Adolescents and vaccines in the western world

Nicola Principi, Susanna Esposito

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Recent data have shown that the immune protection evoked by vaccines given in the first years of life progressively weakens, and that this is associated with a higher than expected incidence of vaccine-preventable diseases in adolescents and young adults. Furthermore, the greater circulation of pathogens among adolescents and young adults leads to a high risk of infection in unvaccinated or not fully vaccinated younger children. These findings, together with the availability of vaccines specifically developed to prevent infections that typically occur during adolescence, have induced a number of experts to suggest radical changes in the immunisation schedules usually recommended by health authorities. The most important of these relate pertussis, meningococcal and human papillomavirus vaccines but, although they are based on unexceptionable scientific premises, the suggestions have been only slowly and partially received in most countries, even in those in which vaccination programmes are usually adequately implemented and monitored. Adolescence is a particular period of life characterised by changes in intellectual, moral, physical, emotional and psychological development. All of these can have a considerable impact on compliance with immunisation schedules because the approach to any preventive method no longer entirely depends on parents' and pediatricians' judgements as in the first years of life but is the consequence of a more complex process involving the adolescents' thoughts and opinions, their relationships with their parents, friends and physicians, and the information they receive from the mass media. Every effort should be made to overcome the barriers to adolescent immunisation, including those arising from the adolescents themselves.

Original languageEnglish
Pages (from-to)5366-5374
Number of pages9
JournalVaccine
Volume31
Issue number46
DOIs
Publication statusPublished - Nov 4 2013

Fingerprint

Western World
Vaccines
vaccines
Immunization Schedule
immunization
young adults
Young Adult
Parents
pediatricians
mass media
Papillomavirus Vaccines
Mass Media
Papillomaviridae
Whooping Cough
Infection
physicians
infection
compliance
Immunization
Vaccination

Keywords

  • Adolescents
  • Meningococcal disease
  • Papillomavirus
  • Pertussis
  • Vaccine

ASJC Scopus subject areas

  • Immunology and Microbiology(all)
  • Infectious Diseases
  • Public Health, Environmental and Occupational Health
  • veterinary(all)
  • Molecular Medicine

Cite this

Adolescents and vaccines in the western world. / Principi, Nicola; Esposito, Susanna.

In: Vaccine, Vol. 31, No. 46, 04.11.2013, p. 5366-5374.

Research output: Contribution to journalArticle

Principi, N & Esposito, S 2013, 'Adolescents and vaccines in the western world', Vaccine, vol. 31, no. 46, pp. 5366-5374. https://doi.org/10.1016/j.vaccine.2013.08.092
Principi, Nicola ; Esposito, Susanna. / Adolescents and vaccines in the western world. In: Vaccine. 2013 ; Vol. 31, No. 46. pp. 5366-5374.
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