| Estimated Vaccination Coverage*,† with Selected Vaccines Among Adolescents Aged 13-17 Years§ Living in an MSA¶ Non 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 | 90.2 (88.9-91.4) | 91.6 (90.5-92.6) | 89.5 (87.4-91.2) | 52.3 (49.2-55.4) | 77.3 (75.6-78.9) | 55.0 (53.0-57.0) | 55.9 (53.9-57.8) | 42.5 (39.6-45.4) | ||||||||
| Alabama | 92.1 (84.2-96.2) | 81.2 (71.9-87.9) | 92.4 (81.6-97.1) | 41.1 (27.0-56.8) | 65.0 (54.3-74.4) | 49.0 (38.8-59.3) | 38.0 (28.6-48.5) | 41.6 (27.9-56.6) | ||||||||
| Alaska | 87.4 (77.8-93.2) | 88.8 (79.8-94.1) | NA | NA | 60.4 (46.9-72.4) | 47.7 (35.2-60.5) | 29.0 (19.3-41.1) | 37.5 (22.0-55.9) | ||||||||
| Arizona | 77.6 (68.3-84.8) | 80.1 (71.0-86.9) | 80.4 (65.2-90.0) | 56.6 (42.2-70.0) | 82.6 (74.0-88.7) | 67.8 (57.8-76.3) | 68.6 (58.9-77.0) | 49.5 (35.3-63.7) | ||||||||
| Arkansas | 82.6 (72.7-89.4) | 90.1 (80.2-95.3) | 81.7 (67.0-90.8) | 29.7 (16.2-47.9) | 45.4 (34.8-56.5) | 35.0 (25.2-46.3) | 22.2 (14.9-31.6) | 32.7 (19.8-48.9) | ||||||||
| California | 87.8 (81.4-92.3) | 92.1 (86.9-95.3) | 86.7 (77.6-92.4) | 62.2 (51.0-72.2) | 76.1 (68.2-82.5) | 48.1 (39.5-56.8) | 58.1 (49.3-66.3) | 44.1 (31.7-57.3) | ||||||||
| CA-Los Angeles County | 84.2 (73.5-91.1) | 91.7 (84.6-95.7) | 81.8 (67.5-90.6) | 60.5 (46.5-73.0) | 78.6 (68.0-86.4) | 53.0 (42.4-63.3) | 60.1 (49.4-70.0) | 58.7 (43.6-72.3) | ||||||||
| CA-Rest of State | 89.4 (80.7-94.4) | 92.3 (84.9-96.2) | 88.4 (76.1-94.8) | 62.8 (48.4-75.2) | 75.0 (64.4-83.3) | 46.0 (34.9-57.5) | 57.2 (45.6-68.0) | 38.6 (23.3-56.4) | ||||||||
| Colorado | 92.5 (86.3-96.0) | 92.9 (86.9-96.2) | 94.5 (85.6-98.1) | 64.0 (51.0-75.2) | 80.9 (72.6-87.1) | 73.6 (64.3-81.1) | 59.9 (50.2-68.8) | 41.7 (29.0-55.5) | ||||||||
| Connecticut | 97.8 (95.1-99.0) | 97.6 (93.4-99.2) | 96.9 (91.6-98.9) | 67.1 (57.0-75.9) | 88.3 (82.8-92.2) | 65.6 (58.6-72.0) | 69.1 (61.9-75.4) | 57.1 (47.3-66.4) | ||||||||
| Delaware | 95.2 (89.1-97.9) | 87.5 (79.3-92.8) | 82.4 (71.1-89.9) | 44.4 (33.5-55.9) | 76.5 (68.3-83.1) | 54.8 (46.4-63.0) | 59.2 (50.7-67.2) | 61.0 (48.9-71.9) | ||||||||
| Dist. of Columbia | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| Florida | 95.1 (89.5-97.8) | 97.3 (93.5-98.9) | 87.0 (76.0-93.4) | 38.4 (27.9-50.2) | 90.3 (82.9-94.7) | 47.7 (38.9-56.6) | 45.9 (37.1-54.8) | 30.2 (20.3-42.5) | ||||||||
| Georgia | 91.7 (84.4-95.7) | 97.5 (93.1-99.1) | 92.3 (78.6-97.5) | 66.4 (54.5-76.5) | 77.5 (69.9-83.6) | 52.6 (44.6-60.4) | 58.2 (50.2-65.8) | 43.4 (33.6-53.8) | ||||||||
| Hawaii | 91.0 (82.4-95.6) | 91.1 (82.5-95.7) | 92.1 (78.1-97.4) | 55.8 (41.5-69.2) | 81.1 (71.5-88.0) | 47.9 (37.5-58.5) | 52.6 (42.0-62.9) | 58.8 (43.1-72.9) | ||||||||
| Idaho | 84.8 (70.8-92.8) | 86.1 (73.2-93.4) | NA | NA | 76.3 (62.8-86.0) | 53.6 (38.3-68.2) | 40.2 (26.6-55.6) | NA | ||||||||
| Illinois | 92.5 (86.7-95.8) | 95.9 (91.2-98.1) | 82.8 (71.5-90.3) | 44.5 (33.0-56.6) | 71.7 (64.1-78.2) | 63.0 (55.3-70.1) | 55.6 (48.0-63.0) | 28.8 (20.5-39.0) | ||||||||
| IL-City of Chicago | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| IL-Rest of State | 92.5 (86.7-95.8) | 95.9 (91.2-98.1) | 82.8 (71.5-90.3) | 44.5 (33.0-56.6) | 71.7 (64.1-78.2) | 63.0 (55.3-70.1) | 55.6 (48.0-63.0) | 28.8 (20.5-39.0) | ||||||||
| Indiana | 86.1 (79.1-91.0) | 86.3 (79.1-91.3) | 72.6 (58.4-83.3) | 31.8 (20.2-46.1) | 53.6 (44.8-62.2) | 39.9 (31.9-48.5) | 39.7 (31.7-48.2) | 29.5 (19.8-41.5) | ||||||||
| IN-Lake County | 83.0 (74.9-88.8) | 85.6 (78.9-90.5) | 79.4 (67.1-87.9) | 20.2 (12.2-31.7) | 52.8 (44.1-61.4) | 39.7 (31.8-48.1) | 32.9 (25.7-41.0) | 27.8 (18.3-40.0) | ||||||||
| IN-Marion County | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| IN-Rest of State | 86.9 (78.1-92.5) | 86.1 (76.9-92.0) | 71.1 (52.9-84.3) | 34.9 (20.3-53.1) | 53.8 (43.1-64.2) | 39.6 (30.0-50.2) | 40.8 (31.1-51.3) | 29.5 (18.2-44.2) | ||||||||
| Iowa | 87.9 (79.9-93.0) | 85.3 (75.7-91.5) | 94.0 (82.5-98.1) | 46.6 (29.7-64.3) | 83.6 (73.4-90.4) | 72.2 (61.3-81.0) | 52.9 (41.5-63.9) | 47.3 (33.2-61.9) | ||||||||
| Kansas | 84.9 (73.8-91.9) | 81.9 (70.5-89.6) | 88.2 (74.0-95.1) | 50.4 (34.0-66.6) | 69.6 (57.8-79.3) | 61.4 (49.6-71.9) | 35.0 (25.1-46.4) | 45.2 (29.7-61.7) | ||||||||
| Kentucky | 97.6 (94.7-98.9) | 94.2 (88.9-97.1) | 93.4 (84.6-97.4) | 34.3 (24.5-45.7) | 83.7 (75.2-89.7) | 37.7 (30.3-45.8) | 48.5 (40.3-56.8) | 41.1 (29.5-53.8) | ||||||||
| Louisiana | 92.7 (84.7-96.7) | 94.3 (88.1-97.3) | 78.0 (54.5-91.3) | 37.0 (22.0-54.9) | 66.1 (53.6-76.7) | 45.2 (33.9-57.1) | 63.4 (50.8-74.4) | 32.3 (18.8-49.7) | ||||||||
| Maine | 89.4 (82.3-93.8) | 83.7 (74.3-90.1) | 92.1 (76.8-97.6) | 53.9 (38.5-68.5) | 76.2 (66.2-83.9) | 56.9 (46.6-66.6) | 53.2 (42.9-63.3) | 44.9 (32.1-58.3) | ||||||||
| Maryland | 92.8 (85.1-96.7) | 92.5 (83.9-96.7) | 96.9 (87.8-99.3) | 51.5 (39.2-63.7) | 80.2 (71.0-87.0) | 51.8 (42.1-61.3) | 58.9 (49.0-68.2) | 35.1 (22.2-50.7) | ||||||||
| Massachusetts | 97.3 (94.2-98.8) | 97.3 (94.9-98.6) | 98.5 (95.0-99.6) | 53.6 (44.6-62.4) | 93.2 (88.8-96.0) | 63.0 (56.7-68.9) | 73.7 (67.8-78.9) | 66.1 (56.6-74.4) | ||||||||
| Michigan | 93.1 (85.6-96.8) | 89.9 (82.3-94.5) | 93.0 (84.1-97.1) | 41.3 (30.4-53.2) | 70.3 (62.6-76.9) | 48.9 (40.9-57.0) | 53.1 (45.0-61.0) | 35.0 (24.1-47.6) | ||||||||
| Minnesota | 86.9 (78.6-92.2) | 89.6 (82.0-94.3) | 95.6 (82.1-99.1) | 52.3 (37.6-66.5) | 94.2 (88.3-97.2) | 48.8 (38.9-58.7) | 41.7 (32.5-51.6) | 42.9 (29.3-57.7) | ||||||||
| Mississippi | 91.0 (83.8-95.1) | 77.8 (68.7-84.9) | 59.0 (42.4-73.8) | 21.3 (11.5-36.0) | 36.0 (27.4-45.5) | 23.8 (16.6-32.8) | 20.4 (13.8-29.0) | 17.9 (9.6-30.8) | ||||||||
| Missouri | 86.9 (80.4-91.4) | 90.7 (84.4-94.6) | 84.6 (75.8-90.6) | 50.7 (39.3-62.0) | 75.5 (68.3-81.5) | 62.4 (54.8-69.4) | 50.2 (42.6-57.7) | 33.6 (24.4-44.4) | ||||||||
| Montana | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| Nebraska | 84.0 (72.4-91.3) | 89.6 (78.9-95.2) | 90.1 (71.1-97.1) | 66.8 (48.0-81.5) | 73.6 (59.5-84.1) | 56.3 (42.4-69.3) | 64.5 (50.3-76.5) | NA | ||||||||
| Nevada | 86.5 (75.1-93.2) | 82.5 (69.7-90.7) | 87.8 (69.1-95.9) | 52.1 (33.3-70.2) | 71.4 (56.3-82.9) | 54.1 (39.8-67.8) | 34.4 (22.1-49.3) | 44.7 (27.9-62.8) | ||||||||
| New Hampshire | 97.8 (94.6-99.1) | 97.1 (92.9-98.9) | 98.1 (92.6-99.5) | 73.7 (61.3-83.2) | 91.0 (84.8-94.9) | 72.3 (64.2-79.2) | 70.8 (62.1-78.3) | 53.8 (42.5-64.8) | ||||||||
| New Jersey | 90.2 (85.6-93.4) | 93.1 (88.7-95.9) | 89.4 (82.9-93.6) | 52.0 (44.0-59.9) | 81.0 (75.7-85.4) | 60.7 (54.7-66.3) | 70.8 (64.8-76.2) | 41.7 (33.7-50.2) | ||||||||
| New Mexico | 88.3 (75.6-94.8) | 88.8 (77.5-94.8) | 71.5 (53.3-84.6) | 43.7 (28.6-60.0) | 88.1 (79.1-93.5) | 64.1 (51.6-74.9) | 46.6 (34.5-59.1) | 45.6 (29.7-62.5) | ||||||||
| New York | 95.9 (91.3-98.2) | 97.2 (93.1-98.9) | 94.1 (84.8-97.9) | 62.1 (49.7-73.1) | 87.2 (80.2-92.0) | 66.0 (57.8-73.4) | 68.5 (60.5-75.5) | 51.3 (39.1-63.2) | ||||||||
| NY-City of New York | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| NY-Rest of State | 95.9 (91.3-98.2) | 97.2 (93.1-98.9) | 94.1 (84.8-97.9) | 62.1 (49.7-73.1) | 87.2 (80.2-92.0) | 66.0 (57.8-73.4) | 68.5 (60.5-75.5) | 51.3 (39.1-63.2) | ||||||||
| North Carolina | 93.6 (88.3-96.6) | 95.4 (89.3-98.1) | 91.8 (78.5-97.2) | 62.5 (45.7-76.8) | 77.3 (66.9-85.2) | 58.1 (47.0-68.4) | 45.7 (35.3-56.6) | 45.9 (30.8-61.8) | ||||||||
| North Dakota | 96.4 (78.3-99.5) | 93.8 (79.8-98.3) | NA | NA | 80.0 (60.9-91.2) | 59.8 (41.7-75.7) | 71.7 (52.9-85.1) | NA | ||||||||
| Ohio | 96.4 (92.6-98.3) | 91.6 (86.1-95.0) | 90.9 (73.6-97.3) | 41.3 (28.6-55.3) | 71.3 (62.4-78.8) | 49.3 (40.2-58.4) | 56.9 (47.5-65.7) | 40.9 (28.2-54.9) | ||||||||
| Oklahoma | 82.1 (72.6-88.8) | 84.0 (74.8-90.3) | 86.3 (72.5-93.8) | 23.7 (14.1-37.1) | 54.2 (43.7-64.4) | 28.8 (20.5-38.9) | 27.1 (19.4-36.5) | 36.6 (23.4-52.1) | ||||||||
| Oregon | 89.3 (80.8-94.3) | 87.4 (78.5-93.0) | 93.2 (84.1-97.2) | 49.5 (35.8-63.2) | 69.8 (59.2-78.6) | 56.5 (46.1-66.4) | 42.9 (33.2-53.2) | 48.6 (34.0-63.5) | ||||||||
| Pennsylvania | 97.5 (93.3-99.1) | 97.5 (93.3-99.1) | 98.1 (92.6-99.5) | 70.6 (56.7-81.5) | 85.0 (77.8-90.2) | 65.3 (55.9-73.7) | 72.0 (62.6-79.7) | 60.6 (46.3-73.3) | ||||||||
| PA-Philadelphia | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| PA-Rest of State | 97.5 (93.3-99.1) | 97.5 (93.3-99.1) | 98.1 (92.6-99.5) | 70.6 (56.7-81.5) | 85.0 (77.8-90.2) | 65.3 (55.9-73.7) | 72.0 (62.6-79.7) | 60.6 (46.3-73.3) | ||||||||
| Rhode Island | 97.5 (94.3-99.0) | 93.3 (87.3-96.6) | 96.1 (90.9-98.4) | 70.7 (62.1-78.0) | 90.9 (86.6-94.0) | 60.0 (53.0-66.6) | 74.9 (68.4-80.4) | 69.9 (59.1-78.9) | ||||||||
| South Carolina | 91.8 (85.4-95.6) | 93.5 (86.1-97.1) | 80.8 (62.9-91.3) | 20.2 (12.3-31.3) | 51.3 (41.2-61.3) | 38.4 (29.5-48.1) | 36.9 (28.2-46.6) | 32.3 (20.8-46.3) | ||||||||
| South Dakota | 88.2 (74.7-95.0) | 87.6 (75.3-94.3) | NA | NA | 56.1 (39.0-71.8) | 39.0 (23.9-56.5) | NA | NA | ||||||||
| Tennessee | 87.5 (75.2-94.2) | 90.0 (82.3-94.6) | 81.8 (68.4-90.3) | 41.5 (28.8-55.4) | 67.5 (58.3-75.5) | 50.4 (40.7-60.0) | 57.0 (47.4-66.0) | 40.1 (28.3-53.3) | ||||||||
| Texas | 80.0 (71.5-86.4) | 83.1 (75.1-88.9) | 93.7 (87.5-97.0) | 44.6 (31.8-58.1) | 74.0 (65.3-81.2) | 55.5 (46.2-64.4) | 48.9 (39.6-58.2) | 34.5 (24.1-46.7) | ||||||||
| TX-Bexar County | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| TX-City of Houston | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| TX-Dallas County | 68.8 (58.0-77.9) | 77.0 (66.1-85.2) | 88.7 (77.3-94.8) | 39.3 (27.0-53.2) | 67.9 (56.5-77.5) | 45.5 (35.6-55.8) | 40.4 (30.9-50.7) | 36.9 (24.3-51.7) | ||||||||
| TX-El Paso County | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| TX-Rest of State | 81.4 (71.2-88.6) | 83.9 (74.3-90.4) | 94.9 (86.8-98.1) | 46.5 (31.4-62.3) | 74.5 (64.2-82.6) | 56.7 (45.8-66.9) | 49.7 (38.9-60.5) | 33.2 (21.5-47.3) | ||||||||
| Utah | 87.7 (80.6-92.5) | 82.3 (74.1-88.3) | 82.1 (69.7-90.2) | 34.2 (22.4-48.4) | 77.2 (68.6-83.9) | 65.7 (56.7-73.6) | 45.5 (36.7-54.5) | 27.9 (17.9-40.8) | ||||||||
| Vermont | 95.0 (87.5-98.1) | 94.7 (89.0-97.5) | 84.3 (57.5-95.5) | 70.0 (47.7-85.6) | 82.8 (72.3-89.9) | 69.4 (58.4-78.5) | 41.4 (31.6-51.8) | 54.4 (38.2-69.6) | ||||||||
| Virginia | 88.8 (81.5-93.4) | 88.1 (81.2-92.7) | 81.8 (69.6-89.8) | 34.2 (24.4-45.7) | 78.5 (71.0-84.6) | 55.0 (47.0-62.8) | 41.9 (34.4-49.8) | 30.6 (21.9-41.0) | ||||||||
| Washington | 81.1 (72.8-87.4) | 83.5 (75.2-89.4) | 87.9 (72.3-95.2) | 46.8 (32.3-61.9) | 71.6 (61.3-80.0) | 57.2 (47.2-66.6) | 51.6 (41.8-61.2) | 61.9 (48.7-73.6) | ||||||||
| West Virginia | 71.4 (55.7-83.2) | 71.8 (56.1-83.5) | NA | NA | 52.1 (38.6-65.4) | 40.5 (28.1-54.2) | 40.5 (28.4-53.8) | 32.1 (17.2-52.0) | ||||||||
| Wisconsin | 91.3 (84.8-95.1) | 93.2 (86.5-96.7) | 96.8 (90.2-99.0) | 73.0 (59.9-83.0) | 90.7 (83.1-95.0) | 76.9 (67.3-84.3) | 65.5 (55.4-74.4) | 68.8 (55.4-79.6) | ||||||||
| Wyoming | NA | NA | NA | NA | NA | NA | NA | NA | ||||||||
| 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. | ||||||||||||
| §§§ >1meningococcal 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. | ||||||||||||
| tab06_msanoncc | ||||||||||