National Immunization Survey-Teen (NIS-Teen) 2020, Texas

Immunization Coverage Among Texas Teens 13-17 Years Old

Source: CDC NIS-Teen Report

About the National Immunization Survey-Teen (NIS-Teen)

The NIS-Teen is a national survey conducted every year by the Centers for Disease Control and Prevention (CDC) to assess vaccination coverage levels, or the percentage of people vaccinated, among adolescents 13-17 years of age. This study collects data by interviewing households in all 50 states, the District of Columbia, and smaller selected areas. The interviews are conducted by telephone, with households selected at random. To ensure the accuracy of vaccination coverage estimates, participant vaccination records are collected from healthcare providers by mail after the interview. The parents and guardians of eligible teens are asked during the telephone interview for consent to contact the adolescents’ vaccination providers to verify their records.

The NIS-Teen was established to provide an ongoing and consistent data set for analyzing vaccination coverage levels among adolescents in the United States and to share this information with interested public health partners. The NIS-Teen provides national and statewide estimates of vaccination coverage, including new vaccines as they are licensed and recommended for use. It also helps track progress towards the Healthy People 2030 goals.

Survey Sample

The survey assessed the vaccination histories of approximately 20,000 U.S. adolescents aged 13-17 years between January 2020 and February 2021. These adolescents were born between January 2002 and February 2008.  A total of 1,141 Texas teens were interviewed as part of this study, with estimated vaccination coverage levels for the state of Texas and two local Texas areas – the City of Houston and Bexar County.   

Vaccines Included

The following vaccine doses routinely recommended for adolescents starting at 11-12 years of age, were measured in the 2020 NIS-Teen:

  • ≥1 dose of Tetanus-diphtheria-pertussis (Tdap) vaccine
  • ≥1 dose of Quadrivalent Meningococcal Conjugate (MenACWY) vaccine
  • ≥1 dose of human papillomavirus (HPV) vaccine
  • HPV vaccine, Up-to-Date, either two or three doses dependent on age of initiation
  • Hepatitis A (HepA) vaccination, newly added to the NIS-Teen survey for 2020. In July 2020, Advisory Committee on Immunization Practices (ACIP) revised recommendations for HepA vaccination to include catch-up vaccination for children and adolescents aged 2–18 years who have not previously received HepA vaccine.

Vaccination Coverage Levels     

NIS-Teen Immunization Coverage Estimates in the U.S and Texas, 2019-2020   
Vaccine U.S. 2020 Texas 2019 Texas 2020

2019 to 2020 Texas 
Percentage Point Change

≥1 dose of tetanus-diphtheria-acellular pertussis (Tdap 90.1%   84.8%    84%c    -0.8%   
≥1 dose of meningococcal conjugate (MenACWY 89.3%    85.9%    91.2%    5.3%b   
≥1 dose of human papillomavirus (HPV 75.1%    65.1%    72.8%%    7.7% b  
HPV Up-To-Date (HPV UTD 58.6%    48.4% 54.9%    6.5% b  
≥1 dose of HPV, females 77.1% 64.2%  76.1%  11.9%b
HPV UTD, females 61.4% 50.6%  57.0%  6.4%
≥1 of HPV, males 73.1% 65.9%  69.6%  3.8% 
HPV UTD, males 56.0%  46.3%  52.9%  6.6% 
≥2 doses of measles, mumps, rubella (MMR) 92.4%  84.2%  85.9% c 1.7% 
≥2 doses of varicella (VAR) 91.9%  81.6%  86.7%c  5.1% b
≥2 HepA  82.1%  81.4%  87.1%a  5.7% b

a Significantly greater (p<.0.05) than the U.S. estimate
b Statistically significant difference (p<0.05) between years
Significantly lower (p<0.05) than the U.S. estimate


           

View accessible data table of chart below:

 NIS-Teen Immunization Coverage Estimates for Tdap and MenACWY by Jurisdiction, 2020   
Vaccine U.S. Texas  City of Houston  Bexar County 
≥1 Tdap 90.1% 84% 87.6% 87.2%
≥1 MenACWY 89.3% 91.2% 89.2% 90.6%

  
View accessible data table of chart below:

NIS-Teen Immunization Coverage Estimates for HPV by Gender and Jurisdiction, 2020 
Vaccine U.S. Texas  City of Houston  Bexar County 
≥1 HPV, females 77.1%  76.1% 87.6% 77.2%
HPV UTD, females 61.4%  57% 72.5% 62.1% 
≥1 HPV, males 71.3% 69.6% 67% 74.2%
HPV UTD, males 56.% 52.9% 49.8% 59.4%

 

The same methodology was not used for all years.

View accessible data table of chart below:

 NIS-Teen One-Dose HPV Immunization Coverage Estimates by Gender, U.S. and Texas, 2011-2020a  
Demographics 2011  2012  2013  2014  2015  2016  2017  2018  2019  2020
U.S, Female 53.0% 53.8% 56.7% 60.0% 62.8% 65.1% 68.6% 69.9%  73.2%  77.1%
Texas, Female  48.8% 51.2% 55.5% 50.7% 60.1% 54.5% 60.4% 64.6%  64.2%  73.1%
U.S, Male  8.3% 20.8% 33.6% 41.7% 49.8% 56.0% 62.6% 66.3%  69.8%  73.1%
Texas, Male  10.4% 24.0% 33.7% 36.6% 41.4% 44.3% 55.2% 55.5%  65.9%  69.6%

The same methodology was not used for all years.


Previous Years Survey Results

2019 National Immunization Survey Results

2018 National Immunization Survey Results

2017 National Immunization Survey Results

2016 National Immunization Survey Results

2015 National Immunization Survey Results

2014 National Immunization Survey Results

2013 National Immunization Survey Results

2010 National Immunization Survey Results

2009 National Immunization Survey Results

2008 National Immunization Survey Results

2007 National Immunization Survey Results

2006 National Immunization Survey Results

2005 National Immunization Survey Results

2004 National Immunization Survey Results

2003 National Immunization Survey Results

2002 National Immunization Survey Results

2001 National Immunization Survey Results

2000 National Immunization Survey Results