| Estimated Vaccination Coverage*,† with Selected Vaccines Among Adolescents Aged 13-17 Years§ Living At or Above the Poverty Level¶ by State and Local Area -- National Immunization Survey-Teen, United States, 2009 |
| >2 MMR** % (95% CI) | >3 HepB†† % (95% CI) | >1 Var§§ % (95% CI) | >2 Var¶¶ % (95% CI) | >1 Td or Tdap*** % (95% CI) | >1 Tdap††† % (95% CI) | >1 MenACWY§§§ % (95% CI) | >1 HPV¶¶¶ % (95% CI) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| US National | 89.3 (88.4-90.2) | 90.3 (89.5-91.1) | 87.6 (86.1-88.9) | 48.7 (46.6-50.9) | 77.0 (75.8-78.1) | 56.1 (54.7-57.5) | 53.8 (52.4-55.2) | 42.5 (40.5-44.5) | ||||||||
| Alabama | 88.9 (82.9-93.0) | 80.8 (74.9-85.5) | 92.4 (85.6-96.1) | 38.8 (29.5-48.9) | 73.7 (67.3-79.2) | 59.8 (52.9-66.4) | 45.6 (38.7-52.7) | 39.1 (29.6-49.4) | ||||||||
| Alaska | 86.7 (81.0-90.9) | 91.2 (86.8-94.2) | 81.6 (71.4-88.8) | 42.3 (32.4-53.0) | 69.5 (62.7-75.5) | 57.7 (50.6-64.4) | 41.3 (34.6-48.4) | 42.1 (32.6-52.2) | ||||||||
| Arizona | 79.2 (72.7-84.5) | 82.9 (76.8-87.7) | 77.1 (66.7-85.0) | 55.0 (44.9-64.6) | 82.7 (76.7-87.5) | 67.6 (60.6-73.9) | 65.3 (58.1-71.9) | 48.3 (38.9-57.8) | ||||||||
| Arkansas | 84.1 (78.7-88.4) | 89.6 (85.0-92.9) | 83.1 (75.0-89.0) | 17.7 (11.0-27.0) | 50.3 (43.9-56.8) | 34.2 (28.2-40.8) | 21.2 (16.4-27.0) | 27.9 (20.4-36.7) | ||||||||
| California | 84.5 (78.4-89.1) | 88.9 (83.6-92.7) | 87.4 (79.3-92.6) | 56.8 (46.4-66.7) | 78.8 (72.1-84.2) | 53.9 (46.2-61.5) | 59.7 (52.0-66.9) | 47.9 (36.8-59.3) | ||||||||
| CA-Los Angeles County | 80.5 (70.7-87.6) | 87.5 (77.1-93.6) | 82.4 (68.9-90.9) | 58.9 (43.6-72.6) | 81.8 (71.8-88.8) | 59.8 (49.0-69.7) | 58.8 (47.8-69.0) | 59.6 (44.8-72.8) | ||||||||
| CA-Rest of State | 86.0 (78.0-91.4) | 89.5 (82.8-93.7) | 89.0 (78.3-94.8) | 56.2 (43.3-68.2) | 77.7 (69.1-84.4) | 51.7 (42.0-61.3) | 60.0 (50.3-69.0) | 44.1 (30.6-58.6) | ||||||||
| Colorado | 90.3 (86.4-93.3) | 92.9 (89.4-95.3) | 86.6 (78.5-92.0) | 57.5 (48.5-66.0) | 82.9 (77.8-87.0) | 77.4 (71.7-82.3) | 51.7 (45.2-58.1) | 50.1 (40.8-59.3) | ||||||||
| Connecticut | 96.2 (91.3-98.4) | 96.2 (90.8-98.5) | 97.6 (93.4-99.1) | 66.1 (56.7-74.4) | 87.2 (81.7-91.2) | 65.5 (59.0-71.4) | 64.6 (57.8-70.8) | 60.1 (51.5-68.2) | ||||||||
| Delaware | 95.9 (92.0-97.9) | 92.5 (87.2-95.6) | 82.6 (72.9-89.4) | 47.4 (38.1-56.8) | 74.5 (67.2-80.5) | 53.5 (46.6-60.3) | 56.2 (49.2-63.0) | 45.9 (36.7-55.4) | ||||||||
| Dist. of Columbia | 99.1 (97.1-99.7) | 96.6 (90.8-98.8) | 98.1 (91.1-99.6) | 75.1 (66.1-82.3) | 86.3 (80.9-90.4) | 44.1 (37.2-51.3) | 73.3 (65.8-79.7) | 54.0 (43.5-64.1) | ||||||||
| Florida | 91.9 (86.4-95.3) | 96.0 (93.0-97.7) | 87.0 (79.6-92.1) | 39.0 (31.1-47.5) | 86.9 (80.3-91.6) | 46.4 (40.1-52.9) | 50.3 (43.8-56.7) | 35.2 (27.5-43.8) | ||||||||
| Georgia | 92.0 (86.2-95.5) | 95.5 (91.7-97.7) | 90.2 (79.7-95.6) | 64.0 (53.8-73.1) | 71.8 (65.2-77.5) | 49.8 (43.2-56.4) | 54.4 (47.6-60.9) | 37.4 (29.1-46.4) | ||||||||
| Hawaii | 93.0 (87.8-96.1) | 93.4 (88.3-96.4) | 94.4 (86.7-97.8) | 58.2 (48.1-67.6) | 79.4 (72.8-84.7) | 45.4 (38.0-52.9) | 52.6 (45.1-59.9) | 61.9 (50.6-72.0) | ||||||||
| Idaho | 84.1 (76.4-89.7) | 83.8 (76.0-89.4) | 79.2 (65.6-88.4) | 19.1 (11.2-30.9) | 59.0 (50.4-67.1) | 33.6 (26.4-41.7) | 31.9 (24.7-40.1) | 27.7 (18.1-39.8) | ||||||||
| Illinois | 93.3 (90.5-95.3) | 95.7 (93.3-97.2) | 81.8 (74.3-87.6) | 40.2 (32.5-48.5) | 73.3 (68.2-77.9) | 60.7 (55.2-65.9) | 54.1 (48.7-59.5) | 38.0 (30.8-45.9) | ||||||||
| IL-City of Chicago | 85.5 (78.9-90.4) | 90.1 (84.8-93.7) | 79.1 (67.0-87.6) | 39.1 (29.9-49.3) | 72.9 (64.9-79.7) | 61.1 (53.2-68.4) | 60.7 (52.7-68.1) | 41.9 (32.5-52.0) | ||||||||
| IL-Rest of State | 94.6 (91.3-96.6) | 96.6 (93.8-98.1) | 82.5 (73.2-89.1) | 40.5 (31.2-50.6) | 73.4 (67.5-78.5) | 60.6 (54.4-66.6) | 53.1 (46.9-59.2) | 37.4 (29.2-46.5) | ||||||||
| Indiana | 89.1 (84.9-92.3) | 88.4 (84.3-91.5) | 78.4 (69.0-85.6) | 38.5 (29.7-48.1) | 56.6 (50.6-62.5) | 44.1 (38.3-50.0) | 41.6 (36.0-47.4) | 35.0 (27.7-43.1) | ||||||||
| IN-Lake County | 83.6 (75.9-89.2) | 84.1 (76.8-89.5) | 80.1 (69.2-87.8) | 24.4 (14.7-37.6) | 53.8 (44.7-62.7) | 40.5 (32.3-49.3) | 30.7 (23.6-38.8) | 33.3 (21.8-47.3) | ||||||||
| IN-Marion County | 85.4 (78.6-90.3) | 85.0 (78.9-89.5) | 80.4 (69.8-87.9) | 41.3 (31.2-52.1) | 64.6 (57.1-71.5) | 50.2 (42.9-57.6) | 54.9 (47.5-62.2) | 51.6 (41.0-62.0) | ||||||||
| IN-Rest of State | 90.3 (84.8-93.9) | 89.3 (84.2-92.9) | 77.8 (65.3-86.7) | 39.3 (28.1-51.7) | 55.6 (48.3-62.8) | 43.4 (36.5-50.7) | 40.5 (33.7-47.6) | 32.5 (23.8-42.6) | ||||||||
| Iowa | 87.4 (82.6-90.9) | 79.9 (73.9-84.7) | 80.0 (70.2-87.1) | 38.1 (28.5-48.8) | 71.5 (65.1-77.1) | 62.5 (56.1-68.5) | 49.8 (43.5-56.2) | 46.8 (38.3-55.4) | ||||||||
| Kansas | 84.3 (77.7-89.1) | 77.0 (70.1-82.7) | 77.7 (65.7-86.3) | 45.6 (34.2-57.4) | 75.2 (68.3-81.0) | 63.3 (56.1-70.0) | 38.4 (31.8-45.6) | 43.2 (33.1-54.0) | ||||||||
| Kentucky | 94.7 (91.4-96.8) | 94.4 (90.3-96.8) | 86.5 (79.3-91.5) | 22.5 (16.1-30.4) | 82.3 (77.0-86.6) | 36.4 (30.7-42.5) | 38.2 (32.5-44.2) | 27.1 (19.8-35.9) | ||||||||
| Louisiana | 91.3 (85.0-95.1) | 91.2 (85.2-94.9) | 83.2 (71.4-90.8) | 48.5 (37.2-59.9) | 71.9 (64.0-78.7) | 50.7 (42.8-58.5) | 64.6 (56.5-72.1) | 36.4 (26.0-48.3) | ||||||||
| Maine | 89.0 (83.7-92.7) | 83.9 (77.0-89.0) | 90.9 (82.2-95.6) | 50.9 (40.1-61.6) | 78.2 (71.7-83.5) | 55.2 (48.0-62.3) | 47.5 (40.4-54.8) | 43.7 (34.4-53.6) | ||||||||
| Maryland | 92.8 (87.0-96.1) | 94.0 (88.5-96.9) | 96.0 (88.6-98.6) | 53.4 (42.7-63.8) | 81.1 (73.0-87.2) | 51.6 (43.1-60.1) | 58.8 (49.9-67.0) | 33.7 (22.8-46.8) | ||||||||
| Massachusetts | 97.4 (94.3-98.8) | 97.9 (96.0-98.9) | 99.3 (97.2-99.8) | 51.6 (42.8-60.3) | 93.8 (89.7-96.3) | 64.3 (58.1-70.1) | 73.9 (68.0-79.0) | 66.4 (57.1-74.7) | ||||||||
| Michigan | 92.4 (87.7-95.4) | 91.8 (87.1-94.9) | 92.8 (86.4-96.3) | 42.7 (34.4-51.4) | 68.7 (63.0-73.9) | 46.0 (40.2-51.9) | 50.4 (44.4-56.3) | 35.5 (27.7-44.1) | ||||||||
| Minnesota | 91.2 (87.1-94.1) | 92.3 (88.5-94.9) | 90.6 (83.1-94.9) | 58.8 (49.0-68.0) | 91.5 (87.3-94.4) | 53.9 (47.6-60.0) | 46.0 (39.8-52.2) | 44.1 (35.5-53.0) | ||||||||
| Mississippi | 92.1 (88.4-94.6) | 80.2 (74.9-84.5) | 52.4 (42.4-62.3) | 11.3 (6.2-19.7) | 28.2 (23.1-34.0) | 20.7 (16.2-26.1) | 17.8 (13.8-22.8) | 20.4 (13.5-29.8) | ||||||||
| Missouri | 88.1 (82.5-92.0) | 89.9 (84.0-93.8) | 80.0 (71.5-86.4) | 42.9 (33.2-53.1) | 75.9 (70.1-80.8) | 60.1 (53.8-66.2) | 45.0 (38.7-51.5) | 30.5 (23.0-39.2) | ||||||||
| Montana | 83.4 (77.3-88.1) | 78.2 (71.8-83.5) | 71.4 (60.5-80.4) | 23.5 (15.7-33.6) | 80.8 (75.1-85.4) | 62.5 (55.9-68.6) | 22.9 (18.1-28.6) | 28.9 (21.4-37.9) | ||||||||
| Nebraska | 88.6 (83.5-92.3) | 90.1 (85.0-93.6) | 90.2 (82.8-94.7) | 48.9 (39.0-59.0) | 77.6 (71.5-82.7) | 52.3 (45.5-59.0) | 52.6 (45.8-59.2) | 52.4 (42.7-62.0) | ||||||||
| Nevada | 88.4 (82.0-92.8) | 86.7 (80.1-91.4) | 86.3 (76.4-92.4) | 38.5 (29.2-48.7) | 77.7 (71.4-83.0) | 67.3 (60.5-73.4) | 37.8 (31.2-44.8) | 37.4 (27.9-48.0) | ||||||||
| New Hampshire | 94.5 (91.0-96.7) | 93.9 (90.4-96.2) | 96.7 (92.0-98.7) | 67.9 (58.0-76.4) | 88.9 (84.1-92.3) | 72.1 (66.1-77.5) | 66.6 (60.1-72.6) | 58.6 (49.6-67.1) | ||||||||
| New Jersey | 91.7 (87.6-94.6) | 93.8 (89.7-96.3) | 90.9 (85.4-94.4) | 52.6 (44.6-60.4) | 83.3 (78.3-87.4) | 63.4 (57.5-68.9) | 73.4 (67.5-78.6) | 40.6 (32.7-49.1) | ||||||||
| New Mexico | 88.1 (83.2-91.6) | 88.7 (84.2-92.1) | 77.7 (68.4-84.8) | 40.9 (32.7-49.7) | 83.7 (78.5-87.9) | 63.5 (57.2-69.4) | 48.6 (42.4-54.9) | 54.2 (45.2-62.9) | ||||||||
| New York | 92.9 (89.3-95.3) | 93.8 (89.9-96.2) | 88.4 (79.9-93.6) | 52.7 (44.0-61.3) | 88.5 (84.4-91.7) | 69.1 (63.6-74.0) | 65.4 (59.7-70.7) | 47.6 (39.2-56.0) | ||||||||
| NY-City of New York | 90.8 (83.4-95.1) | 90.8 (80.5-95.9) | 84.5 (65.7-94.0) | 42.0 (30.0-55.1) | 88.5 (82.2-92.7) | 71.1 (62.7-78.3) | 66.6 (57.9-74.3) | 40.5 (29.0-53.1) | ||||||||
| NY-Rest of State | 93.8 (89.3-96.5) | 95.1 (91.3-97.3) | 90.2 (80.4-95.4) | 57.9 (46.7-68.4) | 88.6 (83.0-92.5) | 68.1 (61.0-74.5) | 64.8 (57.5-71.5) | 50.6 (40.0-61.2) | ||||||||
| North Carolina | 85.3 (78.0-90.5) | 87.7 (81.6-92.0) | 82.2 (72.0-89.2) | 54.2 (42.5-65.4) | 75.1 (68.5-80.8) | 55.9 (48.8-62.9) | 47.5 (40.5-54.7) | 47.8 (37.5-58.3) | ||||||||
| North Dakota | 95.6 (91.7-97.7) | 89.5 (84.8-92.9) | 89.0 (80.5-94.0) | 54.7 (44.1-64.9) | 85.4 (79.7-89.7) | 71.6 (65.1-77.3) | 66.2 (59.5-72.4) | 42.6 (33.2-52.5) | ||||||||
| Ohio | 95.2 (92.2-97.1) | 91.4 (87.3-94.3) | 84.9 (73.4-92.0) | 40.8 (30.5-51.8) | 67.7 (60.9-73.9) | 49.1 (42.3-55.9) | 52.4 (45.6-59.2) | 36.6 (27.7-46.5) | ||||||||
| Oklahoma | 85.2 (79.6-89.4) | 86.1 (80.9-90.1) | 85.3 (77.3-90.9) | 24.1 (17.6-32.1) | 55.6 (48.9-62.0) | 36.0 (30.0-42.6) | 29.1 (23.6-35.3) | 36.5 (28.0-46.1) | ||||||||
| Oregon | 88.9 (84.3-92.2) | 87.1 (82.0-91.0) | 90.4 (84.5-94.2) | 50.8 (42.5-59.0) | 69.5 (63.6-74.9) | 56.0 (49.8-61.9) | 41.7 (35.9-47.7) | 51.3 (42.9-59.6) | ||||||||
| Pennsylvania | 95.2 (91.5-97.3) | 95.9 (92.2-97.8) | 97.4 (94.6-98.8) | 66.0 (56.3-74.5) | 86.6 (81.5-90.5) | 69.2 (62.5-75.3) | 72.5 (65.9-78.3) | 52.9 (42.7-62.9) | ||||||||
| PA-Philadelphia | 86.6 (80.2-91.1) | 86.3 (79.7-91.0) | 90.7 (82.8-95.2) | 61.8 (52.3-70.4) | 83.7 (77.8-88.3) | 63.8 (56.4-70.7) | 74.1 (67.3-80.0) | 56.7 (45.8-67.0) | ||||||||
| PA-Rest of State | 96.2 (91.6-98.3) | 97.0 (92.3-98.9) | 98.3 (94.6-99.5) | 66.5 (55.6-75.9) | 87.0 (81.1-91.2) | 69.9 (62.3-76.5) | 72.3 (64.9-78.7) | 52.5 (41.2-63.6) | ||||||||
| Rhode Island | 97.8 (94.7-99.1) | 94.7 (90.4-97.2) | 97.5 (93.2-99.1) | 68.9 (61.0-75.9) | 90.8 (86.8-93.7) | 57.0 (50.6-63.2) | 75.2 (69.2-80.5) | 67.5 (57.7-76.0) | ||||||||
| South Carolina | 90.6 (85.8-93.9) | 90.5 (84.8-94.2) | 77.8 (65.4-86.7) | 17.3 (11.4-25.3) | 57.7 (50.2-64.8) | 39.6 (32.8-46.8) | 37.7 (31.0-44.9) | 30.0 (21.5-40.1) | ||||||||
| South Dakota | 89.2 (84.0-92.8) | 73.2 (66.4-79.0) | 71.7 (59.6-81.3) | NA | 56.5 (49.4-63.4) | 39.0 (32.3-46.2) | 23.0 (17.6-29.5) | 60.5 (50.9-69.4) | ||||||||
| Tennessee | 87.9 (81.7-92.1) | 90.2 (85.3-93.6) | 84.6 (77.2-90.0) | 33.0 (24.9-42.2) | 63.5 (56.7-69.8) | 47.6 (41.0-54.3) | 53.4 (46.7-60.0) | 40.5 (31.6-50.0) | ||||||||
| Texas | 80.5 (75.0-85.1) | 84.2 (79.1-88.2) | 90.7 (85.3-94.3) | 46.6 (37.7-55.6) | 76.4 (70.7-81.3) | 57.0 (50.8-63.0) | 49.5 (43.3-55.7) | 36.3 (29.1-44.2) | ||||||||
| TX-Bexar County | 83.6 (76.9-88.7) | 84.6 (78.0-89.5) | 86.4 (76.2-92.7) | 36.0 (26.4-46.8) | 78.4 (71.2-84.3) | 54.4 (46.3-62.2) | 55.2 (47.0-63.1) | 46.4 (36.3-56.9) | ||||||||
| TX-City of Houston | 74.2 (64.0-82.3) | 76.0 (66.3-83.7) | 91.2 (80.8-96.3) | 53.5 (38.5-68.0) | 79.1 (69.3-86.4) | 53.1 (42.6-63.4) | 71.5 (61.3-80.0) | 44.4 (29.4-60.5) | ||||||||
| TX-Dallas County | 84.2 (77.1-89.4) | 88.5 (81.9-92.9) | 87.5 (77.3-93.5) | 51.2 (40.3-62.0) | 82.2 (74.7-87.8) | 64.9 (56.6-72.4) | 56.6 (48.5-64.4) | 50.4 (38.2-62.5) | ||||||||
| TX-El Paso County | 82.5 (74.5-88.4) | 82.7 (74.4-88.7) | 86.0 (76.4-92.1) | 51.5 (40.0-62.9) | 80.6 (73.2-86.3) | 65.8 (57.8-73.1) | 66.1 (57.6-73.7) | 49.4 (37.4-61.5) | ||||||||
| TX-Rest of State | 80.4 (73.1-86.0) | 84.4 (77.7-89.4) | 91.8 (83.6-96.1) | 46.1 (34.2-58.4) | 75.3 (67.8-81.5) | 56.4 (48.3-64.0) | 45.8 (38.0-53.9) | 33.0 (24.3-43.1) | ||||||||
| Utah | 87.2 (81.8-91.2) | 81.1 (75.1-85.9) | 78.2 (67.4-86.1) | 39.3 (29.7-49.8) | 71.8 (65.2-77.5) | 63.8 (57.1-69.9) | 42.5 (36.2-49.0) | 33.3 (25.1-42.7) | ||||||||
| Vermont | 96.2 (93.6-97.8) | 94.9 (92.1-96.7) | 89.6 (82.2-94.1) | 65.9 (57.1-73.8) | 88.0 (83.7-91.3) | 71.9 (66.3-76.8) | 45.2 (39.5-51.0) | 58.7 (50.1-66.8) | ||||||||
| Virginia | 92.2 (87.7-95.2) | 91.3 (87.2-94.1) | 86.0 (78.0-91.4) | 39.3 (30.6-48.7) | 79.6 (73.7-84.5) | 56.1 (49.6-62.4) | 49.4 (43.1-55.8) | 37.5 (29.3-46.6) | ||||||||
| Washington | 84.6 (78.9-89.0) | 83.9 (78.1-88.4) | 78.4 (67.6-86.3) | 49.3 (39.0-59.6) | 78.0 (71.9-83.1) | 61.4 (54.7-67.7) | 57.3 (50.6-63.8) | 61.3 (51.5-70.3) | ||||||||
| West Virginia | 82.3 (75.2-87.7) | 79.4 (72.3-85.1) | 84.4 (74.6-90.9) | 38.8 (28.0-50.7) | 53.7 (46.0-61.3) | 45.1 (37.5-53.0) | 39.6 (32.4-47.3) | 38.9 (29.1-49.8) | ||||||||
| Wisconsin | 90.4 (86.0-93.6) | 92.3 (87.9-95.3) | 96.0 (92.1-98.1) | 70.8 (62.0-78.3) | 83.8 (78.1-88.2) | 72.1 (65.9-77.5) | 56.4 (50.1-62.6) | 49.0 (40.3-57.8) | ||||||||
| Wyoming | 86.8 (82.2-90.4) | 79.5 (74.2-84.0) | 81.0 (72.5-87.3) | 37.0 (28.5-46.4) | 82.7 (77.6-86.8) | 47.4 (41.5-53.4) | 47.2 (41.2-53.2) | 43.7 (35.5-52.2) | ||||||||
| U.S. Virgin Islands**** | 87.4 (81.9-91.4) | 91.6 (87.1-94.7) | 86.0 (79.2-90.9) | 35.0 (27.8-43.1) | 74.0 (67.0-80.0) | 35.7 (29.1-42.9) | 18.2 (13.0-24.8) | 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. | ||||||||||||
| ¶ Poverty status was based on 2008 U.S. Census poverty thresholds (available at http://www.census.gov/hhes/www/poverty.html). | ||||||||||||
| ** > 2 doses of measles-mumps-rubella vaccine | ||||||||||||
| †† >3 doses of hepatitis B vaccine. | ||||||||||||
| §§ > 1 dose of varicella vaccine among adolescents without a history of varicella disease. | ||||||||||||
| ¶¶ > 2 dose of varicella vaccine among adolescents without a history of varicella disease. | ||||||||||||
| *** > 1 dose of tetanus toxoid-diphtheria vaccine (Td) or tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years. | ||||||||||||
| ††† >1 tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since the age of ten years. | ||||||||||||
| §§§ >1 meningococcal conjugate vaccine or meningococcal -unknown type vaccine. | ||||||||||||
| ¶¶¶ >1 human papillomavirus vaccine, either quadrivalent or bivalent. Percentages reported among females only. | ||||||||||||
| **** Includes St. Croix, St. Thomas, St. John, and Water Island (n=333). Not included in the United States estimates. | ||||||||||||
| tab03_iap_apov | ||||||||||