You are seeing a 12-year-old boy in your office for a sports physical. You note that he has not yet received the Advisory Committee on Immunization Practices’ (ACIP)-recommended Tdap, menningococcal conjugate, and HPV vaccines.
You discuss each of these with the boy’s mother and tell her you agree with the experts that her son should receive all three. Mom then tells you she is fine with him receiving the first two, but she wants a little more information on the HPV4 vaccine (Gardasil).
She asks you what percentage of males actually get the vaccine in the United States. You are aware that some data exist suggesting that parents are more likely to agree to a vaccination if they feel like that’s the norm. You resist the temptation to lie to her by saying “everyone gets it.”
Instead you tell her that in 2013 the percentage of males between the ages of 13 and 17 years who had received at least one dose of the vaccine was:
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Markowitz LE, Dunne EF, Saraiya M, et al.; Centers for Disease Control and Prevention (CDC). Human papillomavirus vaccination: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2014 Aug 29;63(RR-05):1-30.