br Other factors to consider
Other factors to consider regarding adolescent vaccine ac-ceptance that may merit future study include the potential impacts of social media and peer pressure. Depending on the source and content of social media postings or the focus of direct or indirect peer pressure, substantial shifts in either vaccine acceptance or refusal could ensure. Such effects might impact Atezolizumab rates among small groups of friends, but it is also feasible that larger scale influences could develop across those attending a particular school or to a larger number of teens living in the same community.
A strong vaccine recommendation from a provider who is confident and knowledgeable about the HPV vaccine in ad-dition to messages regarding HPV vaccine as cancer preven-tion motivates HPV vaccinations.38-40 Our multicomponent intervention was associated with small to moderate increases in HPV vaccination rates among the recruited practices. It is likely that additional systematic changes will be needed to op-timize vaccine uptake in this population. Future larger studies are needed to measure the effect of a cancer prevention plat-form on adolescent HPV vaccine completion rates. ■
We thank the New York State Immunization Information Systems team for their assistance in obtaining statewide and countywide vaccination rates.
150 Suryadevara et al
February 2019 ORIGINAL ARTICLES
Reprint requests: Manika Suryadevara, MD, Department of Pediatrics, SUNY Upstate Medical University, 750 East Adams St, Syracuse, NY 13210. E-mail: [email protected]
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