Barriers and enablers to adolescent self-consent for vaccination: A mixed-methods evidence synthesis.


Population Health Sciences, Bristol Medical School, University of Bristol, United Kingdom. Electronic address: [Email]


The recent global expansion of routine adolescent vaccination programmes has the potential to protect young people against infectious diseases and improve their health. Although the legal framework in many countries permits young people to consent for vaccinations if competent, lack of written parental consent can still prevent uptake. We aimed to review systematically the associated barriers and enablers to implementation of adolescent self-consent procedures.


Adolescents,Mixed methods,Self-consent,Systematic review,Vaccination,