| Estimated Vaccination Coverage*,† with Selected Vaccines Among Adolescents Aged 13-17 Years§ Living in an MSA¶ Central City 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 | 88.5 (87.0-89.9) | 89.2 (87.8-90.4) | 87.2 (85.1-89.1) | 49.8 (46.7-52.8) | 79.7 (77.9-81.4) | 60.1 (58.1-62.2) | 58.3 (56.1-60.4) | 49.4 (46.4-52.4) | ||||||||
| Alabama | 94.1 (88.6-97.1) | 86.6 (79.4-91.5) | 91.5 (79.7-96.7) | 39.1 (26.7-53.1) | 82.2 (72.0-89.3) | 69.2 (59.0-77.9) | 58.5 (48.3-68.1) | 59.7 (45.3-72.5) | ||||||||
| Alaska | 83.4 (72.8-90.5) | 91.1 (84.1-95.2) | 80.7 (65.1-90.3) | 48.0 (32.4-64.0) | 69.1 (58.5-78.1) | 60.0 (49.0-70.0) | 41.8 (31.3-53.0) | 41.6 (26.9-58.0) | ||||||||
| Arizona | 83.0 (74.7-89.0) | 86.7 (79.2-91.8) | 77.9 (64.3-87.3) | 60.0 (46.6-72.1) | 85.0 (77.0-90.5) | 64.4 (54.5-73.2) | 69.5 (60.1-77.6) | 54.9 (41.6-67.4) | ||||||||
| Arkansas | 84.0 (73.8-90.7) | 80.0 (68.5-88.0) | 88.4 (75.5-95.0) | NA | 59.6 (48.5-69.9) | 43.5 (32.9-54.7) | 33.6 (24.0-44.8) | 40.5 (25.7-57.2) | ||||||||
| California | 88.4 (80.9-93.2) | 87.5 (80.1-92.4) | 89.8 (79.6-95.2) | 49.5 (36.5-62.6) | 77.2 (68.2-84.2) | 60.7 (51.0-69.5) | 57.7 (47.9-66.9) | 56.9 (43.4-69.5) | ||||||||
| CA-Los Angeles County | 83.8 (72.2-91.1) | 80.5 (64.3-90.4) | 84.8 (65.6-94.2) | 52.5 (29.9-74.2) | 79.3 (65.9-88.3) | 58.1 (43.3-71.6) | 55.6 (40.5-69.7) | 69.8 (51.3-83.6) | ||||||||
| CA-Rest of State | 90.1 (79.7-95.5) | 90.1 (81.3-95.0) | 91.3 (77.6-96.9) | 48.7 (33.6-64.0) | 76.4 (64.8-85.0) | 61.6 (49.6-72.4) | 58.5 (46.3-69.7) | 51.3 (34.3-68.0) | ||||||||
| Colorado | 88.3 (81.3-92.9) | 91.9 (85.6-95.6) | 84.0 (70.7-92.0) | 51.8 (37.6-65.8) | 89.2 (81.9-93.8) | 83.1 (73.5-89.7) | 54.4 (44.4-64.0) | 64.5 (50.6-76.3) | ||||||||
| Connecticut | 87.8 (69.5-95.8) | 94.1 (77.3-98.7) | 87.3 (59.5-97.0) | 52.9 (33.0-71.9) | 90.7 (76.4-96.7) | 72.4 (57.7-83.5) | 67.6 (51.5-80.3) | NA | ||||||||
| Delaware | 93.4 (82.9-97.6) | 95.0 (89.1-97.8) | 83.0 (63.6-93.2) | 60.9 (44.1-75.4) | 72.4 (58.2-83.1) | 50.5 (38.4-62.6) | 56.5 (43.8-68.4) | 41.7 (26.5-58.6) | ||||||||
| Dist. of Columbia | 99.4 (98.2-99.8) | 97.9 (94.1-99.3) | 96.6 (91.6-98.7) | 72.0 (64.2-78.7) | 89.3 (85.4-92.2) | 46.2 (40.2-52.2) | 78.3 (72.6-83.1) | 60.0 (51.4-68.0) | ||||||||
| Florida | 87.0 (77.8-92.8) | 94.7 (88.9-97.5) | 88.1 (78.0-93.9) | 40.2 (29.5-51.9) | 84.1 (74.6-90.5) | 48.9 (40.4-57.5) | 59.9 (51.1-68.1) | 44.2 (32.8-56.2) | ||||||||
| Georgia | 94.4 (86.6-97.8) | 92.5 (83.6-96.7) | 92.2 (73.8-98.0) | 79.4 (61.0-90.5) | 76.0 (62.5-85.8) | 53.0 (40.2-65.4) | 53.9 (41.1-66.3) | 39.0 (22.3-58.8) | ||||||||
| Hawaii | 94.4 (83.0-98.3) | 96.5 (86.1-99.2) | 100 (.-.) | 76.8 (60.1-87.9) | 80.8 (68.9-88.9) | 53.4 (40.7-65.7) | 56.3 (43.4-68.3) | NA | ||||||||
| Idaho | 89.9 (80.3-95.1) | 90.0 (81.3-94.9) | 91.7 (78.6-97.1) | NA | 69.2 (56.4-79.6) | 45.8 (33.2-59.0) | 45.0 (32.4-58.2) | 45.1 (28.5-62.9) | ||||||||
| Illinois | 89.1 (84.8-92.2) | 90.8 (86.9-93.6) | 81.8 (72.9-88.2) | 43.0 (34.2-52.4) | 74.5 (68.2-79.9) | 58.9 (51.9-65.5) | 58.0 (51.3-64.5) | 41.0 (31.6-51.0) | ||||||||
| IL-City of Chicago | 84.6 (79.1-88.8) | 86.3 (81.0-90.3) | 80.3 (71.7-86.7) | 39.7 (32.1-47.8) | 71.4 (65.2-76.8) | 58.7 (52.5-64.7) | 58.4 (52.2-64.3) | 36.2 (28.8-44.2) | ||||||||
| IL-Rest of State | 94.0 (85.7-97.6) | 95.7 (88.5-98.5) | 83.7 (64.3-93.6) | 47.2 (30.1-64.9) | 77.9 (65.8-86.6) | 59.0 (46.1-70.8) | 57.7 (45.2-69.2) | 47.1 (28.8-66.3) | ||||||||
| Indiana | 90.4 (84.0-94.4) | 89.0 (84.2-92.5) | 76.8 (58.1-88.8) | 40.1 (28.5-52.9) | 64.5 (56.2-72.1) | 45.7 (37.7-53.9) | 47.6 (39.5-55.9) | 51.6 (40.3-62.8) | ||||||||
| IN-Lake County | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| IN-Marion County | 87.8 (82.8-91.5) | 85.3 (80.2-89.3) | 78.4 (68.8-85.7) | 39.7 (30.9-49.2) | 66.4 (59.8-72.4) | 49.5 (43.1-56.0) | 53.5 (46.9-59.9) | 52.8 (43.4-62.0) | ||||||||
| IN-Rest of State | 92.0 (79.4-97.2) | 91.5 (83.3-95.9) | 78.6 (45.2-94.2) | 43.1 (25.0-63.2) | 64.6 (51.3-76.0) | 44.3 (32.2-57.1) | 45.7 (33.4-58.7) | 51.8 (32.4-70.7) | ||||||||
| Iowa | 90.3 (81.2-95.3) | 83.4 (73.4-90.1) | 81.2 (64.4-91.1) | 43.6 (28.4-60.2) | 77.8 (67.2-85.7) | 72.1 (61.1-81.0) | 63.1 (51.7-73.3) | 49.8 (34.3-65.3) | ||||||||
| Kansas | 82.2 (70.9-89.8) | 73.7 (61.8-82.9) | NA | NA | 87.8 (75.7-94.3) | 71.0 (58.5-81.0) | 49.2 (36.7-61.7) | NA | ||||||||
| Kentucky | 85.8 (71.9-93.4) | 86.9 (70.3-94.9) | NA | NA | 84.6 (69.0-93.1) | 40.1 (25.3-57.0) | 36.0 (22.9-51.5) | NA | ||||||||
| Louisiana | 95.2 (88.3-98.1) | 89.6 (80.3-94.8) | 88.8 (75.6-95.3) | 44.1 (28.8-60.7) | 71.0 (59.7-80.2) | 43.9 (32.9-55.6) | 65.6 (53.9-75.7) | 51.3 (34.4-67.9) | ||||||||
| Maine | 94.4 (69.7-99.2) | 98.7 (91.0-99.8) | NA | NA | 83.0 (63.3-93.2) | 68.5 (50.7-82.1) | 40.1 (25.0-57.3) | NA | ||||||||
| Maryland | 94.3 (82.7-98.3) | 93.1 (85.2-96.9) | 94.7 (80.8-98.7) | 44.9 (28.9-62.0) | 86.6 (74.1-93.6) | 57.0 (44.3-68.9) | 69.3 (56.5-79.7) | 51.4 (34.2-68.4) | ||||||||
| Massachusetts | 97.1 (81.9-99.6) | 98.6 (90.4-99.8) | NA | NA | 96.2 (86.9-99.0) | 61.1 (44.6-75.4) | 76.7 (61.2-87.3) | NA | ||||||||
| Michigan | 93.7 (87.5-96.9) | 92.9 (84.1-97.0) | 95.1 (86.2-98.3) | 58.1 (45.2-70.1) | 73.1 (63.7-80.8) | 43.7 (34.6-53.1) | 59.0 (49.5-67.9) | 42.3 (30.1-55.6) | ||||||||
| Minnesota | 94.8 (88.3-97.8) | 92.0 (84.8-95.9) | 96.3 (88.9-98.8) | 68.0 (54.0-79.4) | 91.6 (81.2-96.5) | 62.1 (51.5-71.7) | 58.4 (48.0-68.1) | 61.8 (47.6-74.3) | ||||||||
| Mississippi | 87.6 (73.5-94.8) | 81.4 (67.5-90.2) | 45.9 (26.5-66.6) | NA | 28.5 (17.7-42.4) | 22.6 (12.9-36.5) | NA | NA | ||||||||
| Missouri | 80.8 (63.2-91.2) | 83.7 (65.6-93.3) | NA | NA | 83.3 (70.1-91.3) | 65.1 (50.8-77.1) | 49.9 (35.6-64.2) | NA | ||||||||
| Montana | 85.3 (76.3-91.3) | 81.5 (72.2-88.2) | 80.3 (63.5-90.5) | 33.1 (18.7-51.4) | 78.3 (68.8-85.5) | 71.8 (61.9-80.0) | 34.3 (24.7-45.4) | 43.6 (28.2-60.3) | ||||||||
| Nebraska | 86.9 (77.4-92.8) | 87.0 (77.1-93.0) | 93.9 (82.0-98.1) | 49.6 (34.5-64.8) | 83.1 (73.7-89.6) | 52.0 (41.7-62.1) | 59.0 (48.6-68.6) | 64.0 (50.7-75.5) | ||||||||
| Nevada | 89.0 (81.9-93.6) | 87.6 (80.5-92.4) | 81.9 (71.0-89.3) | 35.4 (25.9-46.2) | 76.0 (68.3-82.4) | 66.2 (58.4-73.3) | 42.4 (35.0-50.1) | 36.6 (26.4-48.1) | ||||||||
| New Hampshire | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| New Jersey | 96.8 (87.4-99.2) | 90.3 (67.2-97.7) | NA | NA | 83.1 (62.9-93.5) | 65.4 (45.1-81.3) | 76.8 (56.0-89.6) | NA | ||||||||
| New Mexico | 85.3 (78.6-90.2) | 89.3 (83.5-93.3) | 82.8 (71.8-90.1) | 45.3 (34.4-56.8) | 84.0 (77.0-89.1) | 64.7 (56.7-72.0) | 49.5 (41.6-57.4) | 46.9 (36.1-57.9) | ||||||||
| New York | 90.0 (85.1-93.4) | 90.0 (83.2-94.2) | 89.8 (80.6-94.9) | 44.5 (34.8-54.5) | 90.5 (86.3-93.4) | 73.5 (67.2-79.0) | 62.2 (54.9-69.0) | 48.5 (38.2-58.8) | ||||||||
| NY-City of New York | 89.0 (83.3-92.9) | 87.3 (79.0-92.7) | 87.4 (76.3-93.7) | 39.1 (29.5-49.7) | 89.1 (84.2-92.6) | 72.2 (65.1-78.4) | 61.0 (53.0-68.4) | 43.2 (32.4-54.7) | ||||||||
| NY-Rest of State | 93.6 (78.5-98.3) | 99.0 (93.1-99.9) | NA | NA | 95.3 (83.9-98.7) | 78.0 (62.7-88.2) | 66.3 (48.8-80.3) | NA | ||||||||
| North Carolina | 72.7 (59.6-82.8) | 80.5 (69.5-88.2) | 82.6 (68.2-91.3) | 54.4 (37.8-70.0) | 79.0 (68.6-86.6) | 59.9 (48.9-70.1) | 59.5 (48.4-69.7) | 55.0 (38.7-70.2) | ||||||||
| North Dakota | 95.6 (86.4-98.6) | 87.6 (77.6-93.5) | 83.7 (65.4-93.3) | 55.9 (38.5-71.9) | 78.6 (67.1-86.9) | 71.6 (59.7-81.2) | 65.7 (53.2-76.4) | 43.2 (26.9-61.1) | ||||||||
| Ohio | 93.8 (88.5-96.7) | 95.0 (90.5-97.4) | 81.7 (64.5-91.7) | 49.7 (33.9-65.6) | 77.7 (67.6-85.4) | 63.6 (53.0-73.0) | 62.2 (51.5-71.9) | 50.8 (35.3-66.1) | ||||||||
| Oklahoma | 81.6 (70.7-89.1) | 81.5 (70.9-88.8) | 86.7 (72.2-94.3) | 26.1 (16.2-39.4) | 55.2 (43.5-66.4) | 41.3 (30.7-52.7) | 39.1 (28.6-50.7) | 45.4 (30.2-61.6) | ||||||||
| Oregon | 89.8 (83.8-93.7) | 90.8 (85.0-94.5) | 91.0 (82.2-95.7) | 56.5 (45.1-67.2) | 73.5 (65.5-80.2) | 61.7 (53.4-69.3) | 49.5 (41.5-57.5) | 58.6 (47.7-68.8) | ||||||||
| Pennsylvania | 90.3 (82.6-94.8) | 90.6 (82.9-95.1) | 97.2 (94.7-98.5) | 69.6 (57.9-79.3) | 81.1 (70.6-88.4) | 69.8 (59.9-78.1) | 74.2 (64.5-82.1) | 49.8 (36.9-62.7) | ||||||||
| PA-Philadelphia | 88.4 (83.5-91.9) | 89.1 (84.5-92.4) | 93.0 (87.4-96.2) | 66.4 (58.9-73.2) | 82.0 (77.0-86.0) | 65.2 (59.2-70.8) | 75.3 (69.7-80.2) | 58.2 (49.1-66.8) | ||||||||
| PA-Rest of State | 91.7 (75.7-97.5) | 91.7 (75.7-97.5) | 100 (.-.) | 71.8 (51.8-85.7) | 80.4 (61.8-91.3) | 73.0 (55.6-85.4) | 73.5 (56.8-85.4) | NA | ||||||||
| Rhode Island | 95.5 (86.2-98.6) | 94.8 (85.9-98.2) | 97.5 (84.2-99.6) | 69.9 (55.7-81.1) | 92.5 (85.3-96.3) | 60.3 (48.0-71.5) | 77.5 (66.2-85.7) | 65.4 (47.5-79.7) | ||||||||
| South Carolina | 84.3 (73.6-91.2) | 85.3 (74.6-92.0) | 68.8 (46.0-85.1) | NA | 57.7 (45.4-69.1) | 35.7 (25.5-47.4) | 33.9 (23.8-45.7) | NA | ||||||||
| South Dakota | 84.6 (70.7-92.5) | 75.7 (61.0-86.1) | NA | NA | 49.8 (35.3-64.3) | 37.4 (24.5-52.3) | 32.9 (20.3-48.5) | NA | ||||||||
| Tennessee | 85.9 (75.9-92.2) | 85.0 (74.6-91.6) | 83.9 (70.8-91.8) | 34.4 (23.0-48.0) | 64.4 (53.1-74.3) | 45.9 (35.9-56.2) | 57.7 (46.8-67.9) | 55.8 (40.1-70.3) | ||||||||
| Texas | 83.8 (78.4-88.0) | 86.9 (82.6-90.3) | 86.2 (76.6-92.3) | 52.8 (43.3-62.1) | 81.7 (75.9-86.4) | 61.8 (55.4-67.9) | 54.9 (48.2-61.4) | 41.5 (33.6-49.9) | ||||||||
| TX-Bexar County | 81.6 (74.6-87.0) | 82.6 (75.7-87.8) | 88.9 (81.7-93.5) | 34.2 (25.1-44.8) | 79.7 (72.8-85.2) | 55.8 (48.2-63.1) | 55.8 (48.1-63.2) | 48.9 (38.5-59.3) | ||||||||
| TX-City of Houston | 78.1 (70.0-84.4) | 81.2 (74.1-86.7) | 88.6 (80.2-93.8) | 50.3 (39.0-61.6) | 74.6 (66.1-81.6) | 51.6 (43.1-60.1) | 63.2 (54.2-71.4) | 37.5 (26.6-49.7) | ||||||||
| TX-Dallas County | 86.3 (77.8-91.8) | 87.9 (78.7-93.4) | 88.7 (77.3-94.8) | 53.7 (39.7-67.1) | 84.8 (76.7-90.4) | 63.5 (53.5-72.5) | 64.9 (55.0-73.7) | 57.0 (42.1-70.8) | ||||||||
| TX-El Paso County | 84.2 (78.8-88.4) | 86.7 (81.5-90.6) | 86.7 (79.1-91.8) | 51.5 (42.8-60.2) | 85.0 (80.3-88.7) | 65.2 (59.2-70.7) | 69.7 (63.7-75.2) | 58.0 (49.0-66.4) | ||||||||
| TX-Rest of State | 85.3 (75.4-91.6) | 89.3 (81.3-94.1) | 84.1 (63.9-94.1) | 58.5 (40.6-74.4) | 83.1 (72.3-90.3) | 65.2 (53.9-75.0) | 49.1 (38.1-60.1) | 35.4 (22.6-50.6) | ||||||||
| Utah | 88.8 (80.2-93.9) | 81.2 (71.9-87.9) | 72.5 (55.4-84.9) | 42.4 (28.7-57.4) | 72.9 (62.9-81.0) | 64.9 (55.0-73.7) | 45.8 (36.6-55.3) | 42.4 (29.8-56.1) | ||||||||
| Vermont | 100 (.-.) | 95.2 (81.3-98.9) | NA | NA | 94.7 (80.4-98.7) | 87.7 (72.6-95.0) | 52.6 (34.9-69.7) | NA | ||||||||
| Virginia | 95.2 (89.5-97.9) | 92.8 (76.5-98.1) | 95.6 (82.9-99.0) | 50.6 (34.1-67.1) | 91.0 (82.7-95.5) | 65.2 (51.0-77.2) | 71.3 (58.8-81.2) | 50.8 (32.3-69.1) | ||||||||
| Washington | 87.8 (80.4-92.6) | 86.1 (78.4-91.3) | 77.5 (63.5-87.2) | 55.2 (41.4-68.3) | 81.3 (72.8-87.6) | 62.3 (53.2-70.6) | 63.8 (54.7-72.0) | 60.2 (46.0-72.8) | ||||||||
| West Virginia | 89.3 (77.2-95.4) | 89.3 (76.7-95.4) | NA | NA | 54.0 (38.7-68.5) | 42.5 (28.9-57.4) | 50.5 (35.7-65.3) | NA | ||||||||
| Wisconsin | 97.5 (93.7-99.1) | 96.0 (91.3-98.2) | 94.6 (83.7-98.4) | 77.0 (62.8-87.0) | 88.3 (80.3-93.3) | 77.1 (67.3-84.6) | 65.6 (54.3-75.4) | 42.5 (29.6-56.6) | ||||||||
| Wyoming | 88.6 (79.4-94.0) | 71.1 (58.9-80.9) | 77.3 (60.5-88.4) | 41.8 (26.6-58.7) | 83.3 (72.8-90.3) | 43.3 (32.4-54.9) | 55.7 (44.2-66.6) | 44.9 (30.6-60.1) | ||||||||
| U.S. Virgin Islands**** | NA | NA | NA | NA | NA | NA | NA | 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. | ||||||||||||
| ¶ Metropolitan Statistical Area as defined by the US Office of Management and Budget. | ||||||||||||
| ** > 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. | ||||||||||||
| tab05_msacc | ||||||||||