About the BRFSS Summary
The Behavioral Risk Factor Surveillance System (BRFSS) is a
national survey conducted annually by the Centers for Disease Control and
Prevention (CDC) to assess behavioral risk factors, including immunizations
levels, for non-institutionalized U.S. adults. This study collects data by
interviewing households in all 50 states, the District of Columbia, and three
U.S. territories. The interviews are conducted by telephone, with households
selected at random. Self-reported information about immunizations is collected
by the BRFSS survey.
The BRFSS was established to provide an on-going, consistent
data set for analyzing risk factors including vaccination coverage levels in
the United States and to disseminate this information to interested public
health partners. The BRFSS provides national, state, and regional 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 (HP2020) goals.
The BRFSS includes questions from the CDC that are asked in
all 50 states and questions that are state-generated and asked only in specific
states. For several years, Texas has chosen to ask additional vaccination
coverage questions that were not asked nationally.
Vaccines Included
The following vaccine doses were measured in the 2018 BRFSS:
- ≥1 dose of Influenza (Flu) vaccine in the past
12 monthsa
- ≥1 dose of any Pneumococcal (also known as
Pneumonia) vaccine
- ≥1 dose of Shingles (also known as Zoster)
vaccine
- ≥1 dose of any Tetanus-containing vaccine since
2005
- ≥1 dose of any Meningococcal vaccine
- ≥1 dose of Human papillomavirus vaccine (HPV Initiation)
- Completed 3-dose series HPV vaccine (HPV
Completion), among those who reported receiving ≥1 dose
- ≥1 dose of Hepatitis B vaccine (HepB Initiation)
-
Completed 3-dose series Hepatitis B vaccine
(HepB Completion), among those who reported receiving ≥1 dose
a NIS-Flu also uses BRFSS survey results and other data sources to estimate
adult influenza vaccination coverage rates for adults. Additional details for
adult influenza coverage in Texas can be found on the Texas NIS-Flu webpage
Adult Vaccination Coverage Estimates in Texas, BRFSS, 2018

Vaccination Coverage Estimates in Texas, BRFSS, 2017 and 2018

Healthy People 2020 goals and Texas vaccination coverage rates,
BRFSS 2018

Other Findings
Vaccination
coverage was significantly lower for adults without health insurance for flu,
pneumococcal disease, shingles, and Hepatitis B.
For
pneumococcal disease and shingles, vaccination coverage was significantly lower
among Black non-Hispanic and Hispanic adults, compared with White non-Hispanic
adults.
See Full Report on Adult
Immunizations in Texas from BRFSS, 2018
Archive:
2017 BRFSS Report