for adolescents has increased, they are far below HP 2010 goals. Despite considerable advertising for Gardasil, parental knowledge and acceptance of the HPV vaccine continues to lag. The patterns shown by the RDD surveys since 2006 have provided valuable information about parents' opinions of new vaccines. This information helps to identify barriers to receiving vaccines and helps program planners in developing messages for adolescents and their parents about the importance of vaccination.