| Estimated Percentage*,† of Adolescents 13-17 Years of Age§ With Selected Socio-demographic Characteristics ¶ by State and Local Area -- National Immunization Survey-Teen, United States, 2009 |
| Below Poverty** % (95% CI) | White only, non-Hispanic†† % (95% CI) | Black only, non-Hispanic†† % (95% CI) | Hispanic§§ % (95% CI) | MSA Central City¶¶ % (95% CI) | With an 11-12 year old provider visit *** % (95% CI) | Uninsured % (95% CI) | Insured Private††† % (95% CI) | Insured Public§§§ % (95% CI) | |
|---|---|---|---|---|---|---|---|---|---|
| US National | 16.7 (15.7-17.8) | 59.9 (58.6-61.2) | 14.3 (13.4-15.2) | 18.6 (17.5-19.8) | 37.5 (36.3-38.7) | 41.8 (40.6-43.0) | 6.6 (5.9-7.4) | 63.7 (62.4-64.9) | 29.7 (28.5-31.0) |
| Alabama | 27.0 (21.3-33.5) | 61.8 (55.2-67.9) | 32.1 (26.1-38.7) | NA | 38.2 (32.3-44.4) | 39.3 (33.4-45.5) | NA | 62.3 (55.8-68.5) | 34.2 (28.2-40.7) |
| Alaska | 12.5 (8.0-19.2) | 58.2 (51.2-64.8) | NA | 6.3 (3.9-9.9) | 35.8 (29.7-42.5) | 22.6 (17.5-28.6) | 9.0 (5.5-14.2) | 43.0 (36.5-49.7) | 48.1 (41.3-54.9) |
| Arizona | 17.0 (12.0-23.4) | 47.7 (41.2-54.2) | NA | 39.1 (32.3-46.2) | 47.0 (40.5-53.6) | 37.9 (32.0-44.3) | 15.8 (10.4-23.3) | 57.4 (50.4-64.1) | 26.8 (21.3-33.1) |
| Arkansas | 19.8 (14.9-25.9) | 68.4 (62.1-74.1) | 20.4 (15.5-26.4) | 6.9 (4.2-11.1) | 30.1 (24.8-35.9) | 17.8 (13.6-22.9) | 8.8 (5.6-13.5) | 51.2 (45.1-57.2) | 40.1 (34.2-46.3) |
| California | 23.6 (18.7-29.3) | 36.6 (30.6-43.0) | 3.7 (2.3-5.9) | 46.3 (40.0-52.7) | 41.0 (35.0-47.4) | 44.0 (37.8-50.4) | 7.7 (4.8-12.3) | 61.0 (54.6-67.0) | 31.3 (25.7-37.4) |
| CA-Los Angeles County | 28.8 (21.6-37.3) | 23.3 (17.6-30.1) | 7.0 (4.0-11.8) | 58.8 (50.3-66.7) | 39.9 (31.6-48.8) | 42.9 (34.7-51.6) | 9.2 (5.2-15.6) | 49.6 (40.9-58.3) | 41.2 (32.7-50.3) |
| CA-Rest of State | 21.5 (15.6-29.0) | 41.8 (33.9-50.2) | NA | 41.4 (33.5-49.8) | 41.5 (33.8-49.6) | 44.5 (36.5-52.7) | NA | 65.4 (57.1-72.8) | 27.4 (20.8-35.3) |
| Colorado | 9.5 (5.8-15.2) | 66.2 (59.4-72.5) | NA | 25.2 (19.3-32.1) | 43.8 (37.6-50.1) | 41.8 (35.7-48.0) | 9.1 (5.7-14.3) | 72.8 (66.2-78.5) | 18.1 (13.3-24.1) |
| Connecticut | 11.3 (7.1-17.6) | 73.4 (66.4-79.4) | NA | 14.9 (10.2-21.2) | 26.3 (20.5-33.2) | 72.9 (66.8-78.2) | NA | 76.5 (69.7-82.2) | 19.7 (14.3-26.5) |
| Delaware | 10.6 (7.0-15.9) | 61.5 (54.6-67.9) | 25.4 (19.5-32.2) | 9.1 (5.4-15.0) | 33.4 (27.3-40.0) | 53.9 (47.5-60.2) | NA | 67.6 (60.7-73.8) | 29.0 (22.9-35.9) |
| Dist. of Columbia | 29.7 (24.2-35.8) | 14.2 (11.5-17.3) | 75.0 (70.5-79.1) | 8.4 (5.8-11.9) | 100 (.-.) | 46.2 (40.2-52.2) | NA | 48.7 (42.6-54.9) | 49.4 (43.2-55.6) |
| Florida | 15.3 (10.8-21.1) | 51.1 (45.0-57.2) | 20.7 (15.3-27.4) | 22.4 (17.6-28.1) | 55.8 (49.7-61.6) | 45.6 (39.6-51.7) | 14.1 (10.1-19.5) | 54.1 (47.8-60.2) | 31.8 (26.0-38.2) |
| Georgia | 15.7 (11.5-21.0) | 53.3 (47.1-59.4) | 35.4 (29.4-41.9) | 7.9 (5.4-11.4) | 25.3 (20.2-31.2) | 33.3 (28.0-39.2) | 8.2 (5.3-12.4) | 57.2 (50.9-63.3) | 34.6 (28.7-41.0) |
| Hawaii | 12.2 (8.1-17.9) | 18.2 (13.5-24.2) | NA | 11.2 (7.9-15.7) | 25.0 (19.7-31.0) | 44.6 (38.0-51.4) | NA | 66.7 (59.9-72.9) | 33.0 (26.8-39.8) |
| Idaho | 15.7 (10.5-22.7) | 75.7 (67.0-82.6) | NA | 17.7 (11.3-26.6) | 37.0 (29.7-44.8) | 33.0 (26.0-40.8) | NA | 64.4 (56.4-71.7) | 28.3 (21.6-36.0) |
| Illinois | 13.9 (10.9-17.6) | 59.2 (54.3-63.9) | 18.8 (14.9-23.3) | 18.1 (14.6-22.4) | 38.5 (34.4-42.8) | 42.2 (37.5-47.1) | NA | 69.6 (64.9-74.0) | 28.0 (23.7-32.7) |
| IL-City of Chicago | 36.3 (30.4-42.6) | 16.7 (13.3-20.7) | 44.3 (38.2-50.6) | 35.3 (29.8-41.2) | 100 (.-.) | 42.4 (36.5-48.5) | NA | 41.2 (35.4-47.2) | 55.8 (49.7-61.7) |
| IL-Rest of State | 8.2 (5.1-13.0) | 70.0 (63.5-75.7) | 12.3 (8.1-18.3) | 13.8 (9.7-19.3) | 23.0 (18.3-28.4) | 42.2 (36.5-48.1) | NA | 76.7 (70.7-81.8) | 21.0 (16.1-26.9) |
| Indiana | 13.6 (10.1-17.9) | 79.4 (75.3-83.0) | 8.4 (6.8-10.5) | 7.5 (5.1-11.1) | 37.2 (32.3-42.4) | 31.0 (26.1-36.3) | 5.9 (3.9-8.7) | 69.0 (63.5-74.0) | 25.2 (20.5-30.5) |
| IN-Lake County | 24.2 (17.2-32.9) | 47.0 (39.3-55.0) | 28.1 (20.7-36.8) | 20.2 (13.2-29.7) | 18.4 (12.3-26.7) | 33.2 (26.3-40.8) | NA | 60.3 (51.6-68.3) | 36.8 (28.8-45.6) |
| IN-Marion County | 22.0 (16.5-28.6) | 54.0 (47.2-60.6) | 34.9 (28.4-41.9) | 6.5 (4.0-10.5) | 93.7 (86.4-97.2) | 40.5 (34.4-46.8) | 6.1 (4.0-9.1) | 60.7 (53.8-67.2) | 33.2 (26.8-40.3) |
| IN-Rest of State | 10.9 (6.9-16.7) | 87.5 (82.2-91.4) | NA | 6.3 (3.5-11.1) | 29.1 (23.1-35.9) | 29.0 (23.0-35.8) | 6.1 (3.8-9.8) | 71.5 (64.5-77.6) | 22.4 (16.7-29.3) |
| Iowa | 8.5 (5.5-12.9) | 87.2 (81.6-91.3) | NA | NA | 28.2 (23.0-34.0) | 36.8 (31.2-42.7) | NA | 79.4 (73.8-84.0) | 18.3 (14.0-23.6) |
| Kansas | 11.0 (6.6-17.8) | 79.7 (72.5-85.4) | NA | 7.8 (4.3-13.6) | 33.8 (27.4-41.0) | 33.3 (27.2-40.1) | NA | 75.7 (68.4-81.8) | 22.8 (16.8-30.2) |
| Kentucky | 21.5 (16.7-27.3) | 84.9 (79.4-89.0) | 9.6 (6.2-14.4) | 2.6 (1.5-4.6) | 12.6 (9.2-17.0) | 48.3 (42.7-54.1) | NA | 60.5 (54.5-66.1) | 35.0 (29.5-40.9) |
| Louisiana | 27.4 (20.6-35.4) | 53.8 (46.3-61.1) | 38.9 (31.6-46.7) | NA | 39.8 (32.8-47.1) | 35.1 (28.3-42.5) | NA | 48.6 (41.3-55.8) | 48.7 (41.4-56.0) |
| Maine | 10.2 (6.5-15.6) | 91.2 (86.6-94.3) | NA | NA | 13.8 (10.0-18.9) | 56.4 (49.6-63.0) | NA | 63.5 (56.4-70.1) | 33.6 (27.1-40.8) |
| Maryland | 8.2 (4.9-13.3) | 54.6 (46.4-62.4) | 33.1 (25.6-41.6) | NA | 21.6 (16.7-27.3) | 53.9 (45.9-61.7) | NA | 68.7 (60.5-75.8) | 27.1 (20.6-34.9) |
| Massachusetts | 9.4 (6.2-13.9) | 73.4 (67.4-78.5) | 7.4 (4.7-11.5) | 11.7 (7.9-16.9) | 15.6 (11.7-20.5) | 59.7 (53.8-65.3) | NA | 75.1 (69.3-80.2) | 22.5 (17.7-28.1) |
| Michigan | 13.2 (9.4-18.1) | 71.9 (65.8-77.3) | 18.2 (13.3-24.3) | 5.1 (3.2-8.1) | 36.0 (30.8-41.6) | 39.2 (34.1-44.7) | 3.4 (2.0-5.8) | 70.2 (64.4-75.5) | 26.4 (21.2-32.2) |
| Minnesota | 5.7 (3.3-9.8) | 87.0 (82.1-90.7) | NA | NA | 36.8 (31.1-42.9) | 43.8 (37.9-49.9) | NA | 82.0 (76.4-86.4) | 15.5 (11.3-20.9) |
| Mississippi | 25.9 (21.0-31.4) | 50.0 (44.6-55.4) | 44.9 (39.4-50.5) | NA | 16.1 (12.3-20.8) | 13.4 (10.3-17.3) | 12.6 (9.1-17.2) | 43.5 (38.3-48.8) | 43.9 (38.5-49.5) |
| Missouri | 13.9 (10.0-18.9) | 78.9 (73.0-83.8) | 14.8 (10.5-20.4) | NA | 19.1 (14.6-24.6) | 30.5 (25.5-36.1) | 8.9 (5.6-13.8) | 67.2 (60.9-72.9) | 23.9 (18.8-29.9) |
| Montana | 13.1 (8.9-18.8) | 81.6 (75.5-86.4) | NA | NA | 30.2 (24.9-36.1) | 30.8 (25.3-37.0) | 9.4 (6.1-14.3) | 64.5 (58.0-70.5) | 26.1 (20.7-32.3) |
| Nebraska | 8.5 (5.2-13.6) | 80.0 (73.8-85.1) | NA | 10.1 (6.6-15.2) | 37.8 (31.8-44.2) | 40.5 (34.4-47.0) | NA | 72.1 (65.7-77.8) | 22.7 (17.5-28.9) |
| Nevada | 17.4 (12.6-23.5) | 51.3 (44.8-57.8) | 9.3 (5.8-14.7) | 33.5 (27.4-40.3) | 68.7 (62.4-74.5) | 19.8 (15.5-24.9) | 19.3 (14.2-25.8) | 61.0 (54.3-67.4) | 19.6 (14.9-25.5) |
| New Hampshire | NA | 92.0 (88.4-94.6) | NA | NA | 10.3 (6.9-15.2) | 59.8 (53.4-65.9) | NA | 74.1 (67.5-79.7) | 23.5 (18.1-29.9) |
| New Jersey | 7.2 (4.7-11.0) | 57.7 (51.7-63.4) | 15.7 (11.4-21.2) | 17.3 (13.4-22.2) | 9.7 (6.6-14.0) | 56.9 (51.2-62.5) | NA | 75.5 (69.7-80.4) | 21.9 (17.1-27.6) |
| New Mexico | 25.1 (20.2-30.8) | 38.4 (33.3-43.9) | NA | 52.8 (47.2-58.3) | 45.3 (39.8-50.9) | 41.6 (36.2-47.1) | 6.6 (4.2-10.4) | 48.9 (43.3-54.5) | 44.5 (38.9-50.2) |
| New York | 17.6 (13.9-22.1) | 54.9 (50.1-59.5) | 17.1 (13.3-21.7) | 19.0 (15.5-23.2) | 52.3 (48.4-56.2) | 57.6 (52.5-62.5) | NA | 66.3 (61.2-71.0) | 31.4 (26.8-36.5) |
| NY-City of New York | 29.4 (22.4-37.5) | 25.0 (19.7-31.2) | 28.6 (22.2-36.0) | 33.6 (26.7-41.2) | 100 (99.9-100) | 44.8 (37.5-52.3) | NA | 50.2 (42.5-57.9) | 49.1 (41.4-56.9) |
| NY-Rest of State | 9.7 (6.2-14.7) | 75.1 (67.8-81.2) | 9.3 (5.1-16.2) | 9.2 (6.0-13.8) | 19.9 (14.6-26.5) | 66.3 (59.6-72.5) | NA | 77.0 (70.4-82.5) | 19.7 (14.5-26.1) |
| North Carolina | 17.2 (12.6-23.2) | 62.2 (55.3-68.7) | 26.4 (20.3-33.5) | 7.8 (4.9-12.2) | 36.0 (29.9-42.5) | 34.9 (29.2-41.0) | 5.0 (2.9-8.6) | 56.9 (50.1-63.4) | 38.1 (31.6-45.1) |
| North Dakota | 7.4 (4.2-12.8) | 84.0 (78.1-88.5) | NA | NA | 29.8 (24.1-36.2) | 27.5 (22.1-33.8) | NA | 73.8 (67.3-79.4) | 23.7 (18.3-30.1) |
| Ohio | 15.8 (11.3-21.6) | 78.4 (71.5-84.0) | 15.1 (10.0-22.2) | NA | 38.7 (32.7-45.0) | 44.6 (38.6-50.8) | NA | 70.0 (63.6-75.8) | 26.6 (21.0-33.0) |
| Oklahoma | 17.7 (13.0-23.6) | 61.7 (55.4-67.6) | 9.1 (5.7-14.3) | 9.6 (6.5-13.9) | 29.7 (24.4-35.7) | 17.5 (13.6-22.2) | 12.2 (8.5-17.3) | 47.6 (41.6-53.7) | 40.1 (34.2-46.4) |
| Oregon | 14.3 (10.4-19.2) | 73.2 (67.4-78.2) | NA | 15.0 (10.9-20.4) | 47.8 (42.2-53.4) | 37.6 (32.5-43.1) | 7.1 (4.4-11.4) | 74.8 (69.3-79.7) | 18.0 (13.9-23.0) |
| Pennsylvania | 12.3 (8.8-16.9) | 78.1 (73.3-82.3) | 10.9 (8.3-14.3) | 5.8 (3.7-8.9) | 32.8 (27.7-38.4) | 58.3 (51.8-64.4) | NA | 67.0 (60.5-72.9) | 29.8 (24.1-36.3) |
| PA-Philadelphia | 27.7 (22.4-33.7) | 26.5 (21.8-31.8) | 53.3 (47.2-59.4) | 14.5 (10.5-19.6) | 100 (.-.) | 54.5 (48.3-60.6) | 4.7 (2.6-8.4) | 45.2 (39.0-51.5) | 50.1 (43.8-56.5) |
| PA-Rest of State | 9.9 (6.2-15.4) | 86.2 (80.3-90.5) | NA | NA | 22.3 (16.7-29.1) | 58.8 (51.4-65.9) | NA | 70.2 (62.6-76.8) | 26.9 (20.5-34.4) |
| Rhode Island | 12.8 (8.3-19.2) | 73.5 (66.7-79.2) | 6.9 (4.2-11.2) | 16.5 (11.6-23.0) | 32.2 (26.4-38.6) | 73.5 (67.8-78.5) | 7.5 (4.3-12.9) | 62.8 (56.2-68.9) | 29.7 (24.0-36.1) |
| South Carolina | 24.1 (18.0-31.4) | 56.6 (49.5-63.5) | 35.1 (28.3-42.5) | NA | 30.5 (24.7-37.0) | 25.7 (20.6-31.5) | 6.3 (3.7-10.5) | 52.5 (45.5-59.3) | 41.3 (34.5-48.4) |
| South Dakota | 11.1 (7.0-17.3) | 86.2 (80.2-90.6) | NA | NA | 20.0 (15.2-25.9) | 19.9 (15.2-25.7) | NA | 65.3 (58.2-71.8) | 30.1 (23.9-37.3) |
| Tennessee | 17.5 (13.2-23.0) | 71.2 (64.4-77.1) | 21.6 (15.9-28.5) | NA | 36.7 (31.0-42.9) | 38.3 (32.7-44.2) | 5.0 (2.8-8.6) | 60.2 (53.9-66.2) | 34.8 (29.0-41.1) |
| Texas | 25.3 (20.9-30.2) | 38.6 (33.7-43.8) | 13.1 (10.0-16.9) | 42.5 (37.4-47.8) | 49.5 (44.3-54.6) | 29.8 (25.5-34.4) | 14.4 (11.0-18.7) | 51.5 (46.2-56.7) | 34.1 (29.2-39.4) |
| TX-Bexar County | 28.9 (22.4-36.3) | 23.4 (18.7-28.9) | 9.0 (5.1-15.2) | 64.1 (57.3-70.4) | 93.2 (89.4-95.7) | 32.1 (26.1-38.8) | 12.0 (7.3-18.9) | 49.0 (41.8-56.2) | 39.0 (32.1-46.4) |
| TX-City of Houston | 35.4 (27.3-44.4) | 23.6 (17.4-31.1) | 25.0 (18.4-33.1) | 49.9 (41.3-58.5) | 94.5 (85.3-98.1) | 31.5 (24.6-39.3) | 17.0 (11.1-25.1) | 37.6 (29.7-46.3) | 45.4 (36.8-54.2) |
| TX-Dallas County | 29.7 (23.0-37.5) | 26.7 (21.7-32.4) | 22.9 (17.3-29.7) | 43.3 (36.1-50.8) | 49.2 (42.0-56.4) | 35.4 (29.1-42.3) | 17.5 (11.9-25.0) | 46.8 (39.7-54.0) | 35.7 (28.8-43.2) |
| TX-El Paso County | 43.2 (37.4-49.1) | 8.5 (5.5-13.0) | NA | 86.7 (81.7-90.5) | 91.3 (86.9-94.4) | 43.0 (37.3-48.9) | 14.8 (11.0-19.5) | 27.4 (22.5-33.0) | 57.8 (51.8-63.5) |
| TX-Rest of State | 22.4 (16.7-29.3) | 44.7 (37.9-51.8) | 11.4 (7.5-16.8) | 37.4 (30.5-44.7) | 38.5 (31.9-45.5) | 27.9 (22.3-34.3) | 14.0 (9.6-20.0) | 55.0 (47.7-62.0) | 31.1 (24.6-38.4) |
| Utah | 7.6 (4.6-12.3) | 82.9 (76.8-87.7) | NA | 13.6 (9.1-19.8) | 46.6 (40.4-53.0) | 34.4 (28.8-40.5) | 8.9 (5.6-13.9) | 82.5 (76.9-87.0) | 8.6 (5.7-12.7) |
| Vermont | 10.3 (7.1-14.8) | 92.6 (87.8-95.6) | NA | NA | 8.8 (6.2-12.4) | 72.0 (66.9-76.7) | NA | 62.1 (56.4-67.6) | 35.4 (30.0-41.2) |
| Virginia | 13.8 (9.1-20.5) | 60.9 (54.1-67.3) | 23.5 (17.6-30.7) | 7.4 (4.5-11.9) | 23.4 (18.5-29.3) | 37.8 (32.1-43.9) | NA | 68.0 (61.3-74.0) | 28.1 (22.3-34.7) |
| Washington | 12.3 (8.6-17.2) | 76.6 (70.8-81.6) | NA | 13.1 (9.0-18.5) | 46.3 (40.1-52.6) | 46.0 (39.8-52.3) | NA | 69.3 (63.1-74.9) | 29.4 (23.9-35.6) |
| West Virginia | 20.1 (14.5-27.3) | 90.3 (85.0-93.9) | NA | NA | 20.0 (15.1-26.1) | 39.9 (33.2-46.9) | NA | 59.5 (52.2-66.5) | 38.3 (31.4-45.7) |
| Wisconsin | 11.1 (7.0-17.1) | 79.5 (73.1-84.8) | 9.0 (5.2-15.1) | 5.2 (3.2-8.4) | 34.9 (29.1-41.1) | 38.8 (33.1-44.9) | NA | 78.3 (72.3-83.4) | 19.3 (14.5-25.3) |
| Wyoming | 6.0 (3.6-10.0) | 85.5 (81.1-89.0) | NA | 9.7 (6.8-13.7) | 25.0 (20.3-30.3) | 32.8 (27.6-38.6) | 5.8 (3.6-9.3) | 70.2 (64.3-75.5) | 23.9 (19.0-29.7) |
| U.S. Virgin Islands**** | 34.0 (27.4-41.3) | 4.8 (2.8-7.9) | 77.6 (71.4-82.8) | 14.4 (10.0-20.2) | NA | 20.6 (15.6-26.6) | 35.3 (28.9-42.4) | 60.1 (53.0-66.8) | NA |
| * Estimate presented as point estimate (%) ± 95% confidence interval (CI). Estimate=NA (Not Available) if the unweighted sample size | ||||||||||||
| for the denominator was <30 or (CI half width)/Estimate > 0.6. | ||||||||||||
| † Estimates with confidence intervals >20 may not be reliable. | ||||||||||||
| § Adolescents in the 2009 NIS-Teen were born during January 1991 - February 1997. | ||||||||||||
| Vaccination coverage estimates include only adolescents who had adequately complete provider-reported immunization records. | ||||||||||||
| ¶ Selected characteristics that have been associated with undervaccination. | ||||||||||||
| ** Based on family income and household size using US Bureau of the Census poverty thresholds for 2008. | ||||||||||||
| †† Race is reported by respondent. Individual racial groups do not include Hispanic adolescents. | ||||||||||||
| §§ Adolescents of Hispanic ethnicity may be of any race. | ||||||||||||
| ¶¶ Metropolitan Statistical Areas as defined by the US Office of Management and Budget. | ||||||||||||
| *** Percentage of adolescents with an 11-12 year old provider visit based on household report. | ||||||||||||
| ††† Survey participants who responded that they had private insurance, that their insurance was obtained through an employer or union, or that they purchased their own insurance. | ||||||||||||
| §§§ Survey participants who responded that they have insurance through Medicaid, the State Children's Health Insurance Program (SCHIP), | ||||||||||||
| Medicare, Medigap, the military, or the Indian Health Service. | ||||||||||||
| **** Includes St. Croix, St. Thomas, St. John, and Water Island (n=333). Not included in the United States estimates. | ||||||||||||
| tab17_dem | ||||||||||