National Immunization Survey-Teen (NIS-Teen) 2018, Texas

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National Immunization Survey-Teen (NIS-Teen) 2018, Texas

Immunization Coverage among Texas Teens 13-17 Years Old
(Full Report)

Source: CDC NIS-Teen Report

About the National Immunization Survey-Teen (NIS-Teen)

The NIS-Teen is a national survey conducted annually by the CDC to assess immunization levels for adolescents 13-17 years of age. This study collects data by interviewing households in all 50 states, the District of Columbia, and selected areas for oversampling. The interviews are conducted by telephone, with households selected at random. To ensure the accuracy and precision of the vaccination coverage estimates, immunization data for surveyed adolescents are also collected through a mail survey of their pediatricians, family physicians, and other health care providers. The parents and guardians of eligible adolescents are asked during the telephone interview for consent to contact the adolescents’ vaccination providers. Types of immunizations, dates of administration, and additional data about facility characteristics are requested from immunization providers that are identified during the telephone survey of households. The NIS-Teen’s estimates of adolescent vaccination coverage reflect a comparison of information provided by both surveyed households and immunization providers. 

The NIS-Teen was established to provide an on-going, consistent data set for analyzing vaccination levels among adolescents in the United States and to disseminate this information to interested public health partners. The NIS-Teen provides national and state estimates of vaccination coverage, including new vaccines as they are licensed and recommended for use. It also helps track progress towards the Healthy People 2020 goals.

Survey Sample

The survey assessed the immunization histories of approximately 20,000 adolescents aged 13-17 years in the US. These adolescents were born between January 2000 and February 2006. In Texas, approximately 2000 adolescents were surveyed for the 2018 NIS-Teen. In addition to Texas immunization rates, rates are also available for four local areas – City of Houston and Hidalgo, Tarrant, and Bexar counties.

Vaccines Included

The following vaccine doses routinely recommended for adolescents were measured in the 2018 NIS-Teen:

  • ≥1 Tetanus-diphtheria-pertussis (Tdap) vaccine.
  • ≥1 dose of MenACWY or meningococcal-unknown type vaccine.
  • ≥1 dose of human papillomavirus (HPV) vaccine.
  • HPV vaccine Up-to-Date, either two or three doses dependent on age of initiation.

Vaccination Coverage Levels

NIS-Teen Immunization Coverage Estimates in the U.S and Texas, 2017-2018

Vaccine U.S. National Average 2018 Texas 2017 Texas 2018 2017-18 Texas Percentage Point Change (+/-)
HPV vaccine, ≥1 dose 68.1% 57.8% 59.9% 2.1%
HPV vaccine, Up-To-Date 51.1% 39.7% 43.5% 3.8%
MenACWY, ≥1 dose 86.6% 85.1% 86.7% 1.6%
Tdap, ≥1 dose 88.9% 83.2% 83.4% 0.2%

             

NIS Teen Texas 2018

See accessible data table of chart below:

NIS-Teen Immunization Coverage Estimates for Tdap and MenACWY by Jurisdiction, 2018

Vaccine US Texas  City of Houston  Hidalgo County  Tarrant County  Bexar County 
≥1 Tdap 88.9% 83.4% 82.8% 83.8% 84.7% 86.2%
≥1 MenACWY 86.6% 86.7% 86.7% 88.2% 87.6% 89.1%

NIS Teen Immunization Coverage HPV Gender and Jurisdiction 2018       

See accessible data table of chart below:

  NIS-Teen Immunization Coverage Estimates for HPV by Gender and Jurisdiction, 2018 

Vaccine US Texas  City of Houston  Hidalgo County  Tarrant County  Bexar County 
≥1 HPV, females 69.9% 64.6% 77.1% 69.4% 63.8% 71.1%
HPV UTD, females 53.7% 47.8% 54.2% 49.7% 45.5% 52.5%
≥1 HPV, males 66.3% 55.5% 63.6% 63.5% 61.7% 59.7%
HPV UTD, males 48.7% 39.4% 47.8% 49.2% 46.4% 43.6%

     

The same methodology was not used for all years.

NIS Teen 1 Dose HPV TX US 2008-2018

See accessible data table of chart below:

NIS-Teen One-Dose HPV Immunization Coverage Estimates by Gender, U.S. and Texas, 2008-2018a

  2008  2009  2010  2011  2012  2013  2014  2015  2016  2017  2018
United States, Female 37.2% 44.3% 48.7% 53.0% 53.8% 56.7% 60.0% 62.8% 65.1% 68.6% 69.9%
Texas, Female  31.6% 37.6% 47.5% 48.8% 51.2% 55.5% 50.7% 60.1% 54.5% 60.4% 64.6%
United States, Male  n/a n/a n/a 8.3% 20.8% 33.6% 41.7% 49.8% 56.0% 62.6% 66.3%
Texas, Male  n/a n/a n/a 10.4% 24.0% 33.7% 36.6% 41.4% 44.3% 55.2% 55.5%

The same methodology was not used for all years.

View survey results from prior years:

Last updated April 30, 2020