Vaccination and Immunization

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Most humans are not moved by data. So, when John V. Williams, MD, talks with vaccine-hesitant or opposed parents, he’ll often talk about what he has seen as a pediatrician and done as a parent.

image of words involving vaccination

Contemporary Pediatrics asked pediatric infectious diseases experts how community pediatricians can talk with families who are firmly against vaccinating their children or hesitant to do so. Here’s what they said.

More providers have been recommending human papillomavirus (HPV) vaccination to their adolescent male patients in recent years, and the effort seems to be paying off: HPV vaccination coverage among boys aged 13 to 17 years increased from 8.3% in 2011 to 57.3% in 2016, while the proportion of providers who recommended the vaccination to this patient group increased from 14.2% to 65.5%.

stock image of childhood vaccine

The number of kindergartners starting school without protection against vaccine-preventable diseases is increasing in states that allow nonmedical exemptions to recommended immunizations.

When you approach a parent who is hesitant about vaccinating her infant at the appropriate well-baby visits, perhaps you say something like this: “Well, we have to do some shots.” Or you might say, “How do you feel about vaccines today?” The former strategy (a “presumptive” approach) is more likely to be effective than the latter (a “participatory” approach), according to a study in parents whom a standardized survey classified as being hesitant about vaccines.