Vaccination in Rural Communities as a Public Health Issue

Key points

  • Many adolescents in rural communities are not getting the recommended vaccines to protect against diseases.
  • It is important to support healthcare professionals in effectively recommending vaccines for adolescents and addressing parents’ concerns.
Nurse Meeting with Teenage Girl

Overview

Despite the availability of safe and effective vaccines, fewer adolescents in rural areas are getting the Human Papillomavirus (HPV) and meningococcal conjugate vaccines compared to adolescents in urban areas, leaving them vulnerable to serious diseases.

2018 National Immunization Survey Teen-Data

  • HPV vaccine (all recommended doses): 15 percentage points lower in rural areas compared to urban areas
  • Meningococcal conjugate vaccine (2 or more doses): 20 percentage points lower in rural areas compared to urban areas

CDC recommends four vaccines for all 11- and 12-year-old boys and girls:‎‎

- Meningococcal conjugate vaccine to protect against meningitis


- HPV vaccine to protect against HPV cancers


- Tdap vaccine to protect against whooping cough


- Annual flu vaccine to protect against seasonal influenza

Tips

One factor that may be contributing to these results is fewer parents from rural areas reported receiving a recommendation for HPV vaccination from their child’s healthcare professional. However, when a recommendation is given, only 75% of parents accept the vaccine, suggesting there are other reasons teens aren’t getting vaccinated (e.g., concerns about vaccine safety, effectiveness, etc.).

Healthcare professionals in rural communities can play a critical role in their patients' health by:

Resources and tools

CDC has a number of resources to assist healthcare professionals with meeting the needs of parents to encourage vaccine acceptance.