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Clinical Pediatrics
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Vaccine Adherence in Adolescents

Corinne Lehmann, MD, MEd

Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, Corinne.Lehmann{at}cchmc.org

Paul A. S. Benson, MD, MPH

Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH

Although a number of routine and catch-up vaccinations are currently recommended for adolescents, coverage rates of these vaccines are currently suboptimal. Routine recommended immunizations for this cohort include vaccines for influenza, human papillomavirus, and meningococcal disease, as well as a booster for tetanus, diphtheria, and acellular pertussis. Adolescence is also a critical period for administration of catch-up vaccines for those not fully immunized during childhood. Adolescents who do not seek appropriate preventive healthcare are at risk for significant morbidity and possible mortality. Increasing adolescent adherence to recommended vaccine schedules presents a challenge and opportunity for pediatricians and public health advocates. This article outlines barriers to vaccine compliance among adolescents and discusses strategies to increase vaccine uptake.

Key Words: immunization • adolescents • public health • vaccine coverage • vaccine adherence

This version was published on October 1, 2009

Clinical Pediatrics, Vol. 48, No. 8, 801-811 (2009)
DOI: 10.1177/0009922809336360
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