Alaina M. Brown, MD, FAAP Pediatric Associates of Charlottesville

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1 Alaina M. Brown, MD, FAAP Pediatric Associates of Charlottesville

2 Health care professionals Financial concerns Parental attitudes/concerns Parents Lack of information Concerns about effects on sexual behavior Low perceived risk of infection Lack of perceived benefit to sons

3 Health care professionals Financial concerns Parental attitudes/concerns Parents Lack of information Concerns about effects on sexual behavior Low perceived risk of infection Lack of perceived benefit to sons

4 Health care professionals Financial concerns Parental attitudes/concerns Parents Lack of information Concerns about effects on sexual behavior Low perceived risk of infection Lack of perceived benefit to sons

5 Health care professionals Financial concerns Parental attitudes/concerns Parents Lack of information Concerns about effects on sexual behavior Low perceived risk of infection Lack of perceived benefit to sons

6 Daughters Cancer prevention Doctor recommendation Family history of cancers (e.g., cervical, ovarian) Personal experience of cervical cancer Sons Doctor recommendation Cancer prevention Disease prevention Social responsibility: prevent future partners from contracting

7 Offer a Strong Recommendation Focus on Cancer Prevention Discuss Rationale for Early Vaccination Offer a Personal Story Welcome Questions from Parents/Patients

8 Offer a Strong Recommendation Focus on Cancer Prevention Discuss Rationale for Early Vaccination Offer a Personal Story Welcome Questions from Parents/Patients

9 CDC. National and State Vaccination Coverage Among Adolescents Aged Years United States, 2012 MMWR 2014; 63(29); Slide taken from CDC Presentation Framing the Conversation 13%

10 Offer a Strong Recommendation Focus on Cancer Prevention Discuss Rationale for Early Vaccination Offer a Personal Story Welcome Questions from Parents/Patients

11

12 Offer a Strong Recommendation Focus on Cancer Prevention Discuss Rationale for Early Vaccination Offer a Personal Story Welcome Questions from Parents/Patients

13 Graphic taken from

14 Offer a Strong Recommendation Focus on Cancer Prevention Discuss Rationale for Early Vaccination Offer a Personal Story Welcome Questions from Parents/Patients

15 Offer a Strong Recommendation Focus on Cancer Prevention Discuss Rationale for Early Vaccination Offer a Personal Story Welcome Questions from Parents/Patients

16 Educate Parents on Importance of 3 doses Start at the very first dose Use comparison with other multi-dose vaccines Avoid Missed Opportunities Sports physicals Injury/sick visits ADHD check-ups Standing orders Use Reminder System EMR Post card Paper cards

17 CDC NIS-Teen Data -Adolescents/Teens (13-17 years) Vaccinate Your Baby Offit, P. (2014, August 19). Let s Not Talk About Sex. The New York Times. Retrieved from Dorell C, Yankey D, Kennedy A, Stokley S. Factors that influence parental vaccination decisions for adolescents, 13 to 17 years old: National Immunization Survey Teen, Clin Pediatr (Phila) 2013;52: CDC webinar: You Are the Key to HPV Cancer Prevention. Chandra A et al., Sexual behavior, sexual attraction, and sexual identity in the United States: data from the National Survey of Family Growth, National Health Statistics Reports, 2011, No. 36 American Cancer Society Perkins R, et al. Missed Opportunities for HPV Vaccination in Adolescent Girls: A Qualitative Study. Pediatrics Vol. 134 No. 3 September 1, 2014 CDC Presentation Talking About the HPV Vaccine: Framing the Conversation

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