2018 National Immunization Survey Results
2018 Teen - National Immunization Archived Survey Results
Table of Contents
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.
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.
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.
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% |
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% |
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% |
a The same methodology was not used for all years.
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% |