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Hepatitis b and human papillomavirus are strongly recommended but are not required.
The sensationalized reports of adverse reactions following human papillomavirus (HPV) vaccination in Japan in 2013 caused the government to suspend its vaccination program recommendation.
In 2015, 13% of parents had cited safety concerns as the main reason for declining the HPV vaccine. But by 2018, that percentage had risen to 23%. During the same period, there was a drop in the percentage of parents citing three of the other most common reasons for declining or delaying the HPV vaccine.
Almost half (45%) of parents who initially declined HPV vaccination for their child reported accepting it at a later visit. An additional 24% intended to accept HPV vaccination for their child in the next year.
The reasons they give include the fact that the vaccine is too new, there are concerns about long-term safety (13), they are worried about the side effects, they think their daughter is too young (14), or they may not feel that their daughter is at risk of an HPV-related disease, such as cervical cancer.
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Personal beliefs: ing to the study, some parents feel that theres a benefit to allowing kids to experience childhood illnesses to boost immunity. Parents may also be concerned about putting chemicals in their childrens bodies and feel that vaccines are not natural enough.
Tests were two tailed, and significance was set at P 0.05. Of the 29 unique reasons cited for HPV vaccine refusal, the five most frequently cited reasons were safety/side-effects concerns (24.8%), not necessary (16.1%), not recommended (11.4%), lack of knowledge (7.7%), and not sexually active (7.7%; Table 1 ).
Few state laws expressly authorize minors to consent for vaccination; however, other laws may enable them to do so, for example, laws allowing minors who have a certain statussuch as those of a certain age, emancipated minors, or homeless youthto consent for health care generally; laws allowing minors satisfying

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